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TO T~IE CLF.R~: OE' TI~E CIItCUTT COLfiT. ~ ~
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ST. LUG I E COUrrr~r, F1.oR~n~?: ~
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Thia 1~ my d:rciarntion ot Domici!~• cnd Citizcnrl+ip in the Siate ot Florida that I~m Citing thi~ dny in ~ccordance. and in
eonformity with Scction 7L'..17. Florid~ Stelutes,- . `
I w~s mcrly a legal residcnt ot ~N TP ~ i, ~~NN ~ and I
. . ~cur~ ~saa~
resided at ~ j-2 V,~
r ~Iow~evec. I have changed my domicile to
R'~t+..c and NumDe~l ~
and am and heve beea a bo~a Gde resident oE the St~te ot Florida since l~~ dq of ~
. Q C~' ~ L K ~ 19~~_. aad I teside at //S NR ~PAN~..Iiq ~ V~.
?°Q /1 s ~ ~ V C ; C (str~t ~od Nomb~~ .
_ , ST. L.UC 1 E County, Flocida, j
(pt~) .
and this statement is to be Wcen ss my declsration o[ eitizen~bip. sctua) lega! residenre and do~r.icile in the SCato of Floride.
If FOR THE PURPOSE Oi' ENROLLING IF fOR HOMESTEAD PURPOSES~
CHIIOREN I1~ SCFi00L~ PLEASE S~ATE PLEASE CHECKI ~
TNESR NAMES:
t
P
i~~IU~CIE COUNTY fLA.
ROCER POITR~S
~1.EF1: Ci~CUIT.COGRT
" _ " ;r;:.~fIED~_
~ DEC 2T 10 0o AH'7~ ~
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3?8851'7 S
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` I FLTRT~IF.R Ct::3'[FY tAat I witt r:~~ t~r s! m; Ix~'. r.ddtf~ss w•Ae;~ tt-.e registraiion ~:~;:s reop~:n, ead campl~ a•iih rtt
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othe~ rE`.t~UliQiit£lics o[ a le~;:~; resia~ent o: t~:i, S.atr.
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R I FU;:T' ,t C.~'.F.''ii th~t 1 havc n~ intrr.~ior? tn ret~rn to r.iv tor~er domicile. and I inier.d to remzin in .
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