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Declaration of lDornic~le and Citi~enshi
t ~ 4'7458
TO T'Iils CLERK OF TAE CZRCUZT COURT.
ST. LUG 1 E OOUNTY. FLORIDA: - -
This is oU declaration of DomieDe and Citissnship is th:e Stith od F1o:ida that I am SWia this dy "ia aceos~dsnee. and in .
eonkraoigr Kith Section 881.17. Flarids Statutes. _ .
_ . I was fora er~ a 46at resddeni ct ~fil!S 1~ ~~i~ l~~ _ _ and I
1441 leti~l
resided at ~~D ~ '
~Ari ~ . -.L/.E' / - Aowtvetr. I have ebaoged ~ domidle to .
Ii~wR aaa Nam
and.m aaf Gave been abona i3de resident ottheState d Florida duos - Q?a ~ w d
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' , I9 sod I reaids at ~ ~~t/- ~41t1E'
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~i~QtiA2h ~~GE y ST. LUG I E . i~dds.
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and this stateme~ is to be taken as tap dedaration et dtiseaship, attua! k6a1 reaidenca and aaiaidie fa .the Slate of Florida. -
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• - if FOR THE PURPOSE OF ENROLLING - If i0R HOMESTEAD PURPOSES,
CNILOREN IN SCHOOLa PLEASE STATE PLEASE CNECK:
THEIR NAMES': -
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- ~ I~ JAN 26 AM ~ I I -
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o Ana
t~~ecTOy~~`o-
fORRAfs A'
- tLEWI CIlK~IITJc
- ttEtARB YER1FtF0_....
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I F'tJATHER CEATIIi'Y that I wID register at ap local addres. when the regirtration buts reopen. and eomplJ with all
other regniremeaRs d a legal residesR d this State. -
I FURTHEK CSRTiT'Y that. -I have ago intention to return tom termer domia7e. and I intend to remain in -
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Florida. *~r'• /s - -
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.x Swoe~: _ f .:~tbeeribed before doe this ~ V daT of -
• A.D.l9_.~..
AS K G IRCUI T COt~2T
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ST. LUG 1 E COUNTY, f LOR 7 ~ .
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EPUTY' 'L'ERK• ' -
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