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Affidavit Under Fictitious I~Tame Statute
STATE OF FLOAIDA .
SS. .
COUN'1'Y OF ST. i.UC1E
The undersigned, under oath, says: That he or she is engaged in e businecs enterprise urtde? the ~
fictitious name of --------A'-_B•-_C __COMPANY-------------------------------------------
located at --------------1222 Dsym821_Ave•_-------------------------------------------
in the Ciy of ________F~._~j,E.r~.R*r.~,e.~___________, St. lucie County, Ftorida
Those interested in said enterprise, and the extent of the i~terest of each, is as follows:
Williemine_ Cairns ------100 ~
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~ Proof of publication of this intention to ~egister, is filec! herewith, pursuant to the ptovisions of ~
Chapte~ 20953, laws of 194i.
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Signed : ~ --1~~~!t~~~U_
Sworn to and subu~ibed before me this 24th _ day of ALiguBt 19_ 71_.
~
ROGER POITRAS
;CiFRiC-CIRCUtT COt1RT Notary Pubtic
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.~y' D.C. My Commission expires-------------------
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: ~ CIERK C~HCUIT COtIRT y~. ~
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