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- . ! { ! THIS STATEMENT is pr~sMt~d M a iiliny officer fw fil~ng pvrwonf M tM Uniform Come~.rc~d Cod.: ~tawr;y don ,r.f o.~r): a) ilosf iin~ e addr s(es; 2. S~cvr~d ?ary{ies) and addr~ss(~a) rw ri.9 a[:~,. ~ow. r.w. w.~w. o+r ?~;.s wt:n1 f'b'i~an ~"ve~ ~oocYs, ~nc.- so. P~es~o ~tioo suqar co. ~ ~~tEO Selvitz Road gT. ~~~D RECpRp~~~ Fort Pierca, l~lorida ~ ~ a~CORp VERIFIEp A 33450 Fort Pierae, Fbrids 33450 • , ~ 8 SEP ~ 169~08 ~6 ~ ~ t. j~s:~,C f~~r a' F~i St~Nrn~eN~arinp F(N No. ~:1 L t Fil~d wifh Dat~ Rbd ~u~~lst. 7 19~ S. ~ Contin~?otioe~. TM wi9inal finantiip sta~Mm~nt bNwNw tM forpoiny Orbtw ond S~a+nd ~arry. bwriiq fil~ ~~~ctiw. 6.]~f Terminotion. S~cvr~d porty no lonyw doies a ~aritp i~+st uwdv eM £~nowciny HoNw~M bwriny fiN wmwbw sl~oww C.V~t CQu 7. ? Assigmnent. TAe s~cw~d pertr's ripM vwd~r NN finandny sto?aewN b~eriny fib mwob~? slavrn a6ow w ti» prop~rtp dya~+d iw Ihiw 11 kas b~TpssiyMd M tbe assipe» rhoa~ no~ ond oddr~ss aVP~v iw Iww 11. 8. ? Amendnaet. F'r~oacw+y S~a1~eNnt b~orwq fib Mnwbw slw~rn obo+~ 8 a~wd~d as sM forth in ilww 11. ~ 9- ? RsboN. S~tw~d ?wh r~leos~s tM collabrol d~wib~d M Ilw 11 ftow 11» finontiny s~oMw~d bwrin0 tib eu+ubsr slWVrw abow. to.0 GMek if aw. wu docw~n~ory, stow~? eai.s dw and papahl. « a b.oo.~. aY. ond popebl. w+n~ ~o tlw~,~.r 2ot. F. s. ue.. b.«. paie. 11. . [is. ef eJditi~wal slrAs p~wbd: ~ ~ 3 ~ s ~ `r~ Sip~n(s) ef o~Mer(.) l~+ar~ «~h 6 - - ~ ~ ' stowdw~ts) .f s~wn/ ,1 ` 1~~~~ UCC-3 ~ Avwm~d br ro++? AaNAS. s.a.to.r oi ka+., s+w. 01 rb.ido (t) FILtNC OFfICER COtY~AIPHAlETiCA ~