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~~~C~~~~~~~~ a~~ ~~~1 t ~ - _ f . 1 ~ ~ • ~ 3~l4958 - ~ ' TO TIIL C1.~~ItK OF T}lE CI1tCU1T COURT, . . ~ ST. I.UC 1 E COUNTY~ k'LORIDA,: ~ This Is my dccl~retion ot nomicilcs and Cilizenship in the Stnte of I~'torida ihnt I Am tiling tfiis day in t~ccordence, dnd in ~ contormity with Scction 2~.17, Florida SiAtutes, . ' ~ . . ~ : C _ I wds tarm~r~ n Iega) ecsident of Q G~ ~ fj, T'~, ~ e ~ ~ And I + - (4ity1 ts ee) - vesidcd At ~ " Ll • . Howevcr.l have changed mY domicile to ~ (Street srd Ku Der) • ~ D T~ ` i ~r,d a?a and have been i bonA fide resident oI the State af Floridn since ,~J day ot ~ K~ " _j C' ` t' iC' ~i C ; - ~ U L? 1~' ~ ,19 7 , and I reside at ~ ~ ~ ~ ' ~ - (Street and Numbcr) ~ ~ _ _ ,~nft' ~ 1.~/~{' ~t`' C -f, . ST. LUC I E County. Florida, . - - - ~ ~ , _ ~cit~) - ~ ~ ~nd this stetement is to be taken s~ my declaration of citizenship, esctusl tegnl residence and danicile in the Stato o[ Florida. ~ _ - ~ - _ _ _ - . ~ If-F6R TNE PURPOSE_OF' ENROLLiNG IF FOR NOMESTEAU PURPOSES~ ~ CFi1lDREN IN SCHOOI~ PIEASE STATE ~Pt,EASE GHECK: T H E I R N A M E S: ~ ~ . ' ^ ~ 0 - - :~,L1L~ ~ ~ ~ c" , ~ ~ei ~-5 h~ ~ ~S- _ ; ~ . . - - k ' . ~ - ' ' ~ ~ ~ ' ~ . . ' i . ~ . . ' , _ _ . - _ , ~ • ' ' 1' - - . ~ , i - _ - - - ~ _ - ~ . ' - . . _ ~ ~ ~ . ~ - ' ~ , ' - t I FU~3TIIER CER11F1' that I~t•ill re~;ister at Tny local address when th~• rej;istr: tion books reopen, and ~ori~~il)• ~v'sth all . ~ afher re(ll!liC'111CI:ts of a tc~;al rrside:~t of t!~i~ Statc. - • i . . _ ~ 1 FUIt'i_IlEL,Z CF:R7'1 ti~at T~a~c no intcntion to retur~i to my [ormer domieile, a~d I ir.tend to reri~ain is~ _ - ~ ~ j.~ ~ e k~ --SY_~_ L uc i e ~ . Cc~unty, - - ~C~~y~ , - . y Florida, perir.ancmi,'• - '3(~Q~~ . - ~'~,7 FIIfG e.~;t,~ RECORDED _ _ _ ~ ST- ll~Ci~ ~OtiAtl' fU. t • RGf:E= P.,:TRAS ~ ~ • . _ - - ~LER!: C:'CUtT C~ - ' ~ . ~ , _ P.Er,^pn :fi:~:F~f~_~!1~~ . : - - ~ _ Mar 11 ~ 1 2s PH 75 ~ ~ - - ? ~ . ; :l r~., - _ . - c - ; ~ . : , . . J ~ ; - c~~ 3i `~s L~.. - . - ~ !=~'~~Yl.~ ~ ~ - - CJ~ i ~ J ` Y•• ~ - . ' G ' _ - - • ' - . ~ii ~ . _ _ . - . ? ~ . ~J - . . - ~ • . - _ _ i~ . - - 1 l.w•1 " ~ s r , . . ~l\A71~C~_-_` - :'~i: - . . ~ - . . . . . • ; ' ~ -i ` ' (/~ducr~~) ~ ~ . - ~ _ • ; = S~ru=.•r.l~,~r.u~1s!~f,icri~~ti~.~bc•foi~ nt~~tL•is `~~--dayc,i _ - _ . ~2~ ~ _ - ~.n. ~~_~`7. ~ . , _ , =r ~ - _ , l . - _ E.c~c:~_r_ ~ u~ ~~t~_~,:_c~_~_;~~c_ c~r---c ir.CU_I T C(~U.~ ~T. Lll~ CGUl~1TY, f t_0:< 1 Ut, _ . - - . ~ ' = - ~ _ ttY: ~{n,_c.L.. (s~d-~c.~'" ~ . - . . - - - ----rie i- u T~i- Z:i.~: s_ ~z ~ _ - . , ~ BOOK ~t77 PACE~C7~GU . : - ^Y~,~ ~ ' : - . ~ _ - t.~;~? } : ~ € - . - }