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Deciarat~on of Dom~c~le and Citizenship
- 498535 `
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TO THE CLERK OF THE CIItCtJI'I' OOURT.
ST . L UC I E ~pUNTY~ glp~A;
- This b aqT deeLration d DoavkDe and tship is the State of Floeida that I am this dq in aoooedana. and ie
aonfarmit~ with Section >22.17. >°'locida Statutes.
I was f~] a bgal:+esident as ~ v - ~ ~ d - - and I
A ~ ~ 1Ct41 letwl
resided at ~ ~P r> /lam S ~OS ~~di~ L£S - Svwe~. I base ebaoEad mP domicils b ,
18tr~et d I~Me) .
and am and have been a bona bds resident at the State at Florida snce dq d
19_~ and I reside st U C £ ~ -
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pd ~ .Sz` • ~t- cri ~ ~ ST . LUG I E Comte. Fiadda.
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and this stabme~ is b be taken as np declaration d eitisenship, actual lesal seeideaoe and domieiie is the State et 1!7orida.
li FOR THE PURPOSE OP ENROLLING IF fOR NOMESTEAO PURPOSES,
CNILOREN IN SCHOOL, PLEASE STATE PLEASE CHECKS ~ ~S
THEIR NAMESS
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1980 SEP 10 All ~ 55 I
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- FILEO RNC FECOF:1i0
ST. LUCIE COt~l~T Y. f i A.
ROGER PuuITRAS
- CLERK CiRCU1T COURT -
RECORO YER~~~ER--~
495835
I F(JRTTIER L~ItTTp'Y that I wID at mT local addeesa when the teg~tration booiu reopen, and oompy with all
~ other regoi:ements a[ a legal reaideat at this State.
I FURTHER CERTIFY that I have no mention b return tom farmer domidle. and I intend b remain is
U C 1 E _ Couat7.
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Flonda. permanend, -
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Swam to and aubeQibed before me this ~ daY aI Y C~/' ~ J ` ~ UCH ~
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G RGUI T CO~d2T ,
SY. LUGIE COUNTY, FL tOA
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' BY: ~ _
EPUTY t.ERK ~ ~
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BOOK
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