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idavit Under Fictitious Name Statute
STATE O~ RARIDA .
SS. ~
COUNTY OF ST. ltlC~
. The undersigned, under oath, says: That he or she is engaged in a bu:iness entstprise undsr the
fittitious rtame Of TO M~ S ~ I R C 0 N 0 1 T I ON I N G -
- I«ated at ------P'-~'-d~X--^1405------------------------------------------------------
F~ R T P 1 E R C E St. Lucie Coun Florida
in the City of fY•
Those interested in said ente~prise, and the extent of the interest of each, is as follows:
WILLIAM THOMAS BOZARTH 100iO
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~ Proof of publication of tfiis intention to register, is filed herewith, pursuant to the provisions of
Q Chapter 20953, laws of 1941.
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w Sworn to and subscribed before me this day of _ 19~~
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~ ROG~t POITRAS - -1'-''~-Y_*_'-~---< - ~4~/
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