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Affidavit Under Fictitious Name Statute
STATE Of llOR1~A t
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The undersigned, under oath, says: That he or she is engaged in a businass enbrprise under the
CLEAN S1~EEP C~EAN i NG SERV I CE ~
fictitious name of °
8290 Coc~u I N~ ~ vE ~P. 0. Box 1681 ~
located at
in the City of FO R T_P 1_E R CE 5t. Lucie County, Florida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
BERNARO C. WA I TE 50~0
CAROL C. WA I TE 50~i0
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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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? -t3ERNARp C. ti7A I TE
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c Swom to and suburibed before me this day of 19___
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s ROGER POITRAS - c..__~~=Y2~s_ t_~c~
~ CLERK CIRCUIT COURT ot Publi¢
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` . BY D.C. My Commission expirese~+-~~
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