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FICTITIOUS BUSINESS NAME STATEMENT 14-00267

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The following person is doing Business as [font=font44461]JACKSON LILY ATELIER[/font], Humboldt at 450 Mosier Ct., Trinidad, CA. 95570, PO Box 96, Trinidad, CA. 95570 [font=font44461]Jo A. Pritchett 450 Mosier Ct. Trinidad, CA. 95570[/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/ Jo Pritchett, Owner This statement was filed with the County Clerk of Humboldt County on April 18, 2014 CAROLYN CRNICH Humboldt County Clerk

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