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Affidavit Under Fictitious Name Statute .
STATE Of FLORIDA
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CouiHT~r oif sT. Lucl>E '
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
fictitious name of -___~C~ Q_~~ __.L_Q Q s_~ f1.1Z._fo ___~.1~ S
located et
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in the -City of _ ~ ~ C ~ e St. Lucie County, Fbrids
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Those interested in 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
Chapter 20953, Caws of 1941.
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TRAS
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ttfCOR011EtttflED
Sworn to and subsuibed before me this -J day of 19_ .
ROGER POITRAS
CLERK CIRCUIT COURT Notary Public
By - 1~__-- D.C. My Commission expires-------------------
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a : ,.a~_ ~ BUOK~~4 PAGE
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