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AFFIDAVIT UNDEIt FICTiTIOUS NAMT STAT~JTE ~s~
3TATE OF FLOP.IDA ) ~ .
COUI~ITY OFS~~~ )
The nndersigned, under oath, says; It is the intention of the undersigned to eAgage in
a businesa enterprise under the fictitioua name of NASN BOWL COIN LAllNDRY :
~
located at 2415 South Federal Highr~ay ~
St. Luc e
in the city of F r. P i e r c e ,~i4~ ~ounty, Florida.
Those interested in said enterprise, and the eatent o! the interest of each, is as follows:
PY'111~ O* ~iPB 218Iri@ - ~ I]1tR~8E
Victor E. :,ocz ~ ~ ~ 0} _
~ Signat
Ad 2a S ~d 'e ce F1
Florence J. Gocz ?Signatur S0~
2415 S. Feder I-~vy. , . Pierce, Fl ~
- Ad~~ss
Signature_ -
~ Address_. .
~ " f; / 9 `r,~E'
,-~~~~~~5~;;.~'~`a~`f to and subBCribed to before me, at ~ C tY) ~h ~ this
~~..~~.~f- _ 1914~ ~l ~ i
_ -?.~i~ ~g ~ = ~ ?
. - Q , ~ ' ~ = Notary Ptiblic, State of rida at Large ~
~ ~ ~ • M31 GOmIDl~ jl~f~1Y--~'e~ts ns nnea ~t tt~s! f
~~i y: . MV GoNIHttSS10N lxP~RES MU?r t4. 197a
~i` / r 1 `y ` ' f~0~ M 1~N ~e~~~~
"~;~f~,Mi~e~lli. ~f tl~ trwi~. M n~, B~ i~.~, w~ N~°•~`~
r
ATfACH PROOF OF PI~BLICATION ~ ~
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t+o. 2~d3
1??L+t:fS IiOTICE UND~R~ _
l~L 1/r ~~~~L FICTIYIOUS NAME LAW
~ t10TICE~ ~IS HEREBIf GIYEN
Published Dail~ and Sunday - Excspt Saturday ~~~?s~ ~t~ ~
i ~n .Ou4YMSS u~d~~ iRe tto-
For~ Pierce. St Lucie County. Florida ~"""~a~~+~~N -
IAUMpRY at a~inber l~lS S, .
~ STATE OF FLORf DA F'°"a~ Kg~"r. b~+e c~h o~ Ff. ~
~ COUNTY OF ST. WCIE - aPie~s
eFn~'v
~nit~~tb
~ ctrcuit caurt ot st: L~ucN couMy, .
~ie~ore the undersigned authority personal~y appeared Marvin F~,r=~~. P,~, ~,~,a,; t,~
De~Bolt Sib.yl B. Hall, who on oath says that he/she is Publisher,
Business Mana er of The News Tribune a dail ~ news a r ub- v~cmR_e. c~z
li~hed at Fort Yierce in St. Lucie County, Florida; that the attach- Rlmis~G~~a
oa Mi~iZphr s
lakAtld~r RJ1. -
N ot i c e ~"k'' 8''`nea~r . `
ed ^~py of advertisemen~, being a -
1 FiMxcia! P~ k~5uite 2~10 '
in the matter of .F~~~•__Name_:___Wash_.3ow1 _Coin_ Laundr~_ ~~y~~`~t 2
in the ~ ~ .
«-as published in said newspaper in the issues of __7./..19,-26-812-9/?4 f EO ~ RECORO~
. ~
s~' ~ aounTY f 3
----------------------------------------------------i....._..._..:.......:......-•-----------...---..............._..._. ~fapo~TM,?s ~ .
CLERK CIACUI? CtlURT j
Affiant funher says that the sa~d News Tnbune u a newspaper publishod at Fort r'~ORD YERIFtEb ~
P~rrce, in said St. Lucie County. Fiorida. aad that the said newspaper has heretofore . - - ' - ~
heen continuously published in said St. Lucie County. Fiorida, each day eacept Saturday ~ 3 ~'j yT PI~I
an d has b e
en ente r
e
d u seco n d c lau mail matter at the pust oft~ce in Fort Piace.
~n said St. Lucie County, Florida. for a period of one year next precediog the fint gub- •~pnc.>p
~:ation of the attached copy of advertixment; aod af6ant further uys that !ie hu ~~~a7w~r~
~ neirher paicf nor promised any person, firm or coraoration any discourri. rebate, com-
rs~~ssion or refund for the ~urpose of securing this advcrtisement for pablication in the ~
_ RCTURN T0: ~
said ntwspaper.
se,~oz1,~`laitxE wtrscoy~d before me _ i : . - : - ; ".t •,4'_ 5 p*t'~3red b'y
- ~ - - . DRAKE~ t~1~. BA7CN~ L~ ~
(!lts~:i.•~~~~1... ...~1~'~S-ti•- - - - '-^--r---_ J
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~ . " ~ ~ _ . , . _ . . . . .
~ ff.~.~~(.!L__..."' . a ~L ~ ~ ' . ~ . . . f~~..
w~ -ts
,~~.`.5~:• ~:.~S.~.C~i..~~.." . ~ . ' . . _ . . ~ _
~ SEAL , . - Y ` - - . . _ _
. -t ~ Notary Public _ r~ _ .
=:F14T R1j~~s3"~~~~~fi'sf F~oR~o~ ~T ur.: 6Q0X~1 ~,~147i ~ ~ -
M1L~'~'Z.T~'lfsst~l: i`:: :fr} ~ ~)t ~ 13. 197~
GEt~ER,.~ ~~:•;u::.,. ~,.t u;.c~it:YRl tER1{ ~ ~
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