HomeMy WebLinkAbout1271FICTITIOUS NAME AFFIDAVIT
STATE OF FLORIDA
COUNTY OF ST. LUCIE
It is hereby stated under oath pursuant to Section 865.09
of the Florida Statutes that: ,
1. The undersigned intends to engage in business at
S00 South Indian River Drive, Fort Pierce, Florida, County of
St. Lucie, under the trade name of PSYCHULOGICAL SERVICES CENTER.
2. The full and true name of every person interested in
PSYCHOLOGICAL SERVICES CENTER and the extent of the interest of
each such person is as follows:
Name ~ Interest
Paul D. Eddy, Ph.D,, P.A. ~ 100$
3. A proof of publication.of a notice of intention to
register a fictitious name is recorded with this affidavit.
~ PAUL D. EDDY, Ph.D., P.A.
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pau , resident
Sworn to and subscribed before , n,~,
me fh~s ~-ffi day of ~eeember, 1989: ~'~~'
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ROGER P01TRA~
CLERX URCltt3 C~'
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BOOK 346 PAGE 1268
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