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Affidavit Under Fictitious Name Statute
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couNT~r o~ sr. ~uclE
The undersigned, under oath, says: That hs w she is engaged in a business enterprise under the
fictiYwus name of -----~~N_~-----.f~~'L'~ ----G~J_~!
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located at ------~/OQ ~-f ~
in the Ciy of _~!E'_f _ ~-~C.~l
~ St. Lucie Count', Fiorida
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
I Chapter 20953, Laws of 1941.
~7N~ FM Z: 49
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455391
Sworn to and subsuibed before me this ~ 7 day of _s_______, 19_~
ROG~ POITRAS
CLERIC CIRCUIT COURT Notary Public
By _ - D.C. My Commission expires-------------------
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~ a~ 315 PEE 866