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Declaration of Domicile and Citizenship
4`718'72
TO THE CLEAR OF THE CIRCUIT COURT.
ST. LUC 1 E OOUN'PY. FLORIDA:
This o my declaration of Domieale and CItizsnahip in the State of Fbrida that I am Sling this day in aeooedanoe. and is
conformity with Section 222.1T. Fbrida Statutes.
I wag formed a legal resident of ~~r~h hP ?'Y'.I ~ _ I A 1l1 Sh 11'Y,t~ 04'1 and I
i(St~1 i i
resided at 1 ~ Nf ~3~-t~~ S ~ • - However. I have my domiefie to
(8trMt gad Nem~)
and am and have been a bona fide resident of the State of Fbrida since ~ 2 ~ dsy ~
~e evY, h e-r .19 ~ a- and I reside at I a 2 5. e 3 ~ n ~1ue n u n
lStewt gad Noa~br)
p+ ~ j+ - L t ' C t 2- _ S T . L UC I E County. Florida,
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and this statement is to be taken as my decoration of citizenship. actual legal residence and domicile in the Stats of F7arida. ~
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IF FOR THE PURPOSE OF ENROLLING IF FOR HOMESTEAD PURPOSES,
CHILDREN IN SCHOOL, PLEASE STATE PLEASE CHECK: {`-~I
THEE~//IR NAMESS ~--'1
' 1~ 1 t1~'1 h2 E~ ~ V Q rn ~ C11 ~
t ~rl t~ ~ 1980 JAN -8 AN i~ 4 7 t
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FI ED IEbiGpR~ECp~O I
' ST~~~ER
POITTRASA.
M GeV w.ew.w ww.r~ 3
WoYVtt W ~ ~
- _ RECORD ~'ERtFIEO
4'T18'7~
f I FIJR'i'HER CERTIFY that I w~71 register st my local address when the registration books reopen. and comply with ail
other requirements of a legal resident of this S4te.
I FURTHER CERTIFY that I have no intention to return tom former domicile. and I intend to remain in
U C E ~ .County.
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i Flosda. permaneD[l
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. ' ~ ~ : L- s , C l LZ S • E- ~ ~'t'~//I--"fJJC~~''1`` A vP t'l U
~39;orn t0 qad: ~bai'nbed before me this ~ day of ~ ' J"f l t ~ Q J ~ J 2
~ P01 AS ~ LERK OF C IRCUI T COC~tT
ST. UG I E COUNTY, f LOR 1 -
BY: ~ti•'~
EPUTY LERK
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ec~t~~ P~E12~7
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