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? 4 - _ ~ r . • TNIS FINANCINO iTATEM9IT b N a filirq effkw for fil'rq pwwaM N/b Urif~ CNr~MSid Code, M~hrriryr deM !iE wy), i. D.MM(s) ttar N~ ~fi ~d ~dtr«a(al 2. i~owrd hnr(i~s! awd ~ddwu(«) ~ rfL,tY APl~ C{.NR~E~ ~ L~II~ABD, Grace A. gppggT T p - ST. lUC1E COUNTY. F(,A,'' RECORD VERIFI~O P, o. s~ ~zs ia?~ ~~e ~a 156St4 Fort Pieroe~ Florida 33450 Fort Pieroe, Florida 33450 ~ ' 7 MAY 3 I~1 7: 59 TA;. +i~.weiq w.....~ sw«. r» /.N.vrM. ~.o.. u.ws) ~f o..pay= _ FiOSf:R i OITR~S Ode IIeW ~esrson Oolor T~elevisioa, Model l~kimber 29P02 ~ a~ Seri$1 l~ber 2122941 ~~0~ ~ ~ . F08T PI88C8 S00 Boston Avease a. c~a~ r s~. o~..w... ~:~..e a~ c~« a~i, r.s. w.. w.r..~.~.r r~.~.w. Fo~ct Pisrce, Florida 33450 hu.br. ..r ..iM /~.o.+ .y .~li~wd .d .wr i~ae~t +~.f a.r ~ .av.d. tAis d~l~~t i~ HW ~rGAwI 1M ~W s~i~oM~ f~ MefW ~ s~nwlly id«rat M c~N~hni. (Cbek ~ M w) D Aw+.4 .~he+ b s.Kr.+y iMM.st tw ...rr. ~bifdi~w ~.f~. N w.. ~r..~M ws Nilt .IeM. - Q ir1iMA Y M+~4 ~f dr ~eyi~d aN~d rwaiMd i~ wA(d? ~ s~owils LMwwf w~ pw~dd~ ti~ad~ ~ if ewM~ ~ hKMi ~f C~NMwd oh ~ avw/. 0 h~d+s d Glid~nl ~n i~ orwn~, ti~~. d~d~iliowd fiwb pe~i - Fil~d widn Grace A. LeRttiasd 3IIN3BT- Z9 . ~r~~ - _ ~ ~y . s~~i . ` , r.n~s.. liTANOA~ ~,~M~II~lQRM (11 Filiny ~c~t ~e¢y - Alphob~tica~ r1n1 i~~ ~ r? r0~ A~oM~ f~v~Nrr ei SInH, S!n!e o4 Flo: ido _ ; ~~r~"ia~~-~u.s~-E - - _ • . . . ~.-'.1 , ._.,,.X _.1.