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1938
e.c Declaration of Damicile and Citizenst~i~ ' 440289 TO TI IE CLERK OF THE CIRCUIT COURT. ' ST. LUC I E COUNTY. FLORIDA: This is my declaration of Domicile and Citisenship in the State of Florida that I am filing this day in accordance. and in conformity with Section 222.17, Florida Statutes. I was formerly a legal resident of ~ ts~llr`E~t ~ l~CX.~ it0~ and I ' ICiit~1 (State) resided at ~ ~~Lti,.,,~ S~ _ However. I have ebanged my domicile to (Strut aad Numesrl and am and have been a bona fide resident of the State of Florida since ~ day of _ ©t-^ .19~ana I reside at o~ ? 3 ~ J.~', ~ ~'l_el/ ~ YJ~I.tit~ 13te+et and Numt»r) ~ 1 w [~Qi ~ . ST . L UC i E County. Florida, l(~1 and this statement is to be taken as my declaration of citizenship, actual legal residence and domicile in the State of Florida. . IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD-PURPOSES, CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK! THEIR NAMES: . 4402F3y X79 g p~ 3:02 - - _ _ I FURTHER CERTIFY that I will register at my local address when the registration books reopen. and comply with all j ether requirements of a legal resident of this State. I j - I FURTHER CERTIFY that I have no intention to return tom former domicile, and I intend to remain in - U C 1 E ,County. ICit~l 'r'iorida, permanenti;. t i f V O~H • s ¢ ` < C ~ W V \ LNG ' JWr tK!~~' of `r ~f' t't~l ~ K ' IAddreaa) orn to and subscribed before me this ~ day of , A.D.19_ ~:OGER P01 TRAS, CLERK OF CIRCUIT COURT _ t S T. L UG I E COUNTY, F 1_OR 1 UA BY: EPUTY LERK _ sa~~ 3(l6 1936 6 - 1 f~ . r AGE) ~ ?1 ~A _