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. wr: D~~lar~tion ~f D~annics~~ end ~~t~zen~h~pr ~ 4'~'~ii.9 To TIIE cl.Extc Gr zll~ clRCVrr co?uRr. - ST. LUCIE - . COUNTY. FLORIDA: - _ - f - - 1 This is a>y? da-iaration d Domi~e ud ~aship ;a the &tste d I.1o~rida tort I sat ~'iag t>vis ~ is acoa+dano0. and is ~:.coniaraiity with Section 7.~2.1Z. Fk?rida Statutes. - - i I was former a Igal resident o[ ~Q~t1 r s t _ l 1190 h aed I t ~~y 1 resided at ~ i n ~ rf.° LT - xo~eever I Itaee ehaaRed ap domioZe t,. ~ tsoeet..a rto~e.rl • and am sad Gave been a bona Gde resident d the Slate d Florida since 7f' 1 ~ ~ d , .l~~ld~.o S T .19.~~.,. and I rc~ide at 5/~~ U W ~C~.~~r ~7~1 "~-'G ]f' ~ - - - ~e~r f ~ c tk- ~ ~ sr. Luc I ..a~..~.rl and this stYtea~eat is to betaken as nq dedsratiott at eitiaeashil?. aetatal legal residence asd dominle is tLe slate d >rlor;ai IF FOR THE PURPOSE OF ENROIt.IN6 ~F-FOR HOMESTEAD PURPOSES CHILDREN IN SCHOOLS PLEASE STATE- PLEASE CHECK: - THEIR NAMES:- ;Z.i.~.~i ~.1 n h Sfae k mr1. r. - - - - - I~ .11k~ 23 ~tl ~ 36 - - ~ ~ ~ - - - _ If£e~llh YEbFEA...~.~- - - - - 4'736i~9 - - I Fi7RTIiER CERTIFY that I .n71 at my local address whm the =egistratioa books reopen, and ooa~r srRh a• other r~cquirecnents d a legal resident d this Ststa - - - I F'[TR'tIIF~ CERTIFY that I have no iatrntion to rstura tom focater domio'te. and I iat+end to remain it T. U C 1 E - . ~y. lC1tj1 _ Florida. perasanenci;. - - - . - - - CUU~T - ? - J~ ' 0 _ - ~ G - - Q = - -~J oe'° - SCc~~ l[1 t~ ~~c ~jL~r Sf e c~E ~GUt11~ •F~ ~t~" LAddew~i Sworn toapnd ore ate this ~ day d _~©/7" S~ = L c~ i P - (1t nn... . A.D.19.~, - C i ltJd L. Sro ~.~tA A! - ROGER POI TRAS. CLERK OF -C IRCUI T COt~2T - ST. LUGIE COUNTY, f>_OR1UA - - - BY:- - - .J EPUTY ~ERK eoo ~~4 I~~ .956 -