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FICTITIOUS BUSINESS NAME STATEMENT 14-00045

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The following person is doing Business as [font=font44461]HUMBOLDT GRUB RUB[/font] at 2275 School St., Fortuna, CA. 95540, P O Box 571, Fortuna, CA. 95540 [font=font44461]Katie Jean Edgmon 2275 School St. Fortuna, CA. 95540[/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 n/a 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/ Katie Jean Edgmon, Owner This statement was filed with the County Clerk of Humboldt County on Jan. 16, 2014 CAROLYN CRNICH Humboldt County Clerk

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