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Affidavit Under Fictitious Name Statute
STATE OF FLORIDA
SS.
COUNTY OF ST. LUCIE
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
fictitious name of ___~iI ~ Q~ ~ ~t t F 1 ,r'! Sl° ~
located at S ~ ~ I ~ y
in the City.of _ r C St. Lucie County, Florida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
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j Proof of publication of this intention to register, is filed herewith, pursuant to the provisions of
Chapter 20953, Laws of 1941.
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Sworn to and subscribed before me this _______L_ ~ day of J ^^77
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ROGER . POITRAS
~~~CI~;~IRCUR COURT ~ Notary Public
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~ By .T.. ~ D.C. My Commission expires___________
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