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Declaration of Domicile and Citizenship `~'
~ ~ s~.o8so
TO THE CI.EAR OF THE CIItCLJIT OOUAT.
ST. LUG 1 E ~p~y. ~z,p~A;
T'6is h m~ deelarat~oo ot Do~ie~s aad Cltisen~hip in tbe State o~ Flarida that I am Blias thts da,~ ia aoooedanos. aad is
eoafocmit~ wit6 Seetion 22Z.17. Florida StatuLes.
I was iormerl~ a kgal tr.atdent ot _//~T/t' L/ /YFN/ ~~ fC aod I
p ) 18taW
resided at _~4 / ,~r ~~~ , However. I ba ebaaaed ~ domie~e to
18tr.~t ~ed H~b~t) ~
a n d a m a a d b a v e b e e o a b o n a 5 d e r e a i d e n t o t t 6 e 8 W e o[ F b c i d a: i n o e t~ l ~ d a ~ d
_~,/~EM6dC. 1~~. aad I ndde at Ll~ ~•~ ~1• VY ~ T/P(/~/~ET ~E
(BtrMt aed Naob~r)
_~~r ~T. ~ u c i c ST. LtJG 1 E ~, ~,,
~~
aad tliis stateme~ is to be takoa as m~ deelaratian ai eitisen~bip. actual kgal :eaidenas and do~a7e ia tbe 8tate at F7arida.
" IF iOR THE PURPOSE Of ENROLLING Ii iOR MOMESTEAD PURPOSESi
CHI~~REN IN SCHOOL~ P~EASE STATE ~LEASE CNECKS ~
THEIR NAMESL
~
19$0 DEC I 7 PN 2 SO
STiUC~ Co1yV ~Ya a.
RQ~ER POITRAS
_ CCERN CIRCtJ1T C~Ln ~
aF~oar ~•t.arrrs,
' S~-~86~
I FUATHER C~t1'ffY thst I wiU regist~er at ~ bal addseas wben tbe registratioo booic~ reopen, and aompl,~ wk~ aD
otber requirea~aL d a kgal reaide~ at t6b 8tate.
I FUATSER CERTt~'Y tbat I 6ave so 3ntentioa to return to m fo~ner domia')e. aad I intend to remain m
, ~7.
fOt~l .
~'brida. permanend; .
~ ~'12' CO(ly~ /--i~
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`' `~ _..~~ ~tn~ ~~~ INwJ ~ "~
'~_; f ..~ ,~~ ~iE~ ~'. !~Y ~ / /~ (/r1 /~t~-~T ~~'/YC
r~ ~= ....: =~~~
~~~ ~' .j : : r . "to wbseribed befaee me thit l 7 dq d ,t"(1 /Pr ~T !/C /t , ~L(/i!`'/O•f
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RQ~,R PQjJRA$1 G~ERK OF CIRCUI T COC~tT ,
ST. Lt1G 1 E COUNTY, FLOR 1 OA - ~-
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- - BY s - ~. .,
J . • ,
EPITY ~ERK '
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