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APP LIC AT IO N T O R E G IS T E R T R AD E N AM E , ET C . (G a Law s 1981, p.872) APPLICATION TO REGISTER A BUSINESS TO BE CONDUCTED UNDER TRADE NAME, PARTNERSHIP OR OTHERS STATE OF GEORGIA COUNTY OF DOUGLAS The undersigned does hereby certify that conducting a business as in the City of County of DOUGLAS in the State of Georgia, under the name of and that the nature of the business is and that the names and addresses of the persons, firms or partnership owning and carrying on said trade or business are I have searched the Trade Name Index for the name I am registering. Yes No Sworn and subscribed before me this day of , 20 Signature - Title Notary Public Filed in office, this day of , 20 Clerk Superior Court, Douglas County, GA Note: The Act requires that this notice be published once a week for two weeks in the paper in which the Sheriff's advertisements are printed. This paper is THE DOUGLAS COUNTY SENTINEL. Also, upon change of ownership, a new and amended registration be filed. (Ga. Laws 1981, p 872)