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Declaration of Damiciie and Citizenship ~ ~ . ~SI~,~ ~ TO TH6 q.BttK OF?HE ARCl11T OOUST. . ST. lUC 1 E apt~rr~t. Ft,ots~~ - ~ t~. ~ ~u? a.~.r.~ ~c n~..,~a c~.~ a~. s~. ~c r~a. u.e z.. ~ w. d.,r a.~.~..,~a ~ ~o.~o~r s«tb~ 2~.i7, Fb~ia. st.ere... i w.. t~ • iKal ehid.at ot _ S o~. r~ ~ Gc.Q. ~l c.~ r r 7~b lC ( Go_, aa i . tClyl tstwl ,,;,~,d,~ 5 S_ 1~ rn q. 2 A VE _~w.r, i ~ar~ el~syrd ~qr domietl. a ~~W~ awd aa~ ~ud b~w ~a. bopa tid~ nsWeut o[ tM Stau ot Floeid~ ` t-~" 1~ . 1`l ~,p~ 1!._._.. ud I r~sid~ se ~ S'~+ / fi'r»• r, S f" _ I~Mt ~M Nw~Md ~ f ,~r ~2 c r~e _ ST. LtiC 1 E ~y. tav~ Md tl~s ~st is ta ~ t~ka~ a~ aq? d~el~ratla of dtl~p. ~etuallKa! ewid~sa aad d~widN 1r tb~ 8tat~ ot Floeids. I~ r0~ TME ~UR~OS[ 01' ENROLI{NO II IOR NOM[sTEAO ?UR'OSESi 6M11.ORtN IN SCM00~~ ~~EAS~ STATE I~iA3t CMECKS ~ TML IR NANES2 ~ n b.~,~-~- S~ na~ S~~t Sn ~ ~ . f ~c0 AN S~ OUMTY F:~ ER ?GIt~J?S ' C1ERK.CtRG_ 1lft CQLRT . . _ - RK~tO-MEiMriE~.~......~- _ ~~=_~t,~.,t„r_ ~{~EVCiE°c~~+~m°~?R~u'. - ~ioc~a ron c, 35~.384 RcooKO viR~~i ~°uat _ ~ fE~ 23 3 tcPM'i1 . - i FtTEt'l~iF~ CER'PIE'Y ch.c i~riq e+e~ister se wr Ioat addr.s. ~s tb. re~iscrstioa bodcs ssa~ea. sad a~~ al! otiitr r~qaieemeats o[ a kgal rrsideut ot tlw St~t~. j ~ C~`~ tl~at I hsw ao tat~atioa to r~turn to m toemer doa~ie~t. aad I isbnd to remuo ia E ~ T?` 'r 1~Q r' • _ ~T . L U C 1 E . Countr. - IQy) . i Floeida. peemaewo?ci , ~ ~ ~ ' ~ ~ 6 ! ~ f , ~ . _ •,~i• , ~ • , ~ . - , ~ ~n+ ~.+v ~ . - ~ . . : ~ ~ , S S /1i1 - : _ . : ; : ~ ` . " - .\~4. G _ ~ y •:.y\ . ~ ~ 3 '~em."' swora to sad~l~a,tS~iAed'~betoce ~ae thh d.r ot E f~_f'.~- - A.Q. f9.17 RQ~ER P01 TRAS._ CLERK Of G IRCUI T COl~2T ~ ST, Ll1G I E COUNTY, f I.OR 1 UA 8Y t ~,c - ~p LERK ~ ~ i~Q ~ ~ ~ ii ~ ~ .