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( . ~FIIS STATEMENT a Nd b a filwq officer fw fitinp p~n~ant ro tM Unitonn ConwnacGal Codt: 3. Mo~vrity dote (if ony3: ~ ~ 1. Debror(s) (loq No~w~ FiM) ond oddr~ssles) 2_ S~cw~d ?wryfies) and addr~ss(~s) f0/ {ilinq W~KM .~/4 t~M. ~MwbN. O~A :~'w K+) ~ew~ Charlee A. ST. LUCIE COUNTY BANK FILEO AND RECORDED' 430 Prima Viata Blvd., P. O. BOX 8 ST. IUCIE ~ OUNT~Y~F~LA. Fort Pierae, Florida FORT PIERCE. fLORIDA 3 3 4 51 ~~F~~~ This s1d~n1 ?eF~rs fo or'g'ral financ«g SroNw~en/ b~winq ~w 1554~9 '69 APR Z 2 At~l J Filed wiM Qt' TalIC~B rAl1YL~ DoN ~bd ~ ~ 19 i. ? Confinuution. Th~ oripiiwl finonciny staNnrnt bNw~en t f Noag Iortr, b~orin9 file nw~bM ahown a~ Tenninotion. S~cw~d pwh ~w claiwn o s~cvriqr inNrnt vnd~r tM fieaecinp s~aNm~et bwr~n0 fil~ nw~? slww~~R~( IRCU~ OURT 7. ~ Assipnw~enf. The sKVr~d Part~~s riyM vnd~r th~ financinq stol~n»m bwrisp fil~ iwrwbK shown obov~ to /M propMty d~svib~d in Itw~ I1 hos b~~ ossiyMd b tlr ussiynM wl+os~ no~M ond oddreu appwr M INw 11. 8- ~ Arn~nd~neof. F'w~anciny SMe~t bwriig fiN mnwbw slwvrn abow is aw~nd~d as sM forth in ItMn 11. 9. ~ R~Iws~. Srew~d ?artp nl~as~s /M eollaNrol daerib~d i~ IMiw 11 frow tM finantinq s/ohwweM b~wieY fib nwwb~r slwwe abuv~. ~ 0. L~ Cl~eck if Mw. All den~wwntory staiwp foa~s dw ond poraW~ ar to b~caw~e du~ and poraW~ P~~ b ChaWK 201, F. S. haw bwo poi~. tt. Oae HCA Color Tels~ision, Yodel (~H7613, ser #3THTD2233 t~o. 01 oddi,~onol slwes pr.weNd: Q~_~.~ u~~~ ST. LUCIE OOUNIY BANK By: fr= Si9nonr?~(s) of D~b/x(a) (n~c~saoy on1Y if IIMw ~ is applicobl~). - s) ~ ~~I(' STANDARD FORM - FORM UCC-3 (1) Filinp ~Jffice? Cop7~ - Aipbabatud Appror~d by TOM AQAMS, S~crNarr of Sto+a, 5!aN of Flor~do ~ w- d,~ ~ ` ; . - ~ r ~ 2 _ ,~a~`~`~"w~ _ .