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Affidavit Under Fictitious Name Statute ~3s~
STATE OF FLORIDA
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COUNTY OF ST. LlIC1E . ~
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the j
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f~cr~r~ous name ot Sherwood _Hammoek Biological _Laboratory_____________r_,
Rt. 4 Box 69 Fort Pierce, Fla.
located at
in the City of St. Lucie County, Flwida
Those interested in said e~te~prise, and the extent of !he interest of each, is as fotlows:
Frank D. S. Evans
Hedvig T. Evans
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Erik Tetens Nielsen ~
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Proof of publication of this intention to register, is filed herewith, pursuant to the provisior~s of
Chapter 20953, laws of 1941. '
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' Swom to and subscribed before me this -1~-- day of -S~:?~-------------, 19__~ ~
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ROGER POITRAS
CLERK CIRCUIT COURT t~lotary ?ublic
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~~1~~L- D.C. My Commission expires-_-----------_----_
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