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S~. LUG 1 E OOUAfl'Y. FLORIDA:
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~i='!1~ ~ tioo d Daraie~e sad ~ iil t11s Stag gt F70sida that I am 34taj tbif .dq b aoolKdaaae. and k
- _ ooadorad4 w1tL Section ~.li. Florida 8tatutee.
i was i akRsl residssdd ~l aadl
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resided at s~
~~'6//V~ - I~Owllnl. i~ar! lbioded nom' ~oa~el~ b
test asiaai I~1~Dw1 _
_ and ase sad date a bops fide resident ettbe State dF7oarida since ® ~ d
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. 7 9 _ sad i resids at ~
18d..t a~ Z1.sDe!
~ST ~ LU ~ _ ST. LUG 1 E cooatJ. F7aida. .
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' sad tLis statement b to be taken as ~ declaration a[ eitisensLip. adnal kcal residence and doznidle is the State d Florida.
Ii fOR THE PURPOSE Oi ENROLLING ii FOR HOMESTEAD PUR~O'b'[Sj
CHILDREN IN SCHOOLa -PLEASE STATE PLEASE ClIECK:~
THEIR MANES: -
f X19 AU6 24 P#~ IZ~ Z4
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I FIJATIiER (~tTIF'Y that I wiII ' at mT lonl address wbea the reg~stratiom boos reopen. sad aomP17 wjth'aD
otter regmremea<s d a kcal resident of this State.
i that I Laos ao intention to retara to formes domieRe. and I intend to remain io
Coontj.
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i 1:7o:ida. permaaeatli.
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Swas to and snbaibed betoa+s me tLis T ds~ at ~ .
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gocER P~t?RAS. CLERK ~ CfRGUIT COUtT - ?,.'~~`~,,....:P"~-
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ST. LUG I E CO<>~1TY, FLat 1 QA - t~ ~ ,
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315. - 577 ~ -
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