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0297
D~cl~ration of Domicile and Citizenship . . . ' ~ ~ 38;~342 Tor~scs~uco~~cutcurroouKr. ~ ST. LUC 1 E._ap~. ~,p~~ . ~ • . ?Mt. r aq? a~elsratba ot oomkil..pa ati~Rip b u» sc.~. oc Fkrw. th.c t.m m6K t~i. a.,~? L~ a~eo«d.ao., .na b~ aodoewit~ rrith S~etiaa ~.iT. Florida 8tatuta. ` I was ~ a M~ai raid~at ot ~1~/~,_~: ~ c>1^? v~_~ ~ j . la.td ~ ew~d at..,~~ Hew~e. i 1ur~ d~aapd mr do~akiM ta {OteMtwN~i 1 aad am sad lyw b»a a bau fid~ rai~Mat a~tM $tat~ alFio~ids aina ~~v - 6~-'t ~jr ot ~ ~ 111.~. aad I r~sid~ at ~ D~ a -~19 ~ I/L~ D d ~ ~ ~ ~ N~ r~~ ~~7~"~- _.1~C1 C/ C"' ~ ST. LUG ! E p~~ ~ . " sed this stats+~at i~ to b~ t~kea as m~ d~dantioo at dtl~ship. tetwl ie`sl e~sid~ne~ aad domieils ja tl» 3tste at F'foeida. i . . . ~ I~ I~OR TNE ~~RPOSE Of ENRO~~ING Ii FOR MONESTEAO ~UR~OSEbi ~ CMILOREN IN SCMOOL~ PLEASE sTATE - ~~EASt~CHECK: ~ " TNEIR NAMESL ~~t.i~.~~~1.~.r'e~,..~C..~t.~ - . . , - . , ! ~A~ p ~t EO - f~, tvae 40~~~~~. . ~oacR ~o~ta~: ~ ClEkK ClBCU1T COURT -r • . ~r ~If1E0 . : Ocj 11 3 3T PM'i~ - . 38~;3~42 I FURTNER CER'T1F7t tlsst I w~71 r~gister at tn~ bcal address ~rliea the seaistratios books eYOpea. aad oompiy wit6 a11 otber reqnie~eenb oi a kgal e~esident vf t6is State. ' t FtJiiTHE~ CERTIFY ths I have no lateatioa to retarn to for~n~r doaniciile. aad I intead to reaaia io oani ' _~T . L U C 1 E ~ty. . tCtt7) . . ~ F'lo~ida. permsnend,•. . ~ . . . ; . .,,~y y... . - , ~ G G,6 ~ -i . ~~~r~~;. c r~/i~~' ' ~ v i f0 ' r. l~ _ ~ `~r: • , r `~°4`; ~ i, : ~ ~ • ' 1 :..I..`;:" • ; ~ _ : y«J-' - T.:~ , . _ ~ ~ .,GiGTf' _ ~ ' ; • : ~ = r ~r~ - ~ • ~ . . . . ' , . ~ ~ ~ ~ : • . . . - ' .wF- \ ~ . C~C g6`~'~ti'~ 1N..i+1 ~~'~'~~:r~~siit~t~' _ s«o~n co.nd,ubscribea betore m. cl~b dar ot o~l~~c~ / G~~~~a d-~H~~` _ . , . - . . A.D.19.Z.. ROGER P01 TRAS. CLERK Of C tRCUI T COU2T ST. LUGiE GOUNTY, f t0A • ~ , 8Y: ~ ~ , ` . . , ~PUTY tERK , e~ , ' dOWtl~~ PAC~ ~ ~ _ AC,C; F,: _ .