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Affidavit Under Fictitious Name Statute
STATE OF I~LORIDA
SS. •
tOUNYY OF ST. LUCtE
The undersigned, under oath, ssy:: That he or :hs is enga~ed in a bu:iness enterpriss undsr ths ;
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fictit~ous name of __~~~5~-----~-r -----~,-~R`'~~-~?
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located at _1 ~
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in the Ciy of _ P€~~ ~ St. Lucie County, fiorida
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Those intsrested in said enfe~prise, and the extent of the inte~est of each, is as foliows:
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Proof of pubiication of this intention to register, is filed herewith, pursuant to the provisions of
Chapter 20953, laws of 1941.
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CIERK CtR Ui1'~COUIR-
RECORO VER~f1F0
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Sworn to and suburibed before me this day of .~1 v~ ~q_?~. _
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ROGER POlTiWS - ~ ,s +
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GLERK CfRCWT COURt tvo ta Public - = ' . ~
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~Y D.C. My Comm~ss~on expires- = j~~--..~.:. . ~ ,
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