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Affidavit Under Fictitious Name Statute
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STATE OF FLORIDA
SS.
COUNTY OF ST. LUCIE
The unde~signed, under oath, says: That he or she is engaged in a busineas enterprise under the
fictitious name of ----_-The_ CYcle_ Shop
753 North U. S. 1
located at
Ft . Pierce _ Sr. ~uc~e co~~y, Florida
in the City of ~
Those interested in said e~terprise, and the extent of ihe interest of each, is as follows:
---~nnalsl_Kenne.tlL~or.temeier_ ---------1~14--°10----------------------
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Proof of publi~ation of this intention to register, is filed herewith, pursuant to the provisions of
Chapter 20953, Laws of 1941.
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19th da of APr i 1------- 19_74
Swom to and subscribed before me this _ _ _ _ _ _ - _ - - - Y
ROGER POITRAS ,
CLERK CIRCUIT COURT Notary Public
~,~J ~ 2EU438
g D.C. My Commission expires-------------------
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