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Affidavit UndeY Fictitiousb'Name Statute ~
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The undenigned, under oath, says: Tha1 hs or she is engaged in a buiines: enterpriss undsr the i
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fiditious name of z~(!"/u ~ ~~G~ ,~C~A-~J ~
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located at - 3 ~6 ~---m~-~!/Gr~ #
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in the City of ~ a-----. St. lucie Couny, Florida
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Those i~te~ested in said enterprise, and the extent of the interest of each, is as follows: ~ ~
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Proot of publication of this intention to regtster, is filed herewith, pursuant to the provisions of i
~ Chapter 20953, laws of 1941. ;
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~ Sworn to and subsuibed before me this day of _ y~" 19_~`~
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~ ~ROGER POITRAS ~
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~ CLERK CiRCUIT COURT Notary Public
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` t'~~ D.C. My Commission expires___________________
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~ - ' BOOK ~42 PAGE v
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