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Affidavit Under Fictitious Name Statute T
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STATE Of aORIDA -
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couNTlr of sT. tuc1E
The undersigned, under oath, says: That hs or she is engaged in a business enterpriss under the
fictitious name of ~~~_t_N ~ S l ~ ~ S
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located at - ~ ~ .
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. in the City of~ ~f St, Lucie County, Florida
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, Laws 1941.
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Sworn to and subscribed before me this day of 19 ~L_.
ROGER POITRAS
CtERK CIRCUR COURT Notar~Pubiic
BY ~ O.C. My Commission expires--------------
N.:, ~ 45423`7 -
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