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Text File  |  1992-11-05  |  796b  |  27 lines

  1.  
  2.  
  3.            Certificate of Transaction of Business
  4.             Under Fictitious Name - by Individual
  5.  
  6.                            Certificate
  7.  
  8. KNOW ALL MEN BY THESE PRESENTS:
  9.  
  10. That the undersigned does hereby certify the following:
  11.  
  12. 1.  The undersigned is transacting or proposes to transact
  13. business in the State of _____________ under the
  14. fictitious name of ______________________________________.
  15.  
  16. 2.  The principal place of said business is located at
  17. ______________________________________.
  18.  
  19. 3.  The full name of the undersigned is _________________.
  20.  
  21. 4.  The place of residence of the undersigned is _________
  22. _______________________________________.
  23.  
  24. Dated _______________             ________________________
  25.                                         [Signature]
  26.  
  27.