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' 451`765 ~
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AFFIDAVIT UNDER FICTITIOUS NAMI3 STATUTE
The undersiqned, under oath, say that they are engaged
in a businesa enterprise under the fictitious na~me of
BAIRD FUNERAL HOME and their principal place of business .
is located at 901 North 7th Street, Fort Pierce, St. Lucie
County, Florida. Those interested in sa~d enterprise
~ and the extent of ~the interest of each is ~s follows:
Richard R. Baird 50$ .
Marjorie C. Baird 50$
Proof of this intention to r.egister is filed herewith ~
pursuant to the provisions of Florida Statutes 865.09.
,
G!~ .
R chard R. Ba rd
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5 , u• ; .
ar r e C. Bair
STATE OF FLORIDA
COUNTY OF ST. LUCIE
! BEFORE ME, the undersigned authority, personally appeared
! ~ RICHARD R. BAIRD and MARJORIE C. BAIRD, v~ho being first
~ duly sworn, did state on oath that they have executed the ~
~ foregoing Affidavit and that the facts stated herein are
true.
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~ ~ ' Lc~.
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NOTARY PUBLIC, State o Florida
at ~Large
My Commission Expires: ~ ~8~$l
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P. O~OX 1270. IORT MERC[. iIONIDA 31~60 - TELEPNON[ (]Of) 464-e200
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