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fidavit Un~le~c Fictitious Name Statute
STA~ O! ROkIDA .
SS.
COUNTY OI~ ~T. WC~
Ths undeni~ned, under oath, sa~: That hs or she Is enga~sd in a businssa entKpriss undsr thi ~
fictitious name of -__.._---~.H.EBAt~isl~F.~QBI._~1~1.~t-------~------------------------------- - -
~o~sed at ----_A1A ~4Sl.ttl.~.~.QR.I_P_LER.~~E.1~B1Il~~S1tA,1LJD~0.itESS-P~_e~_~.__
P. 0. Box 258 JENSEN BEACH~ F~oa~o~ 334573
in the City of St. Lucie Counry, Fbrida
Those interesrod in said enteryxise, and ths exteni 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 . ~
Chapter 20953, laws of 1941. .
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Swom to and subxribed 'oeTOre me this v~~s__ day of _ v~~?.~~~~--
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~ ROGER POITRAS
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~ CLERK CIRCUtT COURT Notary Public ~~.,,?`;Is~:-- ~
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