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i i ~ ~ ~ . ° . _ _ _ _ G THIS STATEMEtiT is pres~nNd fe o filiwp ~cK for filwq prrwanl to M+~ U~iferw c~~ c~.: ~•~w ct ~r~: 9~9~ 1. Dee~or(s} (lost Na.~ f'rd) end odd.ess(es) 2- S~cwed /arylNS) and addnss(~s1 r~• f:~' I~.GV `AtrY ~1~(~~orew.) Boiley, Georgia Kae ST. LUCIE COUNTY BANK ST. LUCIE COUNTY. ~LA. 2304 Ave~e H P. O. BOX 8 RECO~~ Ft. Pierce, Flt~. 33450 FpRT p1ERCE. fLORIDA 3 3 4 51 - 8 SEP 9 AN 9:48 Tl,i, ,aNw~, .ef«, ~o oriyiwd financinq Sro~.~ua„ b.nrin~ FI. Ns. 15342~ F,~~ ~ St. Lucis County ~ h,~ l~iar. m1E 10 19~ ROGEii POITRA8 - S? Confinuotion. TM oriqinol fioancirg stotdn~M bNwMw tM w~yw~q r, fil~ nv~r showw abor~, ~s sfi w. ' 6. ? Tenwinolion. S~cvnd porry iw la~q~r cloia~s a s~cvriyr iM~r+st vwd~r tM financiny s~a»ew~~ Mwiwp fib mrmbe~ shown obow. - 7. ? Assiynment. TM s~cw~d party s riyM vnd~r 1h~ finaMCiiq sWNnwiN bwrinp filt nuwib~r shown obow t~ the propM~ d~wib~d in IIa~ 11 Aos b~~ ossiqn~d M tM assiyrr~ whw~ nowr aed addr~u appwr in I law ! 1. 8. ? Ar~ee~dmtM. iinancing S~ahnwn/ b~wieq fiM nu~wMr slw~rn abow is onMnd~d aa sM forth in INw 11. 9. R~os~. S~cw~d Iary nlws~s N» cdlawrd d~K~~d in Itww {1 fraw tM financ:no stoNnNnf Mwinp f:le iww~lwr shown abow. . ~ 0. t_x Check if Nw. All docv~.n~arr s~oa~p to•.s d.. od po~oW. w ro b.co~. dw a~d vorabl. wrsuas~ a uwvr.r 2at, f. S. hsw b..n paid. ~ i nev 196? RCq Stereo~tad io Kodei ~X ,~`'IfQf 2l~Y : _ Ser #0124 f1o. oi oddiNorwl .l~h vt~~«N~d= 1 ~ ~ ST. LUaE OO~NN &WK r ~ - ° Assistant i ~ 1 ~ L~O ~}f ~ Q M s • d l ar: r-~ ~ S:pwwrNs) et D~brx(s) (n~cnsory onlr if I~aw ~ is applicobl~)• Siynofur~!,sl of S~a~r~ ?wtyli~s) ; ; RM UCC-3 ~ (1) Fitiny Offlt~r Copr - Alphab~fita~ ~vwo~ br fOM AOAMS, S~crdmy of S+ot~, Stat~ 04 Florido _ _ - - - - - -