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~f#idavit Under Fictitious Name Statute ~
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STATE OF FtORIDA
SS.
COUNTY OF ST. LUCIE ,
The undersigned, urtder oath, says: That he or she is engaged in a business enterprise u~der the
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fictitious name of ~ ~
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located at
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in the City of __~~-_~''~=~'~'L'----------------. St. Lucie Counry, Florida
~ Those interested in said enterprise, and the extent of the interest of each, is as follows:
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Proof of publication of this intention to register, is fiied herewith, pursuan! to the provisions of
Chapter 20953, Laws of 1941.
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~ ST.IUCIC COUNIY FLA.
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: Sworn to and subscribed before me this day of 19~ 3.
: ROGER POITRAS
CL K CIRCUIT COURT Notary Public
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° By,,~- D.C. My Commission expires----------------
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