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Affidavit Under Fictitious Name Statute
STATE OF FLORIDA
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COUNTY of ST. L4JCIE
The undersigned, under Oath, says: That he or she is engaged in a business enterprise under the
fictitious name of ~ ~1~~'
located at pc 01~---~.J~~~..A___~117~ Q-------------------------------------------
in the City of ~QdLr___ ~J_ ~~Q.,1_S___________, St. Lucie County, Florida
Those ' terested 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
Chapter 20953, Laws of 1941.
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~ 1919 JUN -4 PN ~ 28
FILED ANO RECORDED
---------~~I~ECOUNTY.F A_ t,
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CLERK CIRCUIT COURT
R~COt~6CE~
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Sworn to and subscribed before me this day of _11
~C_________, 199_.
ROGER POITRA?S
CLERK CIRCUIT COURT Notary Public
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By ~~~`-"~"~-_!L__----- D.C. My Commission expires-------------------
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~ ° R 309 PAGE ~9fj8
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