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Affidavit Under Fictitious Name Statute '
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STATE dF ~LORIDA
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The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
f~cr~t~ous name of ______Fiorida_Institute_of Group_Hypnosis =
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I«ated at .--2$Q1---S~11th__l~~__~,_~~1---~3~i~~ -9---------------------------------
y Ft . Pierce St. Lucie County, Flo~ida
in the Ci of
Those interested in said enterprise, and the exten? of the interest of each, is as follows:
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_____Henry _S_ Tu~ender___ 50 %
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f John \ Co ock S~% '
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Proof of publication of this intention to register, is filed herewith, pursuant to the provisions of =
~ Chapter 20953, laws of 1941. " _
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' _Signed
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FILE~ %ki~ nECORDEO -
'sT.tucl~ :;,r1yTr fu. Nen S Tu en er Ph D.
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' ~E8-~~__1_31~~~1~--- 3o_n H Coppock =
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Sworn to and subscribed before me this 14th FEbruary 74
- - day of 19_----•
ROGER POtTitAS
CIERK CtRCU1T COURT Noiary Public
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8~------- ~ - D.C. My Commission expires------_--
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