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Affidavit Under Fictitious Name Statute
STATE OR FLORIOA
SS.
COUNI'Y Of ST. LUCIE
The undersigned, under oath, says: That he or she is engaged in a busi~ess enterprise under the
Rib'V Reef Restaurant & Lounge
fictitious name of
(mail address: P. 0. Box 735 - Jensen Beach, Fla.)
U. S. ~1 - St. Lucie County, Fla. .
located at
in the City of St. Lucie County, Florida
Those i~terested in said enterprise, and the extent of the interest of each, is as follows:
rSax Schumacher 100%
` Proof of pubtication of this intention to register, is filed herewith, pursuant to the provisions of
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i Chapter 20953, Laws of 1941.
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Sworn to and subscribed before me this _ 4th day of June________________~ 19_____
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" ROGER POITRAS
~ CLERK CIRCUIT COURT Notary Public ~
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gY - t~- ~ D.C. My Commiss'wn expires------------------ "
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fILEO AND AECORDED
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