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~ ~b b~? a~el+~rat~n ot no~akik aaa cn~ses~bfP tn ~he seat. ot Fbria. u~! t.a~ w;,~ ebb as~? ta ~~ca.a~e, ,~aa la
~oato~aaiy? ~rjtA Sectioa 2Z2.17. l~'lo~ida Stat~ta. .
I wu ! mc~t a leaal e+e~ideat ot ' ~ ~ ~ • ~ . ; ~nd Z •
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rafded at Z 3 --~G-~ S-f', l~• ~•i.1 • Qd.rever. i baaa etu~aaed a~? doa~ie~7e ~o
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auid iua aad luve beoa a bot~ fide raidcat ot tbe StaLs oi Fiorida sioea x~ dar ot
~.1l~Le. aad I reside at - ~?~-1 Z S~ ,
~i~ p ~n ~ _ ST, LUG 1 ~`..et+~
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~ ~ad t~b statea~at b to be taken a~ raJr deetuatlon ot eftfunsbjp. attwl kgd t~cddenee and domie~e ~n tbe State o~ Florida. -
. IP fOR THE PURPOSE OP ENROLLiNG IP fOR HOMEStEAD PURPOSES~
tHILOREN IN SCHOO~~ P~E11SE STATE r4EAiE CH~CK! ~
tNE1R NAMES: ~
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I FUItTHER CEItTI~'Y that I wiq register st my local addreu whcn the registration books reopcn. ~a oomrb
otl~er requircmeats ot a-kgal resideat ot this SUte. .
l FURTJIEZ CEItTIF'Y tl,~-~ I have no tntention to nlurn to my formcr domic~7e. aad I intend to rcmaia ia
' f%O't~f- ~ irr2~P _ ST . L UC t E . Couaty.
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A.A.19_76 _ ~
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~30GER POt TRAS,,_,CLERK OF C IRCUI T GOUtT
ST. L UG 1 E GOUNTY, F ~OR 1 UA ~ . .
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