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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 busine:s enterprise under the
fictitious name of ____~_~iF1~GY_~YE~DIS~.QUNT_GFaJ3TF~33-----------------------------
located at _ 1717 South U.S. #1, Fort Pierce, Florida
in the City of __________~QY'~._P.~E'~'~~_______________, St. Lucie County, Florida
Those interested in said enterprise, and the extent of the interest of each, is as follows:
___Jo a ____Beasley______________ 100$
~I 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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JAN -4 PN ~ 35
iFILEO ANDQP~CLORDfEtD~-
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Swo•n to and subscribed before me this _ _ _ _ _ day of _ _ _ 19_~Q .
~ OKRAS - -
T Notary Public
BY D.C. My Commission expires---------
`~~yfili. r.~A-rf'
~~Qre 7' a1h P'rNl 1: a •t (k ~1.i'*IQA Al lAR(a*
i Mt CUNIMISStpN EXtiRES SE?1 . 1"[ 1981
E ~ 9(1NElFU ~HwU C:iN-RAl Ire, I1N^tRWRITERS f
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