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~IOGER POITR~t N
. C~fRK Cl;:~UIT COUIIT
' qECORD VFRIFIEO~,~
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Affidavit Under Fictitious Name Statute
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STA?E OE F~ORIDA
SS. •
COUNTY OF ST. LlK1E
The unde~signed, under oath, says: That he or she is engaged in a business enterprise untter the ~
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fictitious name of Inez' a W3 Sh0 i
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919 Ave. D Ft. Pie~°ce~ Fla.____ ~
located at _
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in the Ciry of St. Lucie County. Florida • ;
Those interested in said enterprise, and the extent of the interest of each, is as follows:
~ Inez La~rence 100y~ ~
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~ Proof of publication of this intontion to ~eqiste~, is filed herewith, pursuant to ihe provisions of i
~ Chapter 20953, Laws of 1941.
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Inez wrence
Sworn to and sudscribed before.me this ______25---_-- day of ______AugLi~t___________, 19__72 . ~
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~ ROGER POITRAS
CLERK CIRCUIT COUR? Notary Public
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~ gy _ 14~~~~fiD.C. My Commission expires-----------
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