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Affidavit Under Fictitious Name Statute
STATE Of fIORIDA .
SS.
COUNTY OF ST. lUC1E _
The undersigned, under oath, says: That he or she is engagad in a business enterprise under the
ST. LUCIE CONCRETE
fittitious name of
2?02 $O. 3~ST ST.
located at
FOR T P 1 E R C E St. Lucie Cflun Florida
in the Ciy of ~Y•
Those interested in said ente~prise, and the extent of the interest of each, is as follows:
R08ERT D. SMITH y
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R I C H A R ~ NO R V E L l ----~~,~~-t~----------
----.JO H N N Y R. DO V 1 S 3~~-,
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~ Proof of publication of this intention to register, is filed herewith, pursuant to the provisions of
V
I Chapter 20953, Laws of 1941.
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Swom to and suburibed before me this _______3_____-- day of ____JUNE_____ 19_____
~
~ ROGER POITRAS
GLERK CIRCUIT COURT Notary Public
a-
gy -~crr~-~~e D.C. My Commission expires__________________-
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