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Affidavit Under Fictitious Name Statu~a _
STATE o~ aOR~A
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
-fictitious name of ---.Y
located at ---Z------ -
in the City of ~ St, Jude County; Horida -
Those interested in said enterprise, and the extent of the interest of each, is as follows:
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z, _ Proof of publicatron of this intention to register, is filed herewith, pursuant to the_Qrovisions of _
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C~iapter 20453, Laws of 1941.
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Sworn to and subsuibed before me this day of ______S.!__~_.;::' ~ -1~~°~
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ROGfiltt POITRAS ~ _ .
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_ CLERK CIRCUIT COURT No ry PubtK; c~': v~ p r,.,,'~~
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BY D.C. My Commission eitpire`s=_
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