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nec~ara~ion ~~om~ci~e and-~iicizens~ii
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sue.. LUC 1 E „ oovN'1'Y. ~'LOxIDa:
~'Tlds is ev dedastios d Docoieile gad iw tle State d Fsosida that I am ~ tlis dp is sooordaoee. iad ~ -
. _ will Seellos lSt.lt. I+loeida 8tatates.
' I was a kEsl:~esideat d c _ D ~t/~.,~ A.,; gad I
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resided at Howeres.I Dare eLaoSed mY dossie8s to
and am gad ~sre been a bona Sde resideat d the Slats d1!7o:ida aiaoe ~ lord
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gad this statement is to be takes a: ap dedaratioe at dtiseaship, actual legal resideaos and domieDe fo the State d 17oeida.
Ii POR THE PURPOSE-_Of_ ENROLLING IF t%OR HOMESTEAD PURPOSES
-t:HILdREN IN SCHOOt.~ • PLEASE STATE 'LEASE CHECKS
THEIR NAMES: -
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• RECORD 11ERIF1E0
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I FiJR1~ 4'ERTff'Y the I w~ register at mT local address wbea the registration books reopen. gad o~pb with a1i
other d a legal relideat d this State.
i I i•'[JTt'1'~ CEATg'Y -that -I lase ab iateatios to ratara to m7 totaxr domia'Ie, gad I iatead to nmsi~ is
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Sw~ees togad sobeQibed bolas me this dad d . 3;
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