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0301
Vec~arai~on oT t~om~c~~e ana ~~~~z~~ ~~N ~ . . . ; . ~ 323'~'~~ E T01'NE C~.ERK OF TiIE CIRCVTr COURT. ST.~ LUC 1 E ~p~y. ~,p~p~ . . . ~ 'j't~1s is ay? dedaratton o( Domktls and Cttlua~kip iA tM Stat~ dE Fxida tGat I aai l~fa~ !Ab d~y ia scoocda~c~, and la ee~le~aiq ~ith Seetba 22Z.It. Fbeid~? StaiutN. ~ . iwas~.lei-slr~Ws~ot S~~{'/~t//~ /~~/EL1~ ' 1l-L /rtla/`~_„a.di ~ ~/Y~~J,/~/ ~ te~.w ~d at . N.M~~ - 8owr+ras. I law ehan~sd ap domieiie to ~sd aes and Uaw b«a a boas ~ e~s~id~ot ot tAe Stata ot Ftio~ida ~isa 3 ~~T I f dyr al • / ' ~ ~ 111~~aod I ersid~ at ~S- =~~.c"------ ~ f=~ ST. lUC 1 ~..aH..r..~ F1~da. ~ t~ • aea ttils stateaoeat b to b~ Waa a~ eq dedarstiaa ol dt~ea~hip. actnal kgal e+ssidea~ ud do~aic~s L~ t1N Stas+~ o~ Fbeid~. ' . Ii i'OR THE~'URPOSE Oi ENRO~LING IF rOR NOMESTEAO PURPOSESi CHILOREN IN SCH00~~, PLEASE STATE ?LtASE CNECK: ~ TNEIR NAMES; ~ . ' . . ~T, --a+1~GE ~ ~ - - C ~ ` ~f~RD 1?£itiF~~t . ' . ' • . ~ ~ 3 ~?~IM'l~ , : - - . - - _ . . = ~ ~ ~ 323'792 I FURTHER CERTIFY tha! I a~l register at mr loeat addras ~rben !bc ngi~ation books reopen. and oomply with a!I other nqniremcnta o[ a kgal resideat of this State. I FURTHE~ EgTI ~a.t I hsve no inteatioa to retura !o mr ionner domieile. and I tatend to remain ia ` F ~ ~~~1= . ST.-- Lut~ E ,Countr, (C$~1 . . FbcWa. pernuneacli • ' . ~ - . ` ~ • - " . ~ ~ ~ " . ~ ; U 17 ~ . . . . ~ ~ , ; ' : " c,;;•~o~t~;-~ ~ ' - " ~ ~CG. ~ ~ r : ~j : ~ y%, ~ / i ~ . p~~ . , ~ ~ "'!+{-~v~ : : = • • ~ ~~~i : • ; u=~?j~'~ f v = _ :2;:~~ v. . yn. ` lN 1 .t ;~G... ~ ~~5~ ~ ~Ur- ~~E >..40, + ~ Sworn lo andau~iacr bod be[o me thia dar ot F ~ ~ ' e ~ A.D. I9..L~, . ~OGER P01 TRAS, CLERK _ OF C IRCU! T COU2T . ~ . , . - ST. LUG 1 E COUNTY, f LOR 1 UA ~ 8Y: ~ EPUTY LERK . ~ . ~ ~ 8~~47 ~ P~ 301 . r.'~ . • • ~ . ~rn ~~(tff^~ nZ *a .F.r ~ti: _ _ r•~*%.< r