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Declaration of t3omic~le and ~itizenst~i~ _
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ST. LUG t E ooui~r. >~tiolunA: ,
This b mT dedaratioa d Damidk and is tM State d Florida the I am 81ing this dq irs aoooeda>ses, aad is .
ooofaenoitT wits Section 2.17. Florida Statutes. .
. . I was f a a Isgal iesirlerrt d- 3~i4 ~ E y .E!'A~t!-~S .and I
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~?o y C o c./_iy sT - HawevaT. I have fanged mT domicils to "
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. asd sm and have Dssss a boot fde reaideaL dtlr~ Sots dFloddi siacs • da,T d
J!f N~ , i9~., and I reside at ~ O 37 ~/,ait'ff [Aaf ~ A~ieT S7= G uG/ ~ _
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Pa R-r s? ~ G ~ ~ / 6 ~ ST . LUG 1 E _ Conagr. ~lodda.
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and this ststement b to bs taken as ~ declaration d dtiaenship. adaal legal residenos and doorieDs in the i3tat+s d Flosida. "
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F FOR THE- PtlRPOSE Of ENROLL I N6 I F -FOR HONESTEA~ PURPOSES,
CH 1 LDREN 1 N SCHOOLa Pt.EASE STATE _ - PLEASE C!IECK:
THEIR MANES: - - -
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I F'ITATl~ CEATl>?'Y that I wiU register at-mT local address when the regidrstion books reopea. and aomp~ with all
other regob+easents d a legal resdded d this Sate.
I FUATRFB CEATIP'Y tbst I have. no intention to retmw to fotrner domin'le, and I intend to ramain is
_ - - - - - - ~ r E . Countj, -
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Florida, permanents
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Swoen to and beiiore me this ~3 y dq d ~ 8 ~ STU/9~QT~ _~3 3 ~q,Y._.
~R PO I TRAS,~sCLERK OF G i RGU 1 T COt~2T -
ST: LUG i E COINlTY, fLOR t OiA ~ ~ -
- EPtlTY LERK--~' -
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- - IICA Farm 71.22'