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FIIEU AMD R~C~RQEO
=T. WC~E CO NTr FIA. : ~
, RGCER !'~'TRAS
• CIERK ;,.~:CUlt COURT ~
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Aff
idavit Under Fictitious Name Statute -
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The undersi9ned, under oath, says: Thst he or she is en~aged in a businets enterprise under the
fictitiaus name of Service at Your Location '
3135 South u. s. 1
tocated st .
i~ the Ciy of __Fort Pierce Sr, lucie County, Florida ~
Tfiose interested in said enterprise, and the exte~t of the interest of each, is ss follows:
Richard Stu~rt '~elsn -1~3----------------------------
Julia G. Welsh ~ ------113----------------------------
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Mi chael _ Henry_ ~e 1 st~ _ j.~~-------=--------------------
f _ Proof of pubtication of this intention ro register, is filed herewith, pursuant to fhe provis'wns of
Chapter 20953, laws of 1941. /
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-u --a G.~ Wel h__
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~ day of _ Novemoer-------------. 19_?~
Sworn to and wbscribed before me this
~ _ Q~
ROGER POITRAS
CLERK CIRCUR COURT Nota ublic Eugen° A. Peer
_ D.C. My Commission expires----------------~--
BY _
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