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~ Affidavit Under Fictitious Name ~tatute
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STATE Of RORIDA f
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COUNTY Of ST. LlK1E
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The under:igned, under oath, seys: That he or she is engaged in a business enterprise under the _
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fictiti~us name of '
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1425 ORANGE %~VE`~uE
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located at -
For~r PIERCE
in the City of St. Lucie Counry, Florida
Those interested i~ 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
E Chapter 20953, Laws of 1941.
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' Sworn to and subscribed before me this _ day of 19_____. ~
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~ ROGER POITRAS
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~ CLERK CIRCUIT COURT Notary Public =
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= BY - - st--~Y2Y..-- .C. My Commission expires------------------- _
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