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~ STATB OF FLORIDA )
AFFIDAVIT FOR FICTITIOUS NANE
i COUNT1f OF ST . LUCIE )
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f) Tfia undersign~d, urder oath. says: it is the int~ntio~
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i~ of the underaigned to engage in the busineoa enterpriae u~der
the fictitious neme of INDIAN HILLS BOTZ'I.EO WATEEt located at
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2920 South F~deral Highway. Fort Pierce. St. Lucie County.
~1 Florid~. .
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Thasa interested in said enterpriae~ and t~e extent of
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~1 the intereat of each is as follova:
' MARK B . COHEN ].OOX
and there are no other peraona interestad in said bwineas.
Froof of publication of thi~t intention to regiater is
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;3 filed herewith. pursuant to the pravision~ of Section 86S.09.
" Florida Statutea.
! UATED at Fort Pierce, St. Lucie County, Florida, thia
15~ day of Septembe~. 1976. ~
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! Sworn t d subacribed before me
~ this ~„~dey of September, 1976.
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