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TMIS fINANCING SiATEMENT is pres~nted to a liling officer (or filinq prn~wnt to tM Uni(wm Commerc~ol Code: Moturitr daN if ony;-
l. D~bfw{s) llast Nome firsti ond odd.ess(~s) 2. S~c~.ed Iorty(i~s) ond oddr~ss;~sl fw r~~ WiK« oa.. t.~.... n„~.e... ad r:~:ro W~K•;
FI~EO AND RECOROED'
~~iAItRIS~ 8. D, & HATTIE BRQDFsRtS TV CLINIG ST. LUCIE COUNTY. ~LA.~
1244 Avenue D . 2555 South Federal Highway RE CORO VERIF~ED
Fort Pierce~ Plorida Fort Pierce~ Florida 1s4C.Jro
33450 33450
. TM„ f;~,~ ,~a.~, ~o..., ~o~~ow,~ ;a of a~.~.: 's~ fE6 Z PM 3: t 1
One new Zenith Television~ Model 2213M5~ Serial f~OGEr r i
No. 8217723 . s. ~ss.9 ,~RK~4~{?~~a~q~~
- ist Natl Bank Pt Pierce
P~ O. Bax 970
500 Boston Avenue
6. Check :f n~~pQ Th~ sto~npf required by Chapter 201, F_S_ hor~ b~~n ploc~d on tM pranissory insfrvm~nls s~cured Port Pierce~ Fiorida
Mrebr, and will be ploced on anr a~lditionol ond si~nila~ instr~ment thot inay b~ w secv~ed.
This stotem~nf is fil~d withwif tM debloi s s:qrwh.r~ fo perfM o secwihr inf~rql :n collof~rol. ;CMc4 ~ if so} ,
? Alreod~ wbjKt to o sK~rity inlttest in anotMr 'ryrisdcrion rhM il wos brpghl inb this seote.
~ whicl~ is prot~eds of li» priyinal tdloN~o1 dturibed obow in which a s~curitr i~tNesf vras ptrlecMd:
Check ~ if coverd: $?rocNds oI Col{ol~ral or~ ulw cortr~d. Q Irod~cts oF CdloNral o~e olso cov~r~d. No. of odditionol SMets pr~sent~d:
filed wilh:
R. D. and Hattie Harris g~~~ ~s TV
~CLINIt'
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Signoh:n+sl ~ ( S~gnat~.~ vr ort~(i~s
STANDARD FORM - fORM UCC-I MR ~O ~~~E~.O~~
(1) filing Offittr Copy - Alphab~fio0~ Approred by Tom Ad1~M3;~Nory of a~, oN o ~fda
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