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Aifidavit Under Fictitious Name Statute
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~ The undersigned, under oath, ssy:: That he or she is engaged in a busine:s enterprise under the
fiditious name of C jU M~ f S'j~_ C~
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located at - 3~
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in the City of __r±__!_ St. Lucie County, 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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Chapte~ 20953, Laws of 1941. _ " ~
f IZober ~ CAme.~al~ }
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CLERK CiRCU1T COURT
~ Sworn to and subscribed before me this _ da of 19_~
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~ Roa~t Pwrn~?s
` CLERK CIRCUIT COURT Notary Public
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! BY l~~-- D.C. My Commission expires-------------------
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