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~ ~ . . . ! . r . ~ M ! • + l • ~ ~ ~ ~l ~ i~ ~ • ~ . ~..i f . t.i:,, . ~ ~.S d : L't,~tt6...~ 4 ~ ~ a ~ • ~ ' ~ ~db~_.~ t::,~;, k i~_• ~ ' ~ '~'0'l'l!G Cl.i:lti? UF' T!1l~: CIft4t11'I' ~OUlt7', a~~~,~~~7 ; , ST. L.UC I C ' _COUNTl'. PI.OI:IUA: ; ~ . • Thia 1~ my d:•claratic?n of I)~~~~i~i!e znJ Citizc~~sl~i~ in thc Stntu o( Flotidn that i atn Ciling thu dar in accordcs~rc~ and in cont~rrnity with ;;ectiun w.17. I'IoriJa Statutc~. ~ ~ b n - ~ I w~s farm~rh• a(rgal resident ot ~TT 4.~ \~OGK ~ _~~1~]~S'~S ' - - ~nd I o lCttyl 15t~te1 res~d~d ai ~R~C' 1''~t_N ~\~6,E ~ - 2loaevet, I havc changrd mr dosnicilc to (Stnel and Nun.1._ r) and a.^.i rnd ha~•e bcen e t?ann fide resident ot the Stete ot Florida aince ~1'~1U~A~ ~ 2- day of _~--z ~~~~RY M 19~, and I resiJe at 3~~ ~h~~S`t~ ~ ~ (Strest wd Kulnteri • '~'roFZT L, vc~~ S7, l UG I E ~ " ~Clty) _._._County. F'luritia. + r: d!'.i; statri~cut i~ to hc laken a.q my dcc[nr~tiQn oi c:.ucnship~ attual (cgsl re~idcnce end doraicite in the St~ete o[ Flori:~a. ~ ~ IF FOf'. TNE FURPO~E OF EKROILING IF FOR HOM.ESTC/.p PURPOSE~~ CNILUREtJ IN SC~lOOL~ f'LEAS£ STAT~ P~EASE CHECK: ~ TIlEIR NAM~S: ~ ?~~EO,?MO jtECORDEO ? ST. ~UCIE CvUNTY F~A. ROGFR POlTRAS ~ ~ r,~ ~aK C:~cu+r Couat ~ . ~ . . . YrP.t~fEO . - JA~, 31 12 so PM'~$ ~~89 I FI~I:'C4i~:F? Cr:It'i I:'Y th~i I~:~i7! rc?i=.t~r st r.~~ lc?cal r.dd;css ~:?~cn t~r_• :et~st:. tioa ln~ks reopen, nr.:l co~aply w~it`~ e!1 ~ o'.t.ri ref~Ui['GI:1CDiS G~ a I~_~.~~ r•_~edc~~t of ti:i~ ~t~.~. I~F:Ti<<:~t C:•:P.TiP~ thxi I h1~r no intcni~~n to :rtern to r:z} for:.!~r oo~nicile, and I iuicnd to zcr.:^in iu o~' '~T- 1.. ~7C\ - ~ST , l_UC_1 r . Cuu~Ly. (Cit~1 . I'lori~i, ~•crr.lzi:eriii~. ~•t C'~~Ai n O`~ `;r,~,~ ~lr. ~ V U: f:... ~•i'"_'• ~ aS : `y: ; y ~ ~~d/ j ..5j V' ` •`;y;- ~ • - ~R ~c_~ K~____ _ t~r..,,a~ _ ~~ES i 1 «~.l: ~~.•~ru i~~ n•.~! ti: h~.~~~~,..,! 1~, [vrr r.: • tL:~ c'. ~i~~ l~~i ~ _ ~ ' ~ \..Sj~' ~ _~ils::i ~~G~_ .ac~._~ . ~ Zc < ~ ~..I). i~_~ _ ; , - ~ _t(- ~ . E ..r__t:., _r~ t~.;._r: ,-~,_-'ii~--r~~,-~,~• t~, 1 t': i ~ Cc~:!: rl t, Ft c:: . t~;, • ; !;1': ` ~ '~r~-r~_S sJ~-. - - ' t~~~t~:~, r(~t t i?. ~ R~ p BOOK ~O~ PA~E ~21 , • . ~ _ ~