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1 Declaration of Domicil~ and Citiz~nshi ~ p ~ _ . ~ . ~ ~ i . ~ ~ ro~c~rcoF~ca~cvnrcovnr, ~ ~ 3$~553 , . ~ • 3T. ~uC 1 E„_COVrrr~t, t'c.onro~: ~ ~ Tbb b aq? deeluatba oi Don+kOe ~nd Cit~caabip In tM State o~ Flo~ida tba! I am tiliaa this dy in acead~nce. aad b ~ eadb~~il,~r +vltl~ Ssction 2~.1T. I~'lorida Statut~. ~ / ~ . W,~_ "['Y) S~ ' . I~ra~ f~ a kpl re~ideat ot . aad I t~s~id~d at ~ ~ ~ ~ ~ - ~/1 f ~C' 1~?~ _ ~t~l .,.~Xi°.._.. Ho+rhrer. I bati e~Maapd aq? doaiieik to . I~tn.c ~i Nw~~.~1 • aad w asd Aave beeo s boaa Qde restdeat oit6e Stat~ otFfaids daos . 19 7~ dy at ~ . - 1!__,,.. aod I reside a~ - ~NSPN~llPAct~ ~ ST. lUG1E~~~ ,~~,ty.~y tav~ ~ . aad t6b ~tate,neat is eo tie wceo a o~? dee4ratios ot etei~en~htp, adn~l kgai rsaidenee aad ¢omielle in "tus state ot Fiocida. - If iOR THE ~URPOSE Of ENROLI.ING ' If POR NOMESTEAD PUR/OSE ~ 6NI~OREN IN SCHOOt~ ~~EASE STAtE tLEASE CHECKS THEIR NAMESt ~ . ~ ~ . ` - . . ~ ~IIN 1~ 9 49 ~'1~ _ - - ~ ~~COt1~~~FlA. - ~ ~ r011RA5 ~ ~ ~LE~CIRCUIT COORT - , - ~[CMO~YEIIIFIEG i . , ~ ~ ~ . i ~ . . - i i . - I P~ CERTIFY tl~t I wHl register at m~? locaf address w6en ihe registratan booics nopen. aad eompl~ ~?ith all _ ' otlier reqnt~caaeats ot a kaal tesideat ot thu Statie. _ I tbat I 6ave no inteatioa b retnra to [oraur domia'le. aud I intend to remain jn n F~~i~ S P!1 ,~a~' ~t - ~T ~ L U C 1 E . Couotr. lCiV1 . ; t'lorids. permaueatl; . - . ~ ~ , . I I - ~ • ~ i ~ . = ~ ~R ~ : ~~~i`,lt,,. ~ ~ lv,A,~•,~~ - . `@ '~~~"1 ' - ' i. _ ~ ~ ; ;~J r } Gf9•. i ' `i ~ ` ' i~ cs. _ j , _ ~ ;~,~"(~iCa~`-. ; . ` ; : ^ . ;.i-; .''d`~_ > ' ~ . ~ _ .y.""y~. . • J ~ ~ ~ . ' - ~ # ~ ~{~i .1. / ~ ~ ~~~1.. . p ~ - \ , , . I!-~ i•~~~ ~r ~1~, ' ~ . E~,~''•`, :0;;~4 ~ ~ ~ ~ +t~ . .,~s ~ s~ Wd+w~ SwOrn to R~,t~t~ betOf+e afe tbis ~ dar pf A.D.~9 ~ 77 . AS C ERK OF G I RCU 1 T COU2T ST. LUCIE COUNTY, FLORIUA ~ ~ - BY: ~ UTY LERK ; ~AGE~ v«+ _ - A 1 1 t L ~ ~ '~11~ ' - - - - ~ ..w__ ~ - _ . _ _ . ,