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t~~c~~r~~~~rt a~o ~~i~'iE~~~~ a'1~~ ~t~~~~~l~~l~ . ~ . ~ ' ~ . ~ 3146fi'~' ~ , . ~ . . ~ ~ . °f U Tll~ CL~ItK Ob` T11E C1ltCU[T COURT. ST. LuC 1 E_ covrrr~r. Fi.on~nA: . . Th{s u ~~r dccl~rstian ot Domicila a~d Citizenshiy tn 1ho Slnto ot I~'lorida thAl I~m tiling this dsy tn saord~eco. Rnd in , contormitr with Srctian 2:'.2.17. Florida Statutca. ; • . 1 w~s ~armcrl a kgal rcatdcnt oi e~~ ~~P ~ - ~Ll~ ~ v~ ~nd I . ~ ICi~ 1 tStatel residcd At ~.L2..L ~ = - I~owavcs. I hev~ eh~ngcd my domicilo to . " lStee~t and NutuDsr) • snd am ~nd 1~ave bcon a Dona tide residcnl oi the Sti?te of F'lorida sineo - d~U? ~ _ ~ 't c P~+ ~e!1 , ~9~., and 1 resido at ~ ~ P~~"' • ~ lSte~t aad Number) ~1` o f~~ S~ • ~.v c~e ST. lUG 1 E Countr.Florids, - and this stetcmcnl Is to be takcn e~s my declaration oi cit~ZCnship. actual lesal residcnee and domicilc in the St~?te of Florids. IF POR TNE PURPOSE OP ENROILING • IP fOR HONESYE/la PURPOSE5~ CHiIDREN IN SCNOOI~ PLEASE STAYE PLEASE tHEC~: ~ TNE IR N/1NESS - - ~ ~ ~ ~ ~ r~,~ IPS ~'dw ~ ~ ~~-T~ ~~4~~~? ~ ?1~t G+lMt~4~:JR0E~ ' • _ tl. -tIJC~F cauxrr : ; RO~ER ~~+'AAS . C«rK C+~i.tiiT COUAT RFCt~?^ YE~ ~IE~ ~ ' ' . ~ .F . Au~ I Z I ~8 PN '1 N~~' . _ . , , s I FURT}I~R GF:RTIFY thaL 1 wil) regi~tcr at my local address wl~cn lhc rcgistr:.tion bool~,s reopen. and comply ~vith alt olhcr requiremcnts o[ a Ic~;al residcnt ot l!iis SLate. r I FURTIIE~,i CCRTJI'Y lhat I have no intention ta rcturn to my formcr domicitc. and 1 inicnd to rem~in in ~ ' ~l" n 2~ t,J c~ _ ~ ST . L U C! E . Cnunty. i' tC;cr) . ~ . I Florida. pcrmancnti;. . " . . ` . . - . i: l ~ ~ . ~ w , .i. . - ; = ~ ~~1 CO..' ~ ) ~g .~~ii ~ if . : . - - ~ ? :x - t ~ • ~ ~ -l • ~ : A _ . " , • l~o e 7~y e ii. • ~ _ ' " . ; = '1'•.. ' _ ' ~ - (Nuao1 : ' ~ ~t • i , .....••efl' ' • IAdJrrss) f ' S~vorn Ioii~td~SNlis~ribccf Lrlu~ o mo lhiy . dny ot ~ ~ ' t : c.c~fi~ A.1~. la_ i - ~ : ~ << Rn(;t_R 1'Q171tAS, GLERK OF C.IRCUlT GOU2T ~ ~ - ; :~7. LUC ' COUfJTY, f I.OR 1 t)A ~ bY; J ~az . ~"`~l~r, i~ u 1 ic • ~ M(~~~~ ~Cf . ~ • ~t{:n i tii ry:~ , ~ - > ~.....~..,..s..~.....,.~.r~w-,~~r,~s ;C~`_'.?~+~ - • ~ _ _ ..-i^°-. ~ ~ 'r~ ~ rzR - ..~a°~.. . . ~ _ ~~w ,..w