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~ i TNIS fINANCINl3 STATfMENT is presMNd M a filieg offic~r fa filinq pwwant ro tM UnHonn CeareKC:ol Codr. ~i*s ~r)= 1. D~blo~(s) (lasf Now~ F'iesl) and oddr~ss(~s) 2. S~cvtid ?aA1(i~s) oed addr~aa(fs) fe. fiw~ Otfwsr i0er. tw. Nw.hr, wd ~Y'ry OHau) Kell~y , 8ssis Mae FlARIDJI BANK AT PORT PIERC,E ~LE~ AND RECORD 9'_ _ 620 Dundas Court p, O. BOX 8 4 6 8 T. ~UCIE COUIITY Ft. Pisras, P'la. RECORD VERIFt~O P~7' PIERCE, FLORIOiA S 3 4 5 0 j . - 4. Tlss fina~ciny slaNwwnf tovHS IM folbvvinp h~Ws (o~ '6T JUl ~~~y~ ~ , ~7 ; One NeW 1967 Sdmiral Corp. RePrigerator, Modal ~C1 72 • = 3erial ~58?5788 - s. ~ ~ LERK CIRCUIT COU1tT ~ ~ 6. Cl~.ck if hv. TM .ar.os ~.q~i..d br ~hav~. 201, f.S. har~ b..n pleud an N» po.iaery iwstrrwwMS s~aw~d I~~br, and wiM b~ plond ee oer odd'rtGonal aed wwilw ieatrwn~nt thm wwr b~ ~e saw~d. ~ This ~bfu~ i~ ffMd wiN~wt Nr d~Mw's si~wt~rt~ ~e priM a ~~cwiM iMK~st in oollaNrd- (CMck ~ i/ w) ? Atnod7 srbj~c~ w e wa7iryr intwnt iw aa1h~? Iwisdictan wl~ H ww bwqhf iMe N+is s1oh. ? whitb u~ocNAi ef tM wiy4~a1 tellaNrol d~wib~d oboh in ~I~ith O sKwih fnlwt~f wes p~1~cNd: ~ ~ GMck ~ if cov~nd: Q hoc~ ef CeIloNrol an alw oennd. ? hadrefs of tolloNrol an olso cewr~d. No. of odditiond Sh~MS pr~nNd: ` f~~.a w~: Clerk of the Cirouit Court, St~. Lua ie ~ovnty, F~. Pie roe, Florida ~ , : ; ~ ~ F e. r ~ ~ 3 ~ ~ sr• or- Siynohrr~(s) d D~Ww(s) Yiae~ (s) of Iw~t(ie~1 7 sT~o~u ~ - r~ ucc-~ ~ . , (1) ~~Y Otf{e.. Cepr - Afphe`.~tnl ~ R~ ~ r.. ~varQr+d br Tow Aao~.. sw«a.y of s~z+., seo+. of flor;do ~ K167 a~ . - - . . r9 _ _ . - -r . ~s -ta°";a lre~r - ! "i :r..~ ~2~? _ ~ m v;~t s ~ . . . .~t,r