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HomeMy WebLinkAbout0617 ~;~z28 AFFIDAVIT UNDER FICTITIOUS NAME STATUTE STATE OF FLORIDA COUNTY OF ST. LUCIE The undersigned, under oath, says: That it is engaged in the business enterprise under the fictitious name of GERMAN SANCHEZ-CASIS, M.D., located at 110 Northeast Naran3a Avenue, Port St. Lucie, Florida 33452: Those interested in the enterprise, and the extent of interest of each is as follows: G~,~tnati Sanchez-Casis, M.D., P.A. 100 c;'`~ ` ` . ~ GERMAN SANCHEZ-CASTS , M.D . , P .A . ` vi i I L~. J - Sworn to and subscribed before me at Ft. Pierce, Florida, this ~w .day of November A.D., 197$ . ~ - - i I ~ tate o or a at arge o ~ c' _ M Commis n Expires: K STATE OF ;lG+R17A AI LARCt •'r~ NpTARY PUB! ~ :1,-.;, `~[wM,Y..~CCMMAMiSS10N~E~~ «U.(~ERWg1TER~ Imo'--- ~ ~ J ~ . .'r - .1 • y ' ~ ~j ' i7 i 3~ ~~~E 617 E 60uK z, yAM OlTiCES OT RICRARD D. SNLED, JR., P. A., 100 YiRGRiTIA AVEI3UE, SUITE 104-S11X BA.vi BI.DC.. I?. PIERCE, iJARIDl. 33460 (306) 466-E330