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S~~ LUG 1 E ~ DOUNZ9t. FLORIDA:
and P is the State of Fbrida that I am ~i thir d~ ~'i00°~'~' and ie
~ ~ deelaratioa oiDaa~eik _
. wltl Ssetioa 222.1T. Floeids Statutes.
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r ~ ~ Rowever.Ibawc~a~ ~T aO~~"t'O
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. and am and bare been a bona fide resident of the State o[ Fbrida stnoe _
~'-'f ~ P ~
19_1... a~ I reside at ~
`P r~ - ST. i,.UG i E - Coant7. Florida.
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• statement is to be taken as ~ decla:atSoa oI dtiu-~P. actual legal :aidena and domiai~ in the State ct Florida.
ana this _
• IF'FOR HOMBSTEAO PURPOSESs
~F fOR THE PURPOSE OF ENRO~~ ING pt,EASE CHECK:
CH1lOREN 1N SCNOOLa-.PLEASE STATE"
THEIR NAMES:
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_ - ~ j9~9 SEP 24 N~ its 41 -
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iIERK CIRCUIT COURT
ltE~R9 VERI~ tE0
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460052
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` - book: reopen. and eompl~ with aD
I ~~'~R that I w~ register aL m7 local address when the ngistrstian
. cd a legal :caideat aI tLis State.
f former domie0e. and I intend to remain is
6 I ~ (~RTg'Y that I base ao iatentiaA to return ~ mT t1 G E - Conatj. g
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Flo~'ida. yezmaaeadi
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~ to said sobsas'bed betae me thes daj o[ ~ Kit ~ w
_ K`OF•'CiRGU1T GOI~tT _ • -
$T, LUGI E GOl>HTY, ~'L .
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. EPUTY t.fRK ~ _ .
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