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. AFFIDAVIT FOR FICTITIOUS NAMB ~1Q~~,~~
STATS OF FLORIDA
OOUNTY OF ST. LUCIB
The undersigned, under oath, says: it is the intention of the
undersigned to engage in the business enterprise under the fictitious name of
THE POUR HOUSE LOUNGB located at 112 Depot Drive, in the City of Fort Pierce,
County of St. Lucie and State of Florida.
Those interested in said enterprise, and the extent of the
iAterest of each is as follows:
LAUREN M. DELEHANT 100X
and there are no other persons interested in said business.
Proof of publication of this intention to register is filed
herewith, pursuant to the provisions of Section 865.09, Florida Statutes•
Dated at Fort Pierce, St. Lucie County, Florida this
O ~
day of L . , 1975. .
THE POUR HOUSE LOUNGE
~
~ uren M. Deletinat
' - I
Sworn to and subscribed
before me at Fort Pierce,
St. Lucie County, F orid
this day of ,
1975. ~
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