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Affidavit Under Fictitious Name Statute
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The undersigned, under oath, says: That he or she is engaged in a business enbrpirias under ths
fictitious name of _~!Q~1'../i~~ ---h(.~~J,~---_?~'~~ ~ -'?!1L'H~~_'---------------
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located at _ _ _ _
in the City of 1~~h-r-- ~~~f~~~~---------------------. St. Lucie Couny, Florida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
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Proof of publication of this intention to register, is filed herewith, pursuant to the provisions of
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= Chapter 20953, Laws of 1941.
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~ Swom to and subscribed b~fore me this _ p__--____ day of 19_7b'_.
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CLERK CIRCUIT COURT Notary Public
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D.C. My Commiss'wn expi~esp~~~~y,~,?,b..~p~yy~y~
BY --------~KfB-~111Tt~FC7F7.
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