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~ / . ~944'~9 '1~OTHE CI.EttK oF THE CiRCUTT COURT, ' ~ L UC 1 E t~OUNTY. FLORtDA: TW b Mr deelaraetoe ot Domteile and C~c~en~hip ta eb. Se.c. ot ~~kcida ~Aac t am Gtta~ ~is dar ta aaadaoc.. and t~ ~oarocmity witb Seetiou '2r.'".1T. Florida Sbtut~s. • Z~rY ~ri~ a k=il reaidlllt 0~ S 1~ LE'tL S'tZ~L Cs~J . i~'? tnd t raW.dat 1( C~~s~ `-~'~t'f' l~?-o~~~ R.,ti ~ twaw 1~~t~ N~+ioe.r? Ro~?~wt. I Qaw ehaapd asy doeaieib to rd aa~ aad l~av~ be~n s soaa Gd~ resid~at oi th~ Stat~ ot ~'Io~ida siae~ c1J ~ ~ ~ ~ .~I~-N aad I rssid~ at ~ ZL 377~-~J _ ~ c~s?~.r v~ hG ~ 2~ J ~ v C~, ~ ~ , {SerMt Nw~?.rl orZ~ v~ ! ~~/Z~ ST. lUG 1 E Conaty. Fiocida. ~1 ~d tAis statemeat L~ to bs taken as m~? dedaration ot eitiseaship. actual kgal e~eaidenc~ u~d domic~e ia tM State oI Fjorida. ' . Ir iOR THE ~URPOSE Oi ENROLItNC Ir POR HOMESTEAO PURPOSES~ CMILOREN IN SCHOOI~ P~EASE STATE ?LEASE CHECK: ~ TME IR NIIMES: - ~ _ • • ~ O AMO RECORDEG . f~WC1E COItMT1r Ft~t. ~ AOCEii Pp~Tg~~ . • rF~ +::~CWT CL•uR? ~ ~•c., r~~n . • ~ ~E~ ~1 II z2 AH'18 3944'79 I FURTHER CERTIFY that I ~?i71 cegister at mr Iocal addrrs~ .vhen the registration booi~a reopen. and compl~ writh all atber requiremeats oI a legsl resident oi this State. i I FURTIiEZ CERTIFY tAst I have no iaLeation to return W mr lormer domicile. and I intead to reauin in ; _ '(ZT l t=/Lcb-- S T. L U C 1 E • . Councy. ` ICit~) . ; . ! Flotida. petaunentt~ . ! F ' 1 ~ ~ • "t ' 2 5 ~ ~t~~~~ ~ ' ~ ~ C G L~,,ir~ . ~ ? ~J~. . 'i ~ ~ n ~ . : ~ ' . ~ 3~?,ti s<< +t- (~eicL• ~ . . ~'J' : - 7 ~ ~-eMr~ ) . ~ ~'r n~.~ . ~ ~ C~ c~.'?'+',~, Vcc.t ~ - ~/lddr.s~) ~ Swrorn to and aubscr'bed bctore me th~s dar ot ~ S ~-~-Z~v J•.? ~ - . ~ _ . ~ ~ ~ - . A.D.19~, ~ . ~~Z c.: L/~- .3 3 ~.SZi x ' ROGER P01 TRASI CLERK OF C IRCUI T COU2T • ~ ST. LUCIE COUNTY, FIORtUA ~ ' ~ ~ . B~i- _ ~ ~ ' ~ - ~ ~ _ y.I • ~ . EPUTY LERK • . . , • ~ BOOK ~C7~r PACE 9~ . ~ - . • ACO Ponn'l1~T~ ~ _ . . . _ ~ .w . ..~J......a~:....~t _ . . . . . • , "z;. .~;,r~,~~. " ~ a~x~~'~, v^ k,~,. ,t7+ ' ~ _ _ a.. . -.s _ .u~ ~~~~iL T~' u~ ~ E~,~`~~~5~~"~-~` 5p ~ .s+„ ~c sc..w . tr~. _ ~~-~~.~,.L- , _ _ . . .