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412940 , ~t EaK C'RCUIT COURT
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Affidavit Under Fictitious Name Statute
STATE Of FLORIDA
SS.
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The undersigned, u~der oath, says: That he or she is engaged in a business ente~prise under the
SHEIK ORIENTA~ RUGS
fictitious name of
1124-A HERNAN~O
located at
f 0 R T P 1 E R C E St. lucie Coun
in the City of , tY, Florida
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Those interested i~ said enterprise, and the extent of the interest of each, is as follows:
MONAMMAO A~1 MIRZA 50~ ~
AZ121~UR--RAHIM TAHIR 50A
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j Proot of publication of ihis intention to register, is filed herewith, pursuant to the provisions of
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~ Chapter 20953, Laws of 1941.
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~ 9TH AUGUST 78
# Swom to and subxribed before me this day of 19_____. '
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ROGER POtTRAS ~z?c- ~7-+~~----
= CLERK CIRCUIT COURT ~ary Public
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~ 8y D.C. My Commission expires___________________ '
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~lr C'OAIMISSION !X?1RES fi'i. ?3. 19'A
_ ANOfD lt(~(1~(3~L I~ISl1RANCE UNDERWRITERS
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