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,I ` _ _ 4 - . . . i I ~ STATE Of FLORIDA 184846 UNIFORM COMMERCIAL CODE - FINANCING STATEMENT ~ FORM UCC -1 THI$ FINANCING STATE/iAENT is v~•~?+.a a ru,q ~ r~i~~ w r» u.~ coaR ~ FILEO A{~ ~ORDFD~ . 1. Debtar(s) lLoat Nane first) ond oddrw(~s) 4_ S~aird PbrtY(i~s) ond addnss(~s) For Flinp Offi~(~a~ ~ COE, DONALD AND BARBARA JEAN PROVIDENT FINANCE COMPANY, INC 2302 Avenue (i. (Residence) 308 Colorado A~eaue ~jt 522 North 26th Street ( Mail) st~t, Fio~a~ 33~+9~+ '69 OCT 27 AEI ; Zq Ft. Pierce, Florida 33450 1848~s . rn;. f4+onc~no sta~anret aaraa ~he fdbwin~ ~YOK (or it~ns) of Prop~rb= ROGEF? r~01TRQS CIERK CiRCUIT COURT ~7 N~ ooo~~+s ~a ah.. ha,»how yooa, a,a dwnd. lomt.a „ a aea,. awon• n,~a.na. r,o..~ obw.. Q Odw (daoribe) S. Assiprw(s) of Securd MrN ond Addns+(~s) ~ ~ 6 Cl+eck if 1rw ~Th~ sw~~Os .puired bq Uwqer 101. F.S. iww bs~n piocd on d~ Dromissory i~strwn~NS s~aRrd ?+e~eb/. ond w:ll b~ P~~d on orrY odditionol and timilor instrurynt ~ha! enoy be io sraw~d_ Th:s sb~emen~ is (ikd wid~out the deb~o~'s sipnaau?~ b perfad o secwiy inler*st in oo~bt~nol. (CMck ~ if so1 ? Abeadr wbiac+ w o s.cui~y iNe.es+ oeo~h.r iuri~d~a7on wt+«~ n woa brouphr inw rhts .rote~ ? which cs woaids d dr or~p~nol cdloterd de~c~ib~d obo~ in whid~ o s~curiy ints~e+t wos pwfw~d: ~~eck ~ H corw~d: Q Iroweds of Colbt~ral an olw awsred O Wodve+s of Colloarol an alw mwnd. No. d oddi~~onol ~ P?~wnad: F,ted vr~~: +M Clerk of the Grcrit CwRt d $t. I.nei! C.w~MY. Fbrido. Provident Finance Co. BY: a- __~~~I~r ~ -~iB W UNIfORM COM RCUI COOE ,F •N NT ISIMGLE iONM~ iLOR10A 1•{7 ~ b0~c 1~ P~~i~~ _ _ - - - - ~ ~ ~ k`~C-••`v~s''°~"~'` ~ ~*'.yi N ~ 4', y.. F~~«, ~x. _ . . _