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Affidavit Under Fictitious Name Statute
STATE OF FLORIDA
SS.
COUNTY OF ST. LIJCIE
The undersigned, under oath, says: That he or .she is engaged in a business enterprise under the
fictitious name of ~T R_~C K L Y BLACK AND WHITE
located at -----73~
3_ ~a_F
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PO R T $ T. L U C 1 E Lucie Cflun
in the City of - ty, Florida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
RUSSELIHORNE 50`'9
NA N E T T S HO R N~
---------5
Proof of publication of this intention to register, is filed herewith, pursuant to the provisions of
Chapter 20953, Laws of 1941.
6 .
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Sworn to and subsuibed before me this 15 day of ___NO V E MB E R____________~ Iq__?9 • ~
t
ROGBt POITRAS t
CLERK CIRCUR COURT Notary Public f
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'--•~c;,.h~ .o CLERK C~RCifli ~4JRi Q
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