FICTICIOUS NAME REGISTRATION
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CITY CLERK DEPT.
FLORIDA DEPARTMENT OF ST ATE
Jim Smith
Secretary of State
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RECEIVED
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SEP 2 1 1994
September 14, 1994
CLEARWATER GAS SYSTEM
P.O. BOX 4748
CLEARWATER, FL 34618-4748
Subject: CLEARWATER GAS SYSTEM
REGISTRATION NUMBER: G94256900052
This will acknowledge the filing of the above fictitious name registration which
was registered on September 14, 1994. This registration gives no rights to
ownership of the name.
Each fictitious name registration must be renewed every five years between
July 1 and December 31 of the expiration year to maintain registration. Three
months prior to the expiration date a statement of renewal will be mailed.
IT IS THE RESPONSIBILITY OF THE BUSINESS TO NOTIFY THIS OFFICE IN
WRITING IF THEIR MAILING ADDRESS CHANGES. Whenever corresponding
please provide assigned Registration Number.
For information regarding fictitious names on file or to search the record call
(904) 488-9000.
Enclosed is your certificate(s) as requested.
Should you have any questions regarding this matter you may contact our office
at (904) 487-6058.
AMANDA HERRING
Fictitious Names Section Letter No. 894A00041368
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SEP 1 6 1994
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Cletlrwlat~r Gas System
Division of Corporations - P.O. BOX 6327 -Tallahassee, Florida 32314
CR2E042
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~ I certify that the attached is a true and correct copy of the Application For ~
~ Registration of Fictitious Name of CLEARWATER GAS SYSTEM, registered with ~
~ the Department of State on September 14, 1994, as shown by the records of ~
~ this office. ~
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~~ The Registration Number of this Fictitious Name is G94256900052. ~~f)
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APPLlCATIO'N FOR J ~. .
REGISTRATION OF FICTITIOUS NAME '
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APPROVED -
AND
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Clearwater Gas System
Fictitious Name to be Registered
SECRETARY OF STATE
TALLAHASSEE. Flo'RIOA
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2. P.O. Box 4748
Mailing Address of Business
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City Clearwater
3. Florida County Pi np ll.q~
4. FEI Number: 59-6000289
, Florida 34618-4748
Zip Code
C;~342Sf3qOOOS2
-09/13/94--01134--005
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This space for office use only
A. Owner(s) of Fictitious Name If Individual(s) (use an attachment if necessary):
1.
2.
Last
First
M,1.
Last
First
M.1.
Address
Address
City
State
Zip Code
City
State
Zip Code
C'\l
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SS# _ SS# . .
B. Owner(s) of Fictitious Name If Corporation(s) (use an attachment if necessary):
J. City of' Clearwater. Florida 2.
Corporate Name Corporate Name
P.O. Box 4748
Address Address
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Co' p;:rnN.qt:,:>r)
City
Ft,
State
34618-4748
Zip Code
City
State
Zip Code
Florida Corporate Document No.: NA
FEI Number: 59-6000289
o Applied for 0 Not Applicable
Florida Corporate Document No.:
FEI Number:
o Applied for 0 Not Applicable
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I (we) the undersigned, being the sole(allthe) party(ies) owning interest in the above fictitious name, certify that the in.formation indicated
on thisform is true and accurate. I (we) further certify that the fictitious name shown in Section 1 ()f this form has been advertised at least
once in a newspaper as defined in chapter 50, Florida Statutes, in the county where the applica 's principal place of business is located.
I (w.) :":;:at th. "g'a1'''(''. beIO~;~ ;. the ,ame I.gal .lIoot a made uad oath. (At Laa'Cfytaatu" R. "'"
Si~ture g(Owner Da(e'
Phone Number~/J) ~2--" 700
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FOR CANCELLATION COMPLETE SECTION 4 ONLY:
FOR FICTITIOUS NAME OWNERSHIP CHANGE COMPLETE SECTIONS 1 THROUGH 4:
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I (we) the undersigned, hereby.cancel the fictitious name
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I which was registered on
and was assigned.
registration number
Signature of Owner
Date
Signature of Owner
Date
Mark the applicable boxes
FILING FEE: S50
o Certificate of Status - $10
iii Certified Copy - $30
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