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D~c[ara~~on of Dor~icilQ -and C~t~z~ns~i~~
yea E
TO THE CLERK OF THE CIItCUTf OOURT. ,
ST. LUG 1 E ppU~Y, }~,pglpA;
Thb is nU declaration d DomieOe and Ctt3senship is the State d Florida that I am Suns this dq is accordance. and ie
conformity with Section 222.17. F1o~rida -
and I
I was forme a legal resident d !
Ita14)
resided st ~ •t ~ ~o ~ s ..v ~ $owsver. I bare changed np domie~e b
ttttr..c sa xomDal
and am and have been a bona Sde seside~ oil the State d Florida since d
- lS~ and I reside st .
_ (Stiwc ~ Nsa:bea?
ST. LUG ! E ~ ~;d,,
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and this s4tement is to be taken as mU? declaration d dtiunship. actual legal residence and domicDe in the State d Florida.
li FOR THE PURPOSE OF_ENROLLINQ IF FOR NOMESTEAD,PURPOSES,
CHlIDREN IN SCHOOL, PLEASE STATE PLEASE CNECK: }
T R NANESS
-61'MMiO
1980 MAR €
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4'78490
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I F'UR1~A CERTII~'Y that I w~ register at ~ local address when the registration books reopen. and eomp{T wills al]
other regniremeats d a legal raaidaat d this Stab.
I FURTHER CERTIFY the I have no intention b return to former da®ic~1e. and I intend to remain in
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Florida. permaae~j;
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Sworn to and snbsa3bed befar~e methis dq_d_
Z~z.~,u[ ~ yvo~N~ Q. P„~/,tee ~y.~a
ROGER POIZRAS, CLERK OF CIRCUIT COt~FtT
ST. LUGI E COUNTY, fLOR tDA
•
BY: ~12~.~,LQc,~
• E P t!T Y L E R K~-~ Bl~~ t4GE~ -
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