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TO THE CL~tt~C OF THE CIltCU3T COURT. . .
ST. ~ LUC I E ~ o~ui~'rY. FtARtn~: . `
T6b a aq? decl~ratbn ot Do~aicils aad (~ti~oasbjp b tM 8tat~ oi F"lorida ehat 1 un ~ tAb d~y? in aeeordsAOS. u+d in
~oofarmlt~ Mith Seetioa 22t.1T, ~'lorida Statut~s. ~ - ;
I rras i~ a k=al se~ideat o~ ~ ~ ~ . , and ~ -
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S_7y~~ ~ - Ho~wv~r: I Aaw ehao~d'aqr doaiie~e to
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asd am aad baw beeo a boaa tid~ cestdeat ottM St~te ot Ffodda staa 7-S,'._. d+U? oi
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and this stateaasat is to be takeu ~s aay dee4satioa ot dtiunsb~. aetnd iegst cesidence and do~aidle ia the State oi Flocida.
- If POR THE PURPOSE Of ENRO~LtNG ~i FOR MONESYEAO PURPOSES~ '
CNILOREN IN SCHOOL~ PLEASE STATE ?~E/tSE CNECKS
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I I FUR1"HEB CERTIFY that I an'll ngister at m~r 1xa1 addses~ wbea lhe registratioa books reopeA. and eompl~ writh all
! ot6er requlrements ot a legsl resideat oi thi+ State. - -
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~ I~ ~~RTtFY ~hst I bave no tnteation to retnra b aa~ for~er domieile. and I intead to nmaia in
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Swora to ~ad subscribed betoro me tbts ~J day oI - !
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