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Affidavit Under Fictitious Name Statute ~
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The unde~signed, under oath, says: That he or she is engaged in a business enterprise under the
fictitious name of -----Tri-_ Ct21_121~y_~1~t~~,d~Sg_F.X~hBllge-----------------------------
West Palm Beach, Fla.
Headquarters now P LO
~Box _68~~_13.uL~1_rental__in_Et._~i,erc~-~an
be taken care of.
located at ~ '
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in the City of ---~~~__E~X~-~------------------------• St. Lucie County, Ftorida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
Lar F Johns 100
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~ Proof of pubtication of this intention to register, is filed herewith, pursuant to the provisions of
E Chapter 20953, laws of 1941.
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~ Swom to and s~bscribed before me this ____6th___ day of __jan~~______ .
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ROGER POITRAS
~ CLERK CIRCUiT COURT Notary Pubtic
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~ D.C. My Commission expires_____------- ~'~-~-~9J
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