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Affidavit Under Fictitious Name Statute
STATE O! 1lORIDA '
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C011NTY OE iT. ttNC1E -
The undersigned, under wth, says: That he or sM is engaged in a business entirpri:e under the
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fictitious carne of ------_8_.&._S_~B,SH- REGISTERfi-.------ -
located at _ - -i01 _South_U_
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in the City of _ Fort _P~Ice St. Lucie County, Florida
Those interested in said enterprise, and the extent of the interest of each, is as follows:... _ '
Rr~-S SUPPI,~rINC..,-~-F.lorida-_.: _ ------100$--------------------------
Corportion
I~~ Proof of publication of this inNntion to register, is filed herewith, pursuant to the provisions of -
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Chapter 20953, 4ws of 1941: >
~ Witness:
l ~~•~/e~,,---_------ R & S- SUPPLY , INC -
da Corporation
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1~~. _ . - lsr de o , , .
---------~C9~3P_4~T~ S__
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Sworn ro and subscribed before me this _ - l - d y ~
~~Rf~ 60if~ - Notary Public _ _ ~ c - - - - - . _
Notary ~ State of Florid~it
~ iHy Coos Expires Apra~2d, 1483
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~ ElKix -------------~tftx My Commission~ex~p~ireys:--_-,--
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RECORD YFRtFfEO_.~~G - -
Boo ~ PACE 175 `
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