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Affidavit Uns~er Fictitious Name Statute
STATE OF FLORtDA
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COUNTY OF ST, LUCIE
The undersigned, under oath, says: That he or she is engaged in a busi~ess enterprise under the
fictitious name of --------C'ENE! S_AUTO_ $A~ s
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located at _____?5TH__STREET _AND_AV~NU~_~_~3Q~_,j~Qg~K_~~,IK_S1REE~~___________ s
in the City of _.__FORT _P~ ERCE______________________~ St. Lucie County, Florida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
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-------GENE _W.__MOOlV--------------- -lOO~O------------------- '
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Proof of pubtication of this intention to register, is filed herewith, pursuanl to ihe provisions of
Chapter 20953, Lawi of 1941. Z
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GENE W. MOON
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5TH day of ____NOVENBER 73 `
Sworn to anci subscribed before me this _ lq_____, ;
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,~~~tERK CIRCUIT COURT Notary Public ~ ~
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