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Affidavit Under Fictitious Name Statute
STATE OF RORIDA
SS.
COUNTY OF ST. ttJC1E
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
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fictitious name of _ _ _C~__~._ '
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located at _
m the City of St. Lucie County, Fbrida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
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 subsuibed before me this day of _ ?~k~-Q,~LR,~~-----, l9_
ROGER POITRAS -iL~./ - - - --`1= - - • -
CLERK CIRCUR COURT Notarylic
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