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AFFIDAVIT UNDER FIC^`ITIOUS NAME STA?'iJTF.
S"'A'"E OF FLORIDA
COttN'!'Y nF PALM BEACH 4
The undersigned, under oath, says: It is the
intention of the undersigned to engage in a business enterprise
under the fictitious name of KELLY'S, located at 3008 South
Federal ??ighway, Fort Pierce, Florida, St. Lucie County,
'"hose interested in said business enterprise and
the extent of their interest is as follows:
nnmNilR KELLY - 100$ Interest
Proof of Publication of this intention to register
is Filed herewith, pursuant to the provisions of Section
Q65.'J9, Florida Statutes.
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Art ur Ke y
cT~~nRN "'O and Subscri_5ed before me, this ~ day
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5 Return to and prepared bv: 1"\g~
Kenneth S. Rappaport
s Y.urzinger and Honchell, P.A.
27q North Federal Hiq'~wav
Boca Raton, Florida 3432
'T'elephone: 368-220
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