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AFFIDAVIT UNDER FICTITIOUS NAMi+ STAT'UTB Lf ~
48533'7
STATE Oi+ FLORIDA )
COUNTY OF WIUSIA) SS:
The undersigned, under oath, says:
1. This instrument is being executed for the purpose of complying with Section
865.09 Florida Statutes.
2. It is the intention of the undersigned to engage in a business enterprise
under the fictitious name of trt74.~`t'F'.R PA[_KA[~IAX' OF FIAI2TI~A
located at
in the City of fierce St. Lucie County, Florida.
3. Attached hereto and made a part hereof is the newspaper Proof of Publication
as required by said Statute.
4. Those interested in said enterprise, and the extent of the interest of each,
is as follows:
NAME OF OWyER SIGNATURE ADDRESS
(Print or Type) INTEREST OF OWNER OF OWN&R
CLINP DIAVIS OCY++IPANY 100$ BY 1 ~ ' ' P . O . Box 1150
President fierce, 450
. . '
ti~1 Ia11t:~~~j. ,
• y
i
• Sworn to and subscribed before me at Daytona. Volusia County,;o ~ ~ ~
.?9~ say of C.ou;L 19 80 :'~i
~ , .,.i~~ p~N - ~
~ : ~ ray, y ~ ,~,tl ,
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' Notary Public, State of Florida 'a f~L:zge •
MY Co>mnission Expires: P3
As referred to in Paragraph 3 above, Proof of Publication of this intentiod to register
if filed herewith llurauaat to the provisions of Section 865.09 Florida Statutes.
THE NEWS TRIBUNE
Published OailY and Sunday - Except Saturday
Fort Pierce, St. Lucie County, Florida
STATE OF FLORIOA
COUNTY OF ST. LOCI E
Before the undersigned authority pe><•sonally appeared
Marvin DeBolt or Kathleen K. LeClair, who on oath says that
~ he/she is Publisher, Publisher's Secretary of The News ~ .
Tribune, a daily newspaper published at 1~'ort Pierce in St. ~ IC4:IJtt ~tw~,t,oui
Lucie County, Florida; that the attached copy of ad- ~++~,w?rRtit:- .
4 f'"" w~w.~'yn~o~
vertisement, being a fictitious. r,aoine • • - - - - - • - . - • .
sf~
in the matter ol~ Master.Packaginq.of Florida.... • . _ , _ . • _ ~
_ ~a~;
in the .....................Court, its .>tr+""rr~'"'"'
M88TlA 't~4C R AYNI~• ~f'
was published in said newspaper in the issues uf _ "
3/31 & 4/7,14 , 21/80 1a ~s
~ - _ ~a ~ 1l,
~ •~'ej4tf~i
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Affiant further says that the said Ncu~s Tribune is a newspaper published at - °,shrasgj~~;- i
Fort fierce, in said St. Lucie County, hlorida, and that the said newspaper has : ;,~~tjP~°Eie
.r A1~K
heretofore been continuously published in said St. Lucie County. Florida. each _
day except Saturda}• and has been entered as second class mail matter at the
post office in Fort fierce. in said St. Lucie County. lorida, for a period of one r ~ f;+ss~; tl`' _
,
year.x~xt preceding the first publication of the attached copy of advertisement: ~
an~'~iww~~her says that he has neither paid nor promised any person. firm
~
~d?~tsb~p ~isgount. rebate. commission or refund for the purpose of _
g
t~ss dent for pubfication in the said newspaper.
t4~~+1~41 txf ore me ~9~0 ~!'i i -5 ~ 3' S ~
t" * .rr ~~clac of - .APR......... tt~ ~~H~ t ~ Rt;r``U i
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~ ~ ~ ; YFMrisn 17
NOTARY t'lJdt1C STATE OF iLORt 0A AT LARG]
7/ t
~ ~~'Af, ~ Notary Public MY COMMISSION EXPIRES DEt 13 1983 eU[i~• P~GE
~ON0.D iFiRU GENERAL INS , UNDERWR1iERS