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Affidavit Under Fictitious Name Statute
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COUNTY OF ST. LUCIE
The undersigned, under oath, seys: That he or she is engaged in a business enterprise u~der the '
W. S. Courtney Cabinet ~ Furniture Shop
fictitious name of
4717 So. U. S. No. 1
(ocated at
Fort Pierce S~, ~uc~e co~n Fbrida '
in the City of ~Y•
Those interested in said enterprise, and the extent of the interest of each, is as follows:
W. S. Courtney 100~ .
i Proof of publication of this intention to register, is filed herewith, pursuant to the provisions of
` Chapter 20953, Laws of 1941.
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Swom to and subscribed before me this day of ` _ ~__,1~A~=, ;
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~ ROGER POITRAS ~ - - =
~ CLERK CIRCUIT COURT Notary Publics o ~~'i '
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