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FICTITIOUS BUSINESS NAME STATEMENT 17-00645

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The following person is doing Business as [font=font44461] EUREKA SKATE SHOP [/font] Humboldt 430 Grotto St Eureka, CA 95501 PO Box 365 Eureka, CA 95502 [font=font44461] Thavisak Syphanthong 4391 Cedar St Eureka, CA 95503 [/font] The business is conducted by an Individual. 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 Thavisak Syphanthong, Owner This statement was filed with the County Clerk of Humboldt County on December 7, 2017 KELLY E. SANDERS by se, Humboldt County Clerk

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