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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 busin~s enterprise uncier the
FAST FOO~ ENTER~RISES DBA BURGER KING - .
fictitious name of
_?~•10 OKEECH08EE ROAa ~
located at
ry __FORT PI ERCE St. Lucie County, Florida
in ihe Ci of
Those interested in said enterp~ise, and the extent of the interest of each, is as follows:
BARRY W N. HOLM 30A
PATRICIA H, HO~M ~O~O
PATTERSON-ERIE CORrORAT10N ~~QA
Proof of publication of this intentio~ to register, is filed herewith, pursuant to the provisions of
Chapter 20953, i.aws of 1941.
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PA7TERS H-ERIE C OR?ORATION
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Sworn to and subscribed before me this 1St day of __August `~~~R`$.{~''i:._
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BY D.C. My Commission expires__!~e~ ,`f'~.
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SVORN TO ANO SUBSC 18E0 TO BEiORE ME BY BARRY W, N, HOLM ~N~~•'P~~~~~~~~:•~'.-,
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H. HO~M. TH ~ s ~AY OF , 797A, AT FT, PI ERCE ~ Sf, ~.tjf ~:~'~f;
COUNTY, FLARIDA, . . ~
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OTAR PUB t, STATE'•; ~ ~'~A~;'; ~
~L~ RGE. MY COMM, EX r~r
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