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~~~~~~~•~i~~ ~~r~~~~l~ ~~d ~~~6~~n~hi~ ~ ~ ~ ~ ~ . - ~ - ~~a~~so TO TH~ CI~ERK OF T1IE CIRCUIT COUR7`~ ~ ~ . 1 ~ 5T. LUC 1 E COUNTY. FLORIDA: , j , ' . . ~ ~ This Is my decinratio~ o! Domicilo ~nd Cittzcnship in the Sti?te ot Florida thnt I nrn I'?ling this day in accord~nce. aud in , toniormity v?~ith Section 222.1T~ Florida St~tutes. ' z . , , ~ F..~~ T 0 N ,~f~ ~"S S~Ct`~C~ St, j~'S snd: ~ I wus fnrmcrl a~ legal rc~ident at ` ICity) ~ ' ISteto) i , C cJ S N(Y s~- ; resfded ~t / . However~ I havc cha~ged my domic~lc to , . (Street and N~mber) • . and am and have bcen a bona fide resident oi the Staie of Florida since - ~ T S dny ot _ ~ ~ y ~ 19 - and I reside at ~ ~ ~'s- - - - ~ =a ~ N ~ f - } (Street and Numbar) . ~Z 1 j-- ~ L. ~ C. ST. LUC 1 E County, Fiorida, (Cit~) . ~ " _ - ~ Aad this statement is to bc te+ken us my dectaration of cit:~enship. actual legal residence and domicile in the Stnte of Florida. - ~ IF FOR THE PURPOSE 0~' ENROLL1tJG . IF' FOR HOMESTEA~ PURPOSES~ - CHILOREN IN S~CHOOI~ PtEASE 57ATE PLElISE CHEGK: ~ THE{R NAMESt • . ~ - . FIlEO AMO RECOROE6 . . _ SL LNCIE COUNtI' f1.A. - . . ~ ~ - . ROCER PQItRAS - - . CLERK Ct~CWt COt/RT _ - REC4RD YERIFIFp~~~~ . . ~ - ~ - . - ~ ~ I a3 pH'75 - . -309f;5p ~ ~ , . - : ~ ; I FURTIIrR CF.R1'II~ 1' that I~vill regi~tcr at my Icral address when thc reE;ist,rateon boo3:s rcoren, and comply ~vith all - ' o.her requirc~nents o[ a Icgal resident uf this State. I FURT1iL;;t CFR7'II~ tbat I i?avc no intcntion to return lo my former domicilc, and I intend tn rrmain in ~r` ~ S T t.- V G f~ - ST , L U C 1 E County. (Cicy) . - F lorida, pcrmancnii; . - . ~ ~ - ~ - - - - , ' . . . •r. ~ ~ - ~ _ ~ ~ . _ - ~ , . ' • • - ~ /1 , . ~ ~i• ' j . / _ _ • _ ~ y~- _ ~ ~ / 1 - . _ . - - . t c~ a~.~~ ~ ~-t, : • • _ - _ _ - I~ - ~ . 'f~+~ ' '~c~~~ . ` _ i S?l~L'~1~ ~ 1 N~t N ~ ~t'.•.',:... ~ _ - - _ (:dcunc) - ~ , . a ' : - , - - (Addre•s} ~ . . ~ lu rn f~ ..r:~l ~~.rr~~.. i~~.fYi-n i:::. f{~~o ~ ~~av ~,f - ' - - - 1. . . . . J ~ _ - / t -/~'~-yu-•=- A.l).1~1_ . - _ . _ ~ - r;~crvt~o i_ _r~:!?~,~--Cl E:R{__ Oi__C_I RCU i T co~4::~!- ~ - - - . - . - _ . i: ~Y. ~u~ : cour~~rv, r- ~o~ ~ u~, _ . _ _ : ~ r v : c~-~,-,~-UL ~ ~A~~r'~~~ - : ~ ---i ~r. r u r t~ l': t: rc t; _ - 0 Fi ~~11 PAGE ~~t`i. ntc~~ t•~~:~.~ i . ~ BOOK . - _ .