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~S, AFFIDAVIT UNDER FICTITIOUS ~
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NAME _ STATUTE ~ •
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± ~ STATE OF FLORIDA - ~
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COUNTY OF INDIAN RIVER '
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I; The undersigned, under oath, says: '
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~ It is the intention of the undersigned to engage in a business
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enterprise under the fic~itious name of BUD PARKER AND ASSOCIATES, INC~
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located at 302 North 25th Street, in the City of Fort Pierce, St. Lucie ;
; f County, Florida.
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Those interest in said enterprise, and the extent of the interest
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of each is as follows: ~
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BRUCE M. PARKER 90°Jo ;
SUE PARKER 10%
Proof of publication of this intention to register, is filed here- ;
with, pursuant to the provisions of Sec. 865. 09 F. S. A. '
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~ SWORN TO AND SUBSCRIBED before me, the undersigned
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~ authority, by BRUCE M. PARKER, this .~3 1 day of January, 1974. ~
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Notary Public, State of Florida at Large
~ My commission expires: `
~TA~ ~UdIIC SiATE AF F(ORIpA AT lAR(k
MY COMMIc510N Eke1RES QCT. II, 1qn
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i y ~ ~ONDED iMRU GE~:ERAI lNSURAtvCE UNDERWR~~ER~
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~ tJ\W OFFICES OF BURCH. COLLlNS 8c PADGETT • ;
P. O. BOX 3696 - 744 BEACHLAND BOULEVARD - VERO BEACH. FLORIDA 32960 ~
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~ : PHONE 567-3463
~ " P. O. BOX 266 - 221 NORTH U. S. t- SEBASTIAN. FLORIDA 32958 i ~
PHONE 569-2700 ~
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