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. s , ~ ; . - ; • . _ _ . ~ t _ - - . _ - _ - - - - - iHIS i1NAHCIN~3 STATflY1ENT is pr+s«~t~d M o filiny oFfic~r fot iilirg qrrwont to tM Unifonw Conranciol Cod~: ~~9 1. D~bar(al (last Na~w Rrst) aed oddnss(~s) 2. S~cw~d I«+rli~s) aed eddr+ss(~s) _ . ~ . RECORD VERIFIED Anderson, R. 9unset TV 15~G~ ~2~ (3erdenie 10U Angie Rd. : Ft. Pierce, F~a. Ft. Pieree, Fia. 7~ { 0 PN Z: 16 ~ - n+:. r..weiw H» fo1lm.Nw ~rP~• to. ~t~w.) ef n•an«ryr= iiOiaER i•OtTRtaS f ~ CLERK CIRCUIT COURT - a Nev 1967 Emerson - 25" Color TV Mod¢1 ~26C11 ~ ~..~,,..~a ~ s.n..+ ra.+r .•a ~aa~...c.,~ s Ser ~`2048261 . ' - ~ ST. LUqE OOl1M'1f BANK - P. 0~ BOX 8 a. c~ ~ n» ..ww.a a c~o«. mi, f.s. s..~ ~.a a..~..a.,, ..a..a ~ PIERCE. f WRIOA 8 3 4 b t hM+M. ..a ..iN b. ol«.a a~r .ad~riawal .ne .ieil.r r~strM..M N+.d ~..r b. .e .«wr..a. Tl~is sNqw~w1 b/ibd Mrifhwl Nr d~Ylors sip~alw~ le ~eiM e Marrih i~N~nat in c~UoNrd. (Clw~k ~ if wl ? Alrw~y ~rb~ef N• s~uwilf MNnsf in w~Mlw Irrisdctiow wMn N~res brar~A1 iMO MJs a/oM. Q vrhid~ is P?ow~dt ei Ilr ~ri~i~d celloNrd d~w~i abe~r~ b wri~id~ o f~aKifr iMwwf ~ras P~~cNd: : CMck ~ if tw«~ hecMds ef CoilaANd or+ dw os~t~d. heducls af GN~Iwal w al+~ tev~nd. No. o( oddilioed Slw~s pns~nhd: - F~~ St. Luci¢ T v . j sr: 4r~ j Sirwlwds) ei D~Mer(s) " (y ai S~cw~d ?eArli~al ' , 3 . A~ar~d bI Tow Adaws. SwMary of Seoa. Stot~ of Ftrido n~ F~iy OMiOM ~eP~/' AF~kvbtlio~ ~YU11~~~ ~E~~~~~~~ ~ - - ; -