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5 ST•LUClE CDUMIV f~A. ti
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CLf~;R C:^CUIT COtJRT
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Affidavit Under Fictitious Name Statute ~
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STATE OF ~LORIDA i
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COUNTY OF ST. LUGIE _
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The undersigned, unde~ oath, says: That he or she is engaged in a business entetpr+se under the
fictitious name of __J~illk_ En~er{~is_es--------------------------------_----------------
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located at P._ 0._ Box _ 734__
in the City of _____~Ort_lierC~___________________, St. Lucie County, Fbrida
Thase interested in said enterprise, and the extent oi the interest of each, is as follows: ~
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LeRoy__C,__Hau~h _ 54~-----------------
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Proof of publication of this intention to register, is filed herewith, pursua~t to the provisions of
Chapter 20953, Laws of 1941. ~
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~ Swom to and subscribed before me this da of _ June ~
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ROGER POITRAS ~ `
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ClERK CIRCUlT COURT Notary Public
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~Y D.C. My Commission ex y~,~awa;rS ~
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s~~~~~G~N~~SURANCE UNDE~ RITERf ~
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