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r - - - - - - - - , 11-2-69 ; T1i15 iINANCIliG STATEMENT is presw~Md b a filiny oilica for f:ling qrrsvan~ ro the Unifww ConrwKC:ol Codr 3. Marwih dw~ o~r._ ~ 1. Debw{sl (lsst Naw~ finq and oddress(~s: 2. Secw~d Iwbl:~sl owd oddre~s(~s) ro. ta:.~ d~:c« ~o~o~.. rr. w.~s«_ w~ F:c.~ W~K~7 e ~ F11E0 AND RECORD Langham, Aunrey Forget ~ TV ST ~~~~E 1~0 Angle ~~Zd. 3001 ~ranae :~vs. RECORD VERtFj~~ ~Ft.Pierce,Fla. Ft.Pierce,~la. ~s~~ ~ nail at ?11 Delaware ) ,Sl 13 • y2 This fi~wwc:wp sto/Mwwr cw~rs NK folbwiny bV~s (w :~wws) of 1KOpMlr: ~ ~ RCa Color ielevision °t~-~~/ biodel GJb15 Serial 729BAH0450 Ro;;~~ s- n..~.. t~ ~T . . _ ST. LUCIE OOUt~IT1f BANK P. Q BOX 8 i PpRT PIERCE. FIARIW! 3 3 4 b T 6. CMck if~Th~ alowV~ rpuired bp Cheplw 201, F_S_ how b~~n P1oc~d on N~ porwi~ser7/ iwstre~wwb s~cw~d i Iw~br. and nrill b~ plead ew m~ odd/iowd owd si~ilar insh~wn~wt lhot wo1 b~ so r~cw~d. iM sfoMw~nt is fiMd vri~havt Nw d~Wor's siyweAK~ b p~rf~d e s~cwih iwMr~st iw cdloN~d. (Ch~sf ~ N w) ? AM~edy w4;M M a s~cvrifp w~NeM in s~o1Mr iwisddan vrMw it wos bre~qlN iMO Mis itoN_ . ? wlwJ~ is procwds d IM oriyiwol collotwd d~sa'b~d abw~ iw wlrcA o sKw~~1 iwNr~st wraa qri~cNd: CMck B if cov~r~d: h«Nds of ColloNrol o?e dw cewr~d. hedYCts of Ce1loNrd ar~ otw cor~r+d. No. oi odd~tiowd Slwrs pes~nNd: ~ Fikd with: Lucie (:o~.ICltV , ~ F tg ~ i ~ - ~ ~ : `r• `r_ ; : Si~w~M~s? ef D~bar(s) ra~t~~i~s) j 7 ~ . STANDARD f0~ ~?~yl UCpC-~ . o~„ . ~~~s.,~ 60oK UcJ ~AYI T~ '~~ory of S~ot~. Sra» 04 f:orida ~ -~.a.~' - - , r.i