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TMIS FINANCING STATEMENT is presented to a fili~ office~ (o~ (ilirg prrsvont to tM UoiFwin Commerciol Cod~: l3. 1Nolurity dote ;i1 aey1: 1'10'?2
1. Debtwis) (Lasf Nonr Firse: ond addr~ss(~s) 2. Ssc~red Iortylies) and oddr~as(es) fo. fa:PAt~.eYO.~t..I~y ~„Qp J~~,Qf
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ILGIJ AIVIJ lJ~{tJtU
Burre2l, Thaaas Jr. ST. LUCIE COUNTY. FLA.~
210 S. 25th St. ST. LUCIE (:OUNTY BANK RF COR~ VERIFIEO
Ft . Pierce, Fis. 33~5o P. o. eox s 163s18
fORT PIERCE. FLORIDA 3 3 4 51 68 JAN ~ 8 P~ 3: 2~ ~
t. This f:noncinq stoN~nent co•e~s Ihe Followiny hpea (w iterns) of prop~rty: _ ,
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t:i) ,C_h; . l7`TR: .S i
1 Model B-3 Hammond Ornan Ser #97o4G s. ~.s;~..c.~ ~ s.~..d o... n.c«~ ;
1 Model 222RV Leslie tone cab ~
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~ o Check if trw ~ TM stomps rpvir~d br GAapf~r 201, F.S. hor~ M~n ploc~d a+ IM praniasory ins~r~m~nls s~cur~d
~ F+er~br, ond will b~ ploced on anr additionol ond similw instr~ment fhot moY be w s~cvrd.
This slotem~nt is (il~d wilAwf tFw deblw's siynolvr~ lo p~r(M a s~cvrity inle~~s1 in collot~rol. iCMck ~ i( so)
~ , Alr~od~ ~vbj~ct ro o secvritr intKest in anotMr jur~sdic~ion whM i~ wos brapbl info th:s stat~.
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j whicA is prote~ds o( 11r wiyinol cdlolerol deuribd obov~ in whith o s~c~ritr inlKtst wos p~rfMed:
~ ~~eck $:f co.Ned: ~/roce~ds e( Collateral w~ also covered. ~/roducts of Collotkal are olso cor~r~d. No. of odditionol 51+eNS pr~s«~ud:
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~ ST. LUC1E OOUNTY B/WK '
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~ Assistant Cesh-;
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Siqnown'sl of abta(sl _ " / Signatur~(s)' Secvnd ~t~(ies)
STANDARD FORM - FORM UCC-1 dMr ~~~j i
~ (1) filinp O#it~? CoPY' Alphob~f1t0~ Appror~d br Tom ICXwns. r~ ary o a», b~Fb~ida
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