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Home My WebLink About0114 t~ f'` ~ o l. `t ~t*~~j C(~@ K ~i.T ~ ~ o Ca •~1 ti ~?d ~ 0 l~ ~ i? ~ U er ~L.II ~J~ ~ i ~ ~ `10 f ~ ~ t ' ~ I . ~ ~ . ' . ' TU T}Ik: CL1~,iiK Oh"1~}I~: C11iCUlT COl3RT. , i ST . l. UG ! E CC~l7NTY. F'I~~ttIDA: ~ . ~ ; 1'his is nry dcclRration of I?omicilo and Citizenship in tha StRto o~ ~ loridA thnt l am tJing this day 141 4lCCOTdAt1tG. an~ in - . 2 ~ tontormity K~itt~ aection Z°2.17, I~'loriJa StAtutes. ~ ~ ~ r } C w formcrl ~ lc al resident of _ ~ ~`-"`'r-~•~~_ - - ~ - ~ °'n~ I } I ~ ~~Y s ~ , , ~C~irl tsc.ce) - resided nt ~i • - .}iowever~ I h~?ve chan~ed my domicile to ~ ~Slreet ir.d Nuruber) ~ . And am and havc brei~ a bonn fide resident ot ihe Sta'e of F'loridn ~ince day of . > y~~- ' i ' • ~ ~ - .19.1-5 . and I reside at ~ ~J~"'`~ Z- • A___~_, -l~ ~ lStroet aad f~tum r) _ _ ~~'1~`~ ~ ~~~,.~/l.-C~.• ST . .l_UG ( E County. ~`lorida, (City} . nnd this staiecner.t is to bc tRken as my declsration oi citizenship. actual legal s+~sidet~ce ana ciomicile En ti~e State of Flurid~. j ~ I F FOF~ TNE PURPO~E. OF ENROLL•ING I F` FOR• Hn1•SESTEA~ PURPpSES~ . CH I1~nREN 1 K SCt100Lf PLEASE S7ATE _ PLEASE CNECK: 7~!£ ! R NAh1ES: ~ ~ ~ ' ~7~~:'~ -r~~ ~n G~~~-J ~ ; - - ~ _ ~ rtc~~~~o ~ . - fltEO r.r _ • - • ST.tUC:~.~~~ux7Y fL~- ~ ' ' kCsG:.n * j's'ftAS ! ~ CLEii~. ~i.:C~.;1T CU1lRi : ~ ~ R~~'`'L~ 1: 1. ` ; ~ . . l ~a 10 ~'75 f _ . . - _ - . ~ . . ~ . ; • ~ ~~'7f~S~l. . - _ - ~ - ~ j r Lti;7'lll:l~-(;F.Ii'1'IF1' lhat 1 wili rcF;i~tcr al tny local .tddress whet~ lhc rcEnstration bo~ks rcu;mn, xud comply i!h ai: nlt~cr rc ,uirc~. ^nts o~ a Icl;al r?=idr•nl oI this Stalc. ' 1 FUR'I'11i:~t CJ;It7'II~ i' Lh2t I La~'c ~o i~itc•niion to rE~turn to m~• torm~~r clomicilc, and 1 ~ntcr.d to rcrn:sir~ i~? ' SY , L u c i t c'~.<<~~iy, ° - (C;cy1 - • 1'l~,cid;,, ncrr.~anc~ni; . _ - _ ' . - _ : - _ ~ - ~ ~ ` ~ ' ' - ~ . - % , _ jr. t - / ` % l~ . ~ . ~ ~~.:i~tir~.~~~ ; ti~~4._ . ~ /f/- //f~ ~ ~ . . . ~ t. "~J ! . . ~ ~ : ~ ~ - ~ / ~ ' icJ~~_..~L>L_t~t ~ L. L _ I'~ ; v ~~n .~~~;i,•_e, - ~ . , ~ ~.a~ ~ ~ ~ ? _ ~ • x r ' . _ _ - ~ - ~ t i~7 s.~ r~ °-Y~. 3#,.i~-- - - _ I' ; •CJ. ,tr ~C '~5~,~ ~ . . . lif _ < .ER. R. ~ f•~~`._~f - ` . . . '.,.l~fi~..~ ~ - U) : ''1 ~ i 1~_~{1._~~..c~.~tZ_^__~~ ~ i s ~ r - ~ ~ t:.~l:r~?~~ t "s j '~c i . ly~s~, . _ ~t.d~3rc~s) _ i i r a--*,'` - % y ti ~ ~ ~ - - - - ~I I~~j«Cj~T1~~i,~~t~t~;,3~i~ ~.~fj ~)1":OTP itl~• It~i~~ ciny ~,f ~ _~['.l_C~4_3~?'y~~•'• ~.~5. j.~ ~/~~)J - ~ : ~ - - - f . R(~C;C~? _f'n_I_1.{~l~.S}_ GI.Ef{i; _UC__C, Il:t:lil-f--CUlf; f ~ _ iT, l_l~~ { C CUUi f I Y~ i 1_U:< 1[~/~ - _ ~ ; . . ~ . ~3Y : ~~Z ~51`1 C c.'~ Ct~-'`-!_ . ' - - _ _ ~ ?t: f ~ 1 Y l.1. 1" t~ i_ . - ~ ~ , i , - . _ - . _ 600K ~;ch'7 PAGf , - ~ , _ - /~(~f 1 ~~.rt~,~ # - ~ - . - f E-• _ - ' '