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Declaration of flomicile and Citizenship r
• ~ 454412
OF TAE OOURT '
110 THE Q.EItK CaiC[JIT
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S~~. LUC i E ~ 4
OOUNI'Y. FZ.ORIDA: E.
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~`,'4bis b ap derLration at Docoiciis and Citi:eaship in the State o! r7orida that I am $iins this da,T in aooordaaae. and io s
. , eanlormif,T wkb Section 228.1T, Florida 84tntes.
I was s legal resident o~i /Ye W YDIP _ 4~ d~ sad I .
1 t
resided a 2 f
d /~yG Lt yl /7b cv~/ //7S~~Aowever. I have ebanEed ap aomieDe to
ts~..t.aa Nm~e.rl ~ ~r~ - ~ ei
an_ d am and have been a bona Gde resident of the SLte a! Flora since
L /V ~ ,19
7
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- and I redde at ~.3 gl ~o ~/I y G Gf
yG J ~ _~3 S/S~ ST. LUG i E Comb. ~;d,, _
and this statement is to be taken as aq declaration of dtisenship. actual legal rasidenoe and domiefle in the State d Florida.
IF FO'R THE PURPOSE OF ENROL.I IN6 IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECKS
THEIR NAMES:
f
1919au~"9 ~i~~31
sT~tua~
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aEC0a0 ~atlrEO ~
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I FIJRTIIER CERTII~'Y that I w01 register u m~ kual address when the registration books reopen, and oomph with aD
other regairemenb a[ a legal resident of this State.
i
I F~ (:ER1'II~~ tba~ I have ao intention to return to m~ former domic~7e. and I intend to remain in
_ T. U C 1 E CountT, ~
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Flords. permanensl, .
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Sworn to and sobscn'bed belone me this daT of i• 7 ? / L. ~l G / ~ ~ y.~i~
9- - ~
. A.D.19
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ROGER P01 TRAS. CLERK OF CIRCUIT GOURT
ST. LUGIE COUNTY, fLOR10A -
.
BY:
~ EPUTY t.ERK
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