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Affidavit Under Fictitious Name Statute :
STATE OF FLORIDA
SS.
COUNT1f OF ST. LUCIE
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
- National Home Appliance Service Company -
fictitious ~ame of '
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P. 0. Box 2123 (5101 Palomar Road) ;
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located at - .
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Fort Pierce St. Lucie County, Florida ~
in the City of
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Those interested in said enterprise, and the extent of the interest ~of each, is as follows: F
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----Harry _E . _Mac _Donald ~
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~ Proof of publication of this intention to register, is filed herewith, pursuant to the provisions of ~
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~ Chapte~ 20953, Laws of 1941. ~
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~ - ~ Harry E. MacDonald
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~ Jan. 75 ;
Sworn to and subscribed before me this $th day of 19-----•
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~ ROGER POITRAS
- Notar Public
~ CLERK GRCUIT ~`~OURT
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D C y Commission expires___
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~ BOuK ~~JJ PAGE 88p
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