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AFFIDAVIT UNDER FICTITIOUS NAME STATUTE
STATTE OF FLORIDA
SS.
COUMY•OP ST. LUC18
The undersigned, under oath, says: That he or she is engaged in a business enterprise under the
fictitious name of Sii.~i
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locaced ac 123 South 2nd Street
in the City of_...Fort__Pierce___.______~_w___...~.______.___._, Sc. Lucie County, Florida.
Those interested in said enterprise, and the extent of the interest of each, is as follows:
_Paul___K.___Hi_ggs___.__..__._._____._~_____._._..______._____ One Hundred Per Cent
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Proof of publication of this intention to register, is Sled herewith, pursuant to the provisions of
Chapter 20953, Laws of 1941.
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Sworn to and subscribed to before me, at ..__..__..FOrt__ Pi erce., Florida _ ,this
_ _ day of...._.August.-----...._ .19.80... '
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N tary Public rate of Fl a at .t~~~i ~ ~ .
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