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idavit Under Fictiti0us ~Tame Statute
tTATE O! !'IORiDA .
SS.
COUNTY 01~ ST. LNC~
The under:i~ned, under oath, says: That he w shs is engagsd in a busine~s entsrpri~ under the
ficfitious name of C~_ W_~~G!~~!~~
located at J!_l..--~~--~ l /
in the Cify of ~0!Q ~__~[-l4~'t~F-----------------. St. Lucie Couny, Florida
Those intereated in asid enterprlse, 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 herawith, pursuant to the provisions of
Chapter 20953, laws of 1941. -
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Sworn to and subsuibed before me this T~_____ day of ~V L~_________, 19_.7~.
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~ ROGER POITRAS
~ CLERK GRCUR COURT > Notary Public
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~ BY ----r.,..---- - D.C. My Commission expires-------------------
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