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Affidavit Under Fictitious Name Statute
STATE O! RORIDA
SS.
COUNTY Of ST. tUC~
The undersigned, under oath, says: That he or she is engaged in a business enterpriss ynder the
fictitious name of _ ~ _ - G ~
located at `j y~-----1
in the City of ___Z~2leT___.~~c___~-_~lL~l St. Lucie County, Fbrida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
~N C
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Proof of publication of this intention to register, is filed herewith, pursuant b the provisions of
i
Chapter 20953, Laws of 1941.
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AECORO HEtttFi
456392
Sworn to and subscribed before me this day of ~i~~ 19y<__ .
ROGHt POITRAS
CLERK CIRCUR COURT Notary Public -
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