HomeMy WebLinkAbout2273AFFIDAVIT UNDER FICTITIOUS NAMB STATUTE
STATE OF FLORIDA ) SS: s1-~i~~z
COUNTY OF ORANGE )
Zt>,e 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 BIiIEBIRD PAQ~iS as a nartrer of -
located at
in the City
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 OWNER SIGNATURE
(Print or Type) INTEREST OF OWNER
County, Florida.
ADDRESS
OF OWNER
Mabel Groves , Limited 1007 ~ ! yk C'a-~.-. 100 W. Pinelodc
J ~~o• Orl~do, Florida
"A Florida Limited General Partner
Partnership"
Sworn to and subscribed before me at ~t~Ct..ucQ~L' Orange County, Florida, 'this
~ I'`' day of ~ CQ.t.c~ 19 ) ~ ~ (~ ~
t• .. -_s
Notary Public, State of Floc _ ;~~;
My Commission Expird'wt~~rv Pull. on ~ rj
- F'•
y-
,.~ Gum~pss,~~ Aug.• 1~3
As referred to in Paragraph 3 above, Proof of Publication of this intec>~i~ :f,~ ' eg e~'_ ;
if filed herewith pursuant to the provisions of Section 865.09 Florida 3 ~.~. :=r:~'=
_ ATTACH PROOF OF PUBLICATION
THE NEWS TRIBUNE
STATE OF FLORIDA
COUNTY OF ST. LUCIE
Published Darly one Sunday- Exupt Soturdoy
Fort P~srce St tuci~ County- Flonda
Before the undersigned authority personally appeared
James J. McMillen 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 Fort
Pierce in St. Lucie County, Florida; that the attached
copy of advertisement, being a... S~c.t.i.t~.aua name
...............
in the matter of........6~ueb~.nd Packen~ .. . ....... . ... . . .. .
.......................................................................
was published in said newspaper in the issues of..........
11/3,10,11,24/80
i
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. _ „+~ie~t --.
1980 DEC I 1 AIi ~ 3 S
FIlEO AN[ F~ COkp~ p
S1.LUC1F COUIITY.FLA.
ROGER f'OITRAS n
CLERK CIRCUIT C C
RFCORp ~'ER!Fli'r- __
514;02
ICTITIOUi
~ - M ihii
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pact to ~ in
EeeN1~rrp~~ r~'
:'lffiant further says that the said \`ews'I'ribune is a newspaper published at ~j~l `~~
H'nrt Pierce, in said St. Lucie County, Florida, and-that the said newspaper has iGv1
t;eretofore been continuously published in said St. Lucie Count, Florida, each aF~~
day except Saturday and has been entered as second class mail matter at the ~t-tTs1
in F rt Pierce, in said St. Lucie County. Florida, for a period of one ~+-•Grinw
~i~elxg the first publication of the attached copy of advertisement: ~at~%
.tom fat r says that he has neither paid nor promised anv person, firm CarmM,FlalaOt
" porl~,~• y discount, rebate, commtssiun or refund for the purpose of rUdl,li~+: ~•~•
y 'ng tl}u~ ertisement for publication in the said newspaper.
Q.~s~ndribed before me
24,(x/~: `=•f .aayof. Nvv ,
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~ ~~. FE ~ ~ ' :..., s~ ....... . ,..... ... .................. .
. - . ,r~lriL"~Q...i~ ' '~[IOTARY pU3UC ST~•TE r.~'.~ , is Ott P.1 t~,RCE
ISF; I. Nolary Public MY CO!~h'ISSti:' ~ ~~ si Ivd3
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