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Affidavit Under Fictitious Na~ne Statute 1..
STATE O!~ RORIDA
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tOUNTY Of ST. LUCIE
The unde~signed, under oath, seys: That he or she is engaqed in a bu:iness enterpris~ under the •
fictitious name of
located at
in the City of St. Lucie Counfy, Florida
Those interested in said e~terpr' ~and the extent of the interest of each, is as foliows:
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Proof of publication of this intention to register, is filed herewith, pursuant to the provisions of
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Chapter 20953, Laws of 1941. _ ~
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~ Sworn to and suburibed before me this day of _`__ye~~!~'_'L~~~__-_~~,,, s
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GLERK CIRCUR COURT Notary Pubtic ' _ i
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My toowr~t~~w E: K~ - i3na
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~ By _ D.C. My Commiss'wn expires~:d~~~'~`"'°~ ~~O'
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