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Affiidavit Under Fictitious Name Statute
STATE OF FLORIDA
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GOUNT1f OF 3T. LUC1E 3
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The undersigned, under oath, says: That he or she is engaged in a business enterprise under the a
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fictitious name of _____..___-v_ &_L_STANDARD_________
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1512 South 4th. Street
located at -
in the City of Ft._ Pierce i____ St. lvcie County, Florida
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Those interested in said enterprise, and the extent of the interest of each, is as foitows: '
Donald N. Smith 50
Zora J. Smith 5~
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Proof of publication of this intention to register, is filed he~ ith, pursuant to the provisions of -
Chapter 20953, Laws of 1941.
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i Swom to and subscribed before me this day of ---~!~~G=t'`-=~------, 19__~~ `
4 ROGER POITRAS ~?`°t~~~
CLERK CIRCUIT COURT Notary Public
Notary P~66c, StM~ oi Florida af Larg~
Mr Commiation Expltes Jo~. 8, 1977
i By D.C. My Commission e~~by Ametiwn_Fire 8 Gasuafty CC.
fILEO AH^ RECORDEO , ~
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