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Dectaration of Domic~te and Citizensh~p ~
ro~c~coF~caccurcoovKr. 36pg18
ST. LUC 1 E -~pUNi~Y. F[,ORIpA:
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TAV ts m~r deelaratba o~ DaaieiM and Cttinsusbip ia tb~ 8tat~ v~ Florids tLat i am 6dn~ tbi~ dar in aaooedana~ and in
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I was t eme • If~sl resid~at ot -
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nsid~d at J ~ ~te r1~ 1 v - Iiowwer. I luw elwn~ed a~? domie~s w
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aAd un and baw bsea a boaa 6d~ crsideat ot tM Stat~ o~ F{orjda sina ~+T ~ ~
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and chis scateaneac is to b. c.ken as a,y daeLsacioa ot etc~enstiip. accua! kaat res~nee and do~lS in tbe se.ta at Ftoriaa.
Ii FOR THE PUR?OSE Of ENROILING Ii fOR HOMESTEAO PURPOSES~
CNILDREN IN SCMOOI.~ PLEASE STATE .~LEASE CHEtK: ~
- HEIR NAMESt . '
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FIlEO ANO RECOROEO
ST.ItICtE COUNTr flA.
ROCER POI?RAS
C:ESRI~ C!.°.S!!tT ~+D!!PI
RECORD YfRIPIf '
- MaR Il 114s pN'11
3~604i8
1 FURTHEB CEFiTIFY ttut I will ~r at mr local addr~ss wl~en th~e regi~tration books r~eopea. aad eomptp ~rith sli
ot6er requireraents ot a legal resident oi thi~ SZate. ~
.
I FIJRTHE ~CERTIFY t~,t I have no intention to return to m~ tormer dondcile. and I iatend to nmain in
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~I F'lorida, Pernuneaci; . ~
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Sworn to ~nd subxribed before me tAy,_L_.,'~ day ot
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R4GER P01 TRASj CIERK OF C IRGUt T C01~2T .
ST. LUGtE GOUNTY, FLORIUA
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~ BY: '
i EPUT IERK r~~ Q''J~
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~ A(i~l i'orm 11 !YJ