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Declaration of Domicile and Citizenship
481831
TO TILE CLEAR OF THE CIRCUIT COURT.
ST. LUG 1 E OOUNTY. FLORIDA: .
This b m' deeLratioo d Damieile and Citisensh~ in tbs State d 1'9orida that I am IDtna this dq io aooordana. and fa
oontarasitT with Seetion~2R8.1T. Flosida 8tatotes.
I was i a kEal t d ~o~' and I i
eesided at ~
i~_~.,.L_~ - • '~`-•..•1?~-+~-- - _ Howewe. I haw ehanssd mT domidls to
tatr..e..a Nr~ef
. and am and have been a bona Sde reddeot d tbs State d 1!loeida sins S'~~ ' dq d
1l~. and I reeide at ~ ;Z ,`t',~ o - ~ . Jn a-~
. (etrMt niNe~D~rl
~
. x_ . t ~ ~ _ ST. LUG I E Connt,. i!7oeids,
tavl
and this statems~ is to be taken a. aq deelaration d eitisenship. aetnal keel residsnas and domie~ in the State d T'loeida.
li fOR THE PURPOSE Of ENROLLING If fOR HOMESTEAD PURPOSES,
CHILDREN IN SCNOOt.s PLEASE STATE PLEASE CNECK:
~ THEIR NAMESS
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481831 .
I 1''UAZ'IIER CERTII~R that I wiII regieter at mT heal addrsa when tbs registration books reopen. and oompy with all
other regnirements d a legal resident d thb State. _
I FURTHER CERTIF3f that I have no intention to return to mT farmer domin7e. and I int~d to re/m~ai~n is
i ~ _ JI ~ ~.Ut C E . VItiY~'.
>:'lorida, 1041
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Swore toand-stibs~tribed betae~e me this ~ daT d ~ ~ • ~t•-c-~-~-- ~---r
A K Of G IRCUI T 0~2T ~
ST. LUG i E COUNTY, f~OR tOA ~ ~
• •
BY: ~
EPUTY LERK
~ PA6E ~rrrW 1
BOOK ~ i
AGO Fn*m 71-72