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. ? •t , ~ THIS HNAlKINd STATEMN~T is ons~whd ts a fii~p oFf'KSr fw Filwq pwwaM a ~M Unifonw Conr..niel Cod.: ~tannihr doa 1~ a.r1~ lal 1. D~b».tq llo~e Iiow~ fasq Md ~ddr~ssl~s) t S~cY.~d hrfr(i~s1 awd addr~a(N) r« ~a'w otf:o~. taw. n.., w..r«...a ?a.~ owk.) i~ n~ ~e+.~.t~ i s4a~..o.t =T1~E0 ANO RECORO~t~i , 33~ ~A IUCIE COUNTY. RLA: ~ ~y~ ~t H~~~ RECORD VERIFIED ° 334~ _ 3~4~ 16i(~663 f.~, t OCT 6 PN I : 5g ~is Y...Nr-rsr~.oa x..a rr..t~ar ~i.l #31iS O.s~i4'?'M1~N Q-~ at.~~- ~ Yissq-hs~uea Di~al 'be~ot~s ~i+~l ~31f S - t _ ~1~47~ L'~tRK' i ; ~a~r Yasss~I~a ~Nl ~s YN~1 f 3165 ~r.~i4T00~61 ST. U1qE OOUNTY BANK ? ~i~ ~as~qr~ Di~Nl 'bnrst~ ~1 ~31~~ ~47'~~= ; P. Q 80X 8 c?.a~ n» .~..~w ~..w..e s. c~w.. ~o~, f.s. ti... ~ vi•~a v~+•«r ~•~,•••M• ••~••e iaORT PIERCE. fLiORIQA 3 3 4 a r ~ Iwe+M. ~.i wiN N oleud ~w ~wp ~dd'iti«NI ewd ~kwil~r Y~ Myf ~er b~ w s~cwr«i. ~ ~ Tb iblwM b fiNd wi1hM ~M d~bMrs fi~walw~ N MriN! ~ Mcwitl inNtist in coNoNral. (CMtk ~ if N1 t ? A~+adf s~4j~e~ Ie o ~a~eitp iiNU~u G e~Mlw~r ~isicliow ~rMw N v+w MaqM aNe Ihit stot~. i Q which is aecN~a Ilr ~ri~iwd cop~wd d~fcriw/ ier~ i~ rhich o s~wrMy ie4nt~ Maa P~rf~cNd: _ ~ CMck ~ if cNnr«i: h~c~a ~f Ceqshnl ~n dw oewr~d ~r~cb ef CoHoNrol an dw co~ehd. No_ ef addiAOnol SM~M pnwnNd: ~ fi4d widu a;• L1~01~ Q~~~f ~1~ ~ - ~ Ll..~ n ~r..t~r _ ~ . . ~ y j ~r~ ~f s) ~ si~p.« .c.~ s.cw.e hrtpt».) a ~ QM~ C~! ~ ~ ~ br T~ Adawes. SwNmr af S~o+~. StoM of ff«ida - - - .Y - - A~----