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Affidavit LTnd~r Fictitious Name Statute
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STATE OF FLORIDA SS 252~25 1
COUNTY OF ST. LUCIE ~ 4~ pM ~T3
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
fictitious name of ____________THE_ COUNTRY STOkE
_ Rt_ 3 Box 412
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in the Ciry of ___Ft Pierce St. Lucie County, Florida
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Those interested in said enterprise, and the extent of the interest of each, is as follows: °
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BOBBY J COrIPTOV 50 °o
LENA E. COMPT~v 50 %
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Proof of publicatio~ of this intention to register, is filed herewith, pursuant to the provisions of
; Chapter 20953, Laws of 1941.
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Sworn to and subscribed before me this L____ '
day of __L~"1~~-- y~g.si~~•~ ~
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- ROGER POITRAS ~ ` '
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~ CLERK CIRCUIT COURT Notary Public ; ~'-t p°
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ary Dubfc, Stafe of ~e a~ !5~!
~ BY D.C. My Commission expi~ _ T
My Zcmmission~zpues`ffeT. t4!`~15
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~ (To be executed in duplicate and orignal filed with Clerk Circuit Court, and duplicate with Tax Assessor.)
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