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Affidavit Under Fictitious Name Statute 3~~4F;,,
3TATE Of fi.ORIDA
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COUNTY OF ST. LtlCIE
The undersigned, under oath, says: That he or she is engaged in a busineu enterprise under the
f~ctitious ~ame of ---~l~.1_~?JAN ~~H.Q41~~_9f__E1~Q~lt2~?---------------------------------
I«ated at - ---6SZ111E._4_AOX_4~=A_ <l'_.S2_8x._lEt~~~ -gl~------------------------------
in *he c~y of ~_F_ORT PI ERCE St. lucie County, Florida
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Those interested in said enterprise, and the extent of the interest of each, is as follows:
CHARLES THOMAS WALDRON 100~
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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~ ZHARLES ~HONAS WALDRON _
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; Sworn to and subscribed before me this _ l OTH day of ______~"~~Y_______________, 19 76__
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; ROGER POITRAS - -
- CLERK CIRtU1T COUitT Nota ic -
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~ BY L~~' / E~y_?-~ S' D.C. My m' si p es----
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