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Affidavit Under Fictitious Name Statute ~
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fTATE OP iRORIDA
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COIMITY Of iT. LtK;E
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The undersigned, under oath, says: -That he or she is engaged in a business en»rpris• under tM
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_____fia~tious r~am'e o~-~d Dw~!~13..L
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located at ~ D0O III F I ~ -
in file City of ~
~~~~1~ st. lucre C«,My, Florida
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• Those interested in said enterprise, and the extent of the interest of each, is as foliaws:
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Proof of publication of this intention to register, is filed herewith, purwant to the provisions of
Chapter 20953, Laws of 1941. _
19T9 OCt -5 P!i ~ 8'~ ' ;
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- ~~nrorn to and subscribed before me-this C____-- dsy r`'~"~_, 1,9t~ ~!s~1f,.,°a, ,
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_ - ~ - CfLQIC CIRCUIT COURT Notary is „ ~h*' ~ E
;~~~r~ =~'2 D.C. My Commisswn expires_.:~;~.~ ~ 4 s
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