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Affidavit Under Fictitious Name Statute
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The undersigned, under oath, seys: That he or she is engaged in a bu:ine:s enterprise undef the
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fietitious name o
2301 North Federal Highway Q ~
locatec! at ------------------------------------------~aCz~--- -
Fort Pierce Sf. ~ucie Couny, Florids
in the "City of
Those interested in said enterprise, and the extent of the interest~vf each, is as follows:
Patrilla Davis Z~d~
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~ Proof of publication of this inte~tion to register, is filed herewith, pursuant tc the provisions of
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Chapter 20953, la~?s of 1941.
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Patrilla Dav~s
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22nd November 19_74 _ _
Sworn to and subsuibed before me this day of
ROGER POITRAS
CLERK CIRCUIT COURT Notary Public
~ Commission ex 'res-------------------
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