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FICTITIOUS BUSINESS NAME STATEMENT 16-00660

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The following person is doing Business as [font=font44461] SURFSIDE BURGER SHACK[/font] Humboldt 445 5th St Eureka, CA 95501 [font=font44461]Daniel J Dixon 368 Spruce St Eureka, CA 95503 Amanda L Fernandez 4192 F St Eureka, CA 95503 [/font] The business is conducted by A General Partnership. The date registrant commenced to transact business under the fictitious business name or name listed above on Not Applicable I declare the all information in this statement is true and correct. A registrant who declares as true any material matter pursuant to Section 17913 of the Business and Professions Code that the registrant knows to be false is guilty of a misdemeanor punishable by a fine not to exceed one thousand dollars ($1,000). /s Amanda Fernandez, Partner/Co-Owner This statement was filed with the County Clerk of Humboldt County on November 9, 2016 KELLY E. SANDERS Humboldt County Clerk By: gw, Deputy Clerk

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