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T~ffidavit t~nder Ficti~ious Name Statute
STATE OF ELORIDA
, SS.
COUNTY OF ST. LUtiP ~
The unde~signed, undet oath, says: That he or she is engaged in a business enterprise under the
An~mals of Distinction
f~ctit:ous name of
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~dNarda Road
Route 4 ~ox 2~1%Fort jierce, _F3a.__
located a: -
in tne City of Fort ierce St. Lucie County, Florida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
Robert Roth 1005~
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; Proof of publication of this intention to reflister, i~ fiied herewith, pursvant to the provisions of
Chapter 20953, Laws of 1941. ;
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~ Swom to and wbscribed before.me this ____14__------ day o# ___`T` nU8Ty-------------, 19-? E
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~ .'itOGHt P017RA5
- CLERK CtRCU1T COURT Notary Public
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$ ' D.C. My Commission expires------------------- ~
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222162
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