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Affidavit Under Fictitious Name Statute
STATE OF fLORiDA
SS.
COUNTY OF ST. LUCIE
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
fiditious name of --TZ'QY- AlZ' C9Y1~Y's2,1_~QI~p~Y~y_-------------------------------------
located at - ----420~_ Metz~e~-R-°-~d
in the City of __~95~_~1QtC~________________________, St. lucie County, Florida
Those interested in said enterprise, and the extent of the interest of each, is as fo!lows:
--Perry_ _L,_ Shook -_1QQ_~.~r~en~-------------
Proof of publicat;on of th;s intenlion to register, is filed herewith, pursuant to the provisions of
Cfiapter 20953, Laws of 1941.
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Sworn to and subscribed before me this _ 3_ _ _ _ _ _ _ _ day of _ _ _ ~ • ~
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' ROGER POITRAS
L~?%r2!~=~---- _ ;
CLERK CIRCUIT COURT Notary P lic
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BY D-C_ My Commission expires_~ -I_~ -_7 6__
NOTARY P11Bl~C. SfATE af RORtDA tt LAR6E
t~iY COi~AWSISS;~I E~CPIRES ApR. 13, 197f
d0!!D~ [HAI! fiEtiERAI ItiSllltANCE UMDERYYRITENi
a~221?~24~2 .
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