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APPLICATION TO REGISTER A BUSINESS TO BE CONDUCTED UNDER TRADE NAME, PARTNERSHIP OR OTHERS STATE OF GEORGIA COUNTY OF WALTON The undersigned does hereby certify that conducting a business as in the City of County of Walton 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 Signature – Title Subscribed and sworn to before me this day of Notary Public 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 Walton Tribune. Also, upon change of ownership, a new and amended registration be filed. (Ga Laws 1981, p 872)