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Affidavit Under Fictitious Name Statute ~
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STATE Of RORIDA -
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COtM1TY OF ST. LUCIE i
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The undersigned, under uath, ssys: That he or she is engagecl in a businets enb~priss ur~der the j
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fictitious name of -~I~ T1__1--- ~~~~~~~,_~G__ ~~~Q~ ~ ~
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located at - ~ 1-'-'----
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in the Ciy of L=_~=__ v_S~R~..~ St. Lucis County, F{orida _
Those interestcd in said enterprise, 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
Chapter 20953, Laws of -1941.
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Swsa~n b.aric~s~ibed before me this day of 19~
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""'~~~K CIRCUR COURT Notary Public '
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BY ( - A D.C. My Commission expires------~--__ }
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CLERK G;~:;,~tT r,~URT ,
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