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1 FICITITIOUS NAME AFFIDAVIT
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1 STATE OF FLORIDA)
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COUNTY OF MARTIN )
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IT IS HEREBY stated under oath, pursuant to Section 865.09
of the Florida Statutes that:
1. The undersigned intends to engage in business at South
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AlA, Jensen Beach,St.Lucie County, Florida, under the trade name
of CRISPY-O-DONUTS.
2. The full and true name of~every person interested in
CRISPY-O-DONUTS, and the extent of the interest of each
~ such person is as follows:
NAME INTEREST ~
CRISPY-O-DONUTS, INC. 100%
" 3. A Proof of Publication of a Notice of Intention to
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j' Register a Fictitious Name is recorded with this Affidavit.
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E SWORN TO AND SUBSCRIBED before me this day of May,
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F 1979,- by NATHAN:S.INK.
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(T,i~RY SEAL)
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PUBLISH:
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ROGER POITRAS
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