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Affidavit Under Fictitious Name Statute
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STATE. OF FLORIDA i
SS. I
COUNTY OF ST. LLICIE
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
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BEE HIVE QUILT SUPPLIES
fictitious name of
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located at 1614 South 30th Street
Fort Pierce
in the City of St. Lucie County, Florida ~
Those interested in said enterprise, and the extent of the interest of each, is as follows:
______La_v_inia_M. _Charles_________ ___~9Q$________________
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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 day of 19__.__.
ROGER POITRAS
CLERK CIRCUIT COURT otpry,Public
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y D.C. My Commission expires___________
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