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257064 B: OPR V: 1004 P: 78 RSSM <br />06/18/2014 10:17 RM Total Pages: 2 Fee: 24.00 <br />Debbie Newman. County Clerk - Jasper County, Texas <br />1111 W,'FJIX'tA��4} If��R'� K'r�A�� .i��'rtl�li'.P IS i64i 11111 <br />ASSUMED NAME RECORDS <br />CERTIFICATE OF OWNERSHIP FOR UNINCORPORATED BUSINESS OR PROFESSION <br />Notice: "Certificates of Ownership" are valid only for a period not to exceed 10 years from the <br />date filed in the County Clerk's Office. <br />(Chapter 36 Section I Title 4 - Business and Commerce Code) <br />This certificate, properly executed, is to be filed immediately with the County Clerk. <br />NAME IN WHICH BUSINESS IS IN OR WILL BE CONDUCTED <br />Jeremiah Beck <br />BUSINESS ADDRESS: 8983 CR 451 <br />CITY: Kirbyville STATE: TX ZIP CODE: 75956 <br />PERIOD (not to exceed 10 years) DURING WHICH ASSUMED NAME WILL BE USED: <br />6/3/2014 - 6/3/2024 <br />BUSINESS IS TO BE CONDUCTED AS (Please Check One): ±•Sole Proprietorship 0 Joint Venture <br />0 General Partnership 0 Limited Partnership 0 Joint Stock Co. 0 Real Estate Investment Trust <br />0 Other (Name Type) <br />CERTIFICATE OF OWNERSHIP <br />I/We, the undersigned, are the owner_ of the above business and my/our name_ and address_ given is/are true <br />and correct, and there is/are no ownership(s) in said business other than those listed herein below. <br />• NAMES OF OWNERS <br />NAME Jeremiah Beck _ SIGNATURE _ <br />Residence Address 8983 CR 451 0 <br />City Kirbyville State. TX Zip Code 75956 <br />Residence Address <br />City <br />SIGNATURE <br />Zip Code <br />Residence Address <br />City State Zip. Code <br />Residence Address <br />City <br />THE STATE OF 7�,X�A$, <br />COUNTY OF <br />State <br />IThis Assumed Name was acknowledged before me on &-' ! 0— 14 <br />by J EL�hn.l A N � �L (Date of Acknowledgement) <br />MARGARET A. COLLIER <br />Notary Public, State of Texas <br />My Commission Expires <br />May 08, 2017 <br />I <br />V <br />a ,e <br />