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s • ?i h ~ s ~ . - d citizenship ration of Dorn~c~le an . pecla 4~~~ 'i•O THE CLF•Rg OF THE CIRCUIT COURT. . COUNTY. FfARII)Az ST LUG I E thie day ~ a,~,~daaoe. snd in . tio~n of Domes and CitinsasluP la the State of F'lottda that I am fi}ing . This ~ my daelsri 27~.1Z. Florida Statutes.. ~ _ roniormitp with SKt~on ©~^7'r~ - and I 1 ( y i was forme a ~ dent os ( 1 ~ domic~ to _ ~ ~ j) gowever. i haw a~~w~ resided d (gt~+ae and IQmn~1 ~ dap of ' ent of the State of Florida siaee and am and ve beea a boas fide ' 19~ and I reside at (g~.at and Nnmb~el ST . LUG I E County. Floes 1 t n ~ ~ o --r-~-=- of F1a'ida. (~1 lion of eitisenship. actual legal residence and domi~ m the Stst° and this statement is to be taken as m7 deelara ~ NROLLING IF POR HOMESTEAD PURPOSESr { F fOR THE PURPOSE Ot' E PLEASE- CHECK' ~ . CNILpREN tN gCHOOL~ PLEASE STATE t THElR NAMES: {~~,Q ~4 2; Z~ 3TL Ilcl Cp~E R~ 11. ~~~CgtWIT COURT CLf:RI( - - RECO1tB Vf AIFIFQ_--1~~_ _ ~ i _ 4'72500 - _ 4 books reopen. and eamPr! with all I, that I wOl register at my local addrass when tha reS~vO° ~ IF~~~ other requiremeat° of a legal resident of thu State. ~ r domicde. and I intend to remain intention to return tom i°~ U C E Coant7. I F CERTIFY that I have ~ ( ~ ncl • Florida. Pe~ne 4 i ' F r c~°UNr~co 1 ' V i ~ (/'~'(x~ 1 _ ~ ~ _ , y _ day of 7 d sabscn'bed before me this , . ' Sworn to - ~ y~ .D. l ~ 4 ~ A ER PO I TRAS CLERK Of" C I RCU I T COOT ' RAG f LOR t OA - - . ST. LL1G I E COUNTY BY : racE~48• . EPUTY L RK e~3~ - 4 .