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FICTITIOUS BUSINESS NAME STATEMENT 18-00582

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The following person is doing Business as [font=font44461] COOKING FOR WELLNESS [/font] Humboldt 1626 Myrtle Avenue Ste A Eureka, CA 95501 [font=font44461] Emma Kissel-Robinson 1236 Disk Drive Medford, OR 97501 John W Robinson 1236 Disk Drive Medford, OR 97501 [/font] The business is conducted by a Married Couple. 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 Emma Kissel-Robinson, Owner This statement was filed with the County Clerk of Humboldt County on September 24, 2018 KELLY E. SANDERS by sm, Humboldt County Clerk

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