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Affidavit Under Fictitious Name Statute _
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The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
fictitious name of VA N t S_ PRINT $ H O P
3347--SOUTH U. S. #1 - - - -
located at -
FORT PIERCE
in the City of St. Lucie County, Florida
Those interested in said enbrprise, and the extent of the interest of each, is as follows:
RAY VAN MEERTEN _ I00`~
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Proof of publication of this inbntion to register, is filed herewith, pursuant to the provisions of
Chapter 20953, laws of 1941.
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Sworn to and subsuibed before me this day of 19_/__~
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ROGHt PbITRAS -
CLERK CIRCUR COURT to lic
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D.C. My Commiss'wn expires__~i_ l~ J .
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BOOK J1U 16'8