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~ TNIS fiNANCING STATEMENT is preseoled to o filiny officer fw (iliny pvrs~ront lo tM Unifam Com~nertiol Codt: 3. Mot~ritr dal~ (~f a~rJ: 1Z~15~7~
1- peb~«(s) (lost PlonN Firs~) and oddress(~s) 2. Secvred twtp("~es) ond oddr~sa(~s) sw r:ti.o afKe. tos~e. t:.~s. r+u.b... o.s F:wwy wr:~.~
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(iood Hou~eke in ~ap $
Hall, Jamnes W. s~ Sibprl B. f~o~14~ F'~-E~ AND RECOlipEp ~
1217 Ot~mond Ave. 305 Oran T~~1+9C~E COUNTY, LA.
Ft. Pierce, Fla. 3345o FORT PIERCE, FLORIDA33451 RF ~~~~y~q~~~ ~
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1. This finonciny siaNmenf cown fM followinp tpp~s (or itern~l of P~~r= f68 ~E~ 20 PM t2 • ~
1968 Frigidaire Refrigerator Hodzi FPCD11~6T9 Ser #13A86802 ~
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s{, Assi (s ot sec~..d ra.rp ana ~wd..sst.s)
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~ Ft . Pie~ce, Fla. 33b5o
6. CMck if trw ~ The s?ornps rpvir~d br ChoptK 201, F.S. haw b~~n placed on th~ qamissary instwments secvred
Mr~br. ond will b~ ploc~d on anr odditionol and simibr instrvm~nt thot ~nor b~ w s~cvr~d.
This statem~nt is /il~d withovl th~ d~bta's siqnotur~ to pt~f~ct o s~cvriy interest in collatard. iCF»ck ~ i( so)
? Alr~ady aubj~ct to o s~curifr inNr~sf in anWh~r 'ryrisdicfion wMn i/ was brwght iwto this sfaf~.
? which is poce~ds of fM wiyinol cdlaMrol dtsaib~d abor~ in which a s~cvrifr int~e~st was perfM~d:
Gheck ~ if covMed: ~?roc~eds of Col{at~ro) ar~ alw cowr~d_ ~?roducts of CollaNrol w~ olso cov~red. No. of oddi~ionol Skeets presenNd:
Fikd with: ~ i,u(~'iP.
Goai sek¢ i ~
dr: ~ 6y:
r~f~) of w(s . • ~9noh.re,s; oF Secvr~d ~ y(ies)
800K ~~~PAGE~~~~ STANDARD FORM - FORM UCC-1
~j~~ ~{~q~ CpPr . A~Pha~~ Approved br Tan Adoms, S~cr~tory of Stot~, S~ot~ of Florida
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