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Document Augustaga_doc_dd2097efbe

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THAT: * (name of proprietor or corporate name if corporation) * (address of proprietor or parent corporation) and * (name of second proprietor or corporation if any) * (address) * (tradename address in Richmond County) and that the nature of the business to be carried on at such address is * * (signature of person making declaration) SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF , 20 . NOTARY PUBLIC FEES: $168.00 Filing Fee to Clerk of Superior Court $40.00 Publication Fee to The Augusta Chronicle TRADENAME:* RICHMOND COUNTY SUPERIOR COURT TRADE NAME REGISTRATION PERSONALLY APPEARED THE UNDERSIGNED WHO ON OATH DEPOSES AND SAYS