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Affidavit Under Fictitious Name Statute ~
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STATE Of FLORIDA '
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COUNTY OF ST. LUCIE • ~
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The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
fictitious name of _ _CHAPARRAL GASOLINE ~
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! located at _ 1Q12 Anc~le_ROad_
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; ~n the Ciry of _ Fort Pierce ~ A,, ~
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ St. Lucie Coun Florida
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` Those interested in said ~nterprise, and the extent of the interest of each, is as follows: ~
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~ Robert L. Lloyd
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Proof of publication of this iMention to register, is filed herewith, pursuant to the provisions of
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1 Chapter 20953, Laws of 1941. ~
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~ ~ _ da of _ _ October 71
~ Swom so and subscr~bed before me this _ y - 19 -
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' ROGER POITRAS ~ " ~x~~' '
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CLERK CIRCUIT COURT otary Public ~
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