HomeMy WebLinkAbout0832 " AFFIDAVIT UNDER FICTITIOUS NAME STATUTE
STATE OF FLORIDA )
COUNTY OF PALM BEACH)
The undersigned, under oath, says: It is the intention of the undersigned to engage
in a business enterprise under the fictitious name of •
FT. PIERCE ORTHOUIC & PROSTHETIC LAAORATORY
located at 1201-B Orange Avenue,
St. Luci ~
in the City of Ft. Pierce ,~oot~e~County, Florida.
Those interested in said enterprise, and the extent of the interest of each, is as
follows: ~
~ (PRINT OR TYPE NAME AND INTEREST) FIlEO aND RECOIl0E0
v~ rMi Edward P. COIItl. 10~$ ST ROGE ~OlTRAS`A~
~ ~ • RECORR YE°.IFtE~ OU`R~.
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~ ~ w - u~ i9 ~M'75
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~ v (SIGNATURE) (ADDRESS) ~
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i ~ a a ~ , ~ ' 400 - 28th Street _
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~~o ai West Palm Beach, F1.
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~ ~ Sworn to and Subscribed to before me, at West Palm Beach, Florida,
~ ~ this 16th day of June , 19 75
~ ,.,y / . ~
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i : ~ No ary Public, State o Florida `
4 . n ~
f ~ at Large
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~ ' My Commission expires: E
~ '
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~ ~ ~ ~'o May 9, 1979 ;
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` •~Pr~oof'of publication of this intention to register is filed herewith, pursuant to the :
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~ provisions of Florida Statutes 865. 09 ;
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f BOOK P~Cf ~e ~
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