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Affidavit Under Fictitious Name Statute
3TATR Of I~ORIDA
SS.
COUNTY Of A. LUCIt
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the ,
fictitwus name of OA R K HO R ,
located at -----.RI_ 4_Htlx_10]._---------------------------------------------------------
in the City of ____F_t_P~EB~.E________________________, St. Lucie County, Florida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
___.AlIALJ.F_FJ~LQF..R.S------------------- ------l~a°---------------------------
Proof. of publication of this intention to register, is filed herewith, pursuant to the provisions of
Chapter 20953, laws of 1941.
- 1~_ EB..S_--
Sworn to and subscribed before me this 14 _ T H day of SE PT E MB E R___________~ tq 79__,
RUOfER POITRAS -
CLERK CIRCUR COURT Notary Public t
458833
g _ D.C. My Commission expire _ _ T
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iilEO AMO RECUf10E`0
COU $T~~ P~~RASA.
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