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f~davit Under Fictitious NaYne Statute • ~0 ~
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Ths under:i~nsd, under oath, says: Thst hs or_ she is. enqaqsd in a busineu enterpri~ under the
fictitious name of s~~ ~S
located at 3350 8onth 0_-s'-
in the City of Piarces-- St. lucie County, Horida
inrorested in said enterprise, and the extent of the interest of each, is a: follows:
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' ~ 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 _____1~_.______ day of 19_ .
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~ ROGBt POITRAS --~~-~.=C.~L- -
~ CLERK GRCUIT COURT Nota~ublic • ;
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~ Notary ?ublk, ~faR ~}~f•• $(~y~
` By " D.G My Commiss'wn ~pi ~ ' . _
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