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Home My WebLink About0361 ~ ~~f~~~r~°~a~~ ~r~~ ~i~i~~~~~i ~ ~ ~ ~ ~ ~ . - _ . ~ ~ z+~~~~s TO TtIE Ci.F..ItK 0~ TIfF C1ltCl)1'C COURT. ~ 5T. LUG ( E COUI~iT~~. FLORIDA: . ~ This is niy declnration of Bo~iicilo ~nd Cit~Zenship in ihe Sta?ta ot Florida thnt I ~m filing thi~ day in accardanc~, a~d in tonlormity wil}~ Section 222.17~ ~torida Statute~. ' ~ . ~ I was formcrly a icgal restdc~t of ~~~,~~-S~-L1S-- - - o .tnd I . , (City ( tat~) restded a~ ~ , n~ 1~° . Nowever, I have changed niy domicifo to . (Strert and Nu~ab:~r) • ind am and ht~ve becn ~ bon~ fide rosident of the State of Fiorida since day of - ~ - , ~ ~ `~.J ~ / ~ ~ / 19~~and I reside at ~5 ~ ~ Q~~ L Y~- 1 . _ „ c ~ L.~ _ , . • -(StroetandNumber) _ _jt ~ ~ c'~.~ ST ~..UG ( E County, Florida, . ic~t,) ~ and this statement is, to ~e taken as my declaratiun of citizenship~ actual legal residence nnd ~ouucile in the State oI FlQrida. . - . , - If FOR T4E PURPOSE OF ENR.OLLIkG If F'OR NOMESTEA~D PURPOSES~ ~ CHIl.OREM IN SChOOI~ PLEASE S7ATE Pt,~ASE CHECK: r`~~~ ~HEiR NAMES. - ~ ~ ~ ~ ~ ~ ~ - ~ . a,~ e _ _ _ . - ~t''~~ i~~co ~~r`~. . ~ . . . _ R1~E 0~"itA~ - ~ . - CIERlc CiR~Wt COWt'r ~ , RkrORf; ~~Rtit[0 - i - ~ - ~ _ _ . ~ - ~ ~ 4 2~Z ~~'7~ _ . - . . . _ . ~ - . 3(~~~~ ~ ! - . ..3 - _ ~ ; . 1 FURT}iER C~:FiTIFY thak I Krill register at mf local acidress v.hen the re~,~stration books reo~en,•and conip)y ~~~ith ail other requirements ot a lc~;al residcnt of this Stalc. . - - ~ . ~I FUR III;~t ('I;RT FI' that/ I havc .nu intcntion to rcturn to_ my fermt: domicile, and I inlend to remain in _ - u- C Q. , Sf . L U C 1 E , County, ~ (Cicy) ~ _ - " - - Florida, pcrmancnLi~ . _ • . ~ . ~ . - ~ - - - _ . _ ` - - - ~ - _ _ ° ~ ~ . ~ ~ - - ~ ~ - ~ ~~~~eS~ ~ . . ~ , ~N1~hIA - ~o~~~ - - - e~%uf '~R ` - _ - a ~ (hdJr - . ' S~~•orn lo nr.~l subscrit,cd hrfor~ ~i~e tl,:s d~}• o~ ~-C ` ~ - h.l). l~~_`I.~ - - ~ - - " _ R~rcrz_ r}~ i 7r~r, ~~_ct_t_t~~: c~t= c I r~cu_i -r c.o~2T - ~ ~ . - - - ` ST. ~uG 1 C GUUt~~l7~~r, F ~ai i c~,h ~ - ~ • ~ ~ ~ .~i~~~ ~ ~ - ~ _ - ~ ~ I ~ ~~F~~.~..-~ . ••~Y •{a ' ~ f i~ . . - . i - + • ~~j~_~ ~r ' - i. Y ~i: k i: : . : p ; ~ ~ _ - - aY - •'~j r~ < ~ ~ _ •j.s i ~s~'~l~ $i ~s3.~- .~,;~~t~~.~ ~ - ~ ' - 0 R ~n - ~ ~.4 - ~ 80r)K ~~tJ PAG~ , - ~ f~,~e?!`~~ - . ~ f;:~t~% ~i!c~ 1t;(! !',~:~n 71 . ~ ~ ~ ~ - " '•~1esr~ittt . : . . _ . _ ~ . - . - - - - - :_3~; .