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assumed name

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									            REGISTRATION OF ASSUMED BUSINESS NAME



STATE OF LOUISIANA

PARISH OF __________________________________________________________________


     BEFORE ME, THE UNDERSIGNED AUTHORITY, PERSONALLY CAME AND
APPEARED____________________________________________________ WHO AFTER
BEING BY ME FIRST DULY SWORN DID DEPOSE AND SAY:



      THAT THEY ARE OPERATING A BUSINESS UNDER THE ASSUMED NAME

OF __________________________________________________________AND THAT THE
ADDRESS OF AFFIANTS IS

______________________________________________________________________________
______________________________________________________________________________




                                                    ______________________________
                                                    Signee

                                                    ______________________________
                                                    Signee




SWORN TO AND SUBSCRIBED BEFORE ME THIS
______ day of_____________________________, 20___

                                                    ______________________________
                                                    NOTARY PUBLIC

								
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