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, _ . . ~ . . _ 1 - . _ _ . . - Declaration of Domicile and Citizenship . 586936 TO THQ (x.ERK oF TNd CI~CVtT OOURT, . ~ • OOUNl7. FtARIDAs Z1is is aqr d~elaratio~ ~ DoekB~ asa Aet~~i! 1~ t1~ Stat~ ~!'lo~ida tlat I ao~ t1~M dy t~ ~oordana. and ia coafora~tt~ arK? S~etie~ !!l.~7. ~1oti~ $tatatM. . t••as ~ a 1e~a1 raid~at at ~o . . aod t • . resided at ~Ll~ G~~~ ~wr I Aavi el~aRed m~ doaoieDe te - - 1tw.t ~ f~.0~e1 - aAd am asd bav~ bK~ ~ bopa lid~ rasid~at c~tM Stat~ a~ ~7orida ~toa ~7 ~ ~ 1l~~~. aad I resid~ ~t zOz. a~ N~1~r1 _ _Couot~. t7orids. lQ4f and thts Katemeot is to b~ tak~a as ay deelaratio~ ot dtis~asha. ~etwl Mtal ewid~ua aad domidM ie tM Stat~ ot F{orida. If for the puxpose of enrolling children in public school, please ~ state their t~anes : ~ ~ i I FURTHER CERTIFY t6at I w01 e~e~ister at ap bu1 addrss~ wben tss rc~strstko books reopea, a~d oornpl~ rit6 aD ~ otber requireoiests d a lKa1 raidest af tNs St~t~. ~ ~ 1 FtJRTHER tD~t,t luw oo iatentioa to retura t~o ~[ormer _ . and,t intead to reeaaia ts ~2.?~ f ` , ~ ~ ~ ~ . Count . 1~ . . . 1331 NOV 24 iI~ 4R - ~REP RNC F: (',r,~:~: ~ Si.tUf;~['r~~:~•::_: ; . RGfi~R p~~' F.::i . CtER.K CIRCUII C(t~F 1 ~ .t.-.~..,.:~,~•r~' . - - 58fs936 ~ /~~i'~~~~-~ ~~~-~I _ . i ~~~yy~~~ . ~Y~~~~,, - r V • • • . ~ ' : ~i~- • ~ t j. ~,i . ~ • • ~ _ ,SJ • ~ Y ~ _ ~ . ` ~ i i~~ ~ . _ ' ~ ~t = ~ ; ~~iia~a~r~l.b~las ~ t1~k ~ dy $ ? CG~»~ J , . ~ ' . ' s~ . . ;a;:~~ _ ~ ~ •r ; -~C-e~} ~ A,D. if $ ~ /t'~/~- J~ !i? ; ? , L £ ~ ~ ~c 1 ~ .J . • N~~ - print ~''1~1~t'~~~~ EIaC CIR~I)IT 00[JRT ~r,. _ . C7AJNIy, F'IARI~A - • BY ` tY er - ~3ss 9z~ ~ .