Loading...
HomeMy WebLinkAbout2782 7NiS fINANC~wG SiA~E/~ENT is W~sMt~d to o/i6nq officer (x ~ilinq p~rnuon~ ~o tM tinHw,n Canie~~ciel Codr ~+~o~.r.:~~ dot~ fii onr;: . - _ t ' DeArw f'; ;loit Noma iirsl: and add.~ss;~s3 2 Slcvr~d ?orfyliss: w~d oddr~ss(M) fr f:1..q ON+« ~Owa'. r~we. ?+v.~Mr..M rd:..y Of1:c.: F ~ED AN Burgan, Earl S. Forget~e TQ S~ ~UC~ ~ RECQ Rt.2 Box ?300 3001 Orange Ave. ~'F ~~En ~~NTY,RFLA. Ft.Pierce, Fla. Ft. Pierce, Fla. ~69 ,~B~F;~ ~ ih~s f;eoeciry ~~or~rn~nt cov~n tM followinq typ~f (a ~rerw~i o/ propNfY: ~ ~O L'11~ j' • ~ , ys RCA Color Televieion , j~~~~ Model EM417W, Serial #51BCM6626 S. Ass:pnN, CQ ST. LUCIE COUNTY BANlf ~ ~ P. O. BOX 8 s ctiKt ;t +.,,~iM s~ernps ..n„~..e er c~P~.. zo~. Fs. b.«, ~+«.e o.. rM w~+•swr iestrwnMN ucvr~d FORT PIERCE~ FLORIDA 3 3 4 5 0 htnby, ond ~rill b~ ploced on onr odditionol ond si/n:lor i~strv~M tAoe nay b~ se s~cvrd. ~~s sto~~n+ent is filad ritl~eo~~ eM d~b~u's sip.w~~n b p~rfM e secwih :n~Nest in cotb~«d. (CMck ~ if ae~ Alrpdp svbjKf b e sKV~it~ :nrpyl in pnplhN jvriidKfipn ~rMn i1 vros bfwglrf inlo fhes seoN. WAicl~ :s p~ocNds of IM oripwql collohrol d~scr~bd obo~~ in vlA~ch o secvril7r infenst v.os paf~ct~Q: C~~ck $i if ro.e~ed:~ ?rocNds o~ Collet~rol w~ olw cer~r~d~ hod~cts of CeltoMal or~ olso ce.~r~d. No. of odditionol SM~fs pr~s~nhd: F;~~ w>>~: St. Lucie County l~. `'G_ f i!?/ '6 ` ~r: S:ynohrr~;sl of D~bt«cs) ~wt~(iw) (t) FIUMG QFiI,:? :GPY-AtPHABETICAL STANDARD FORM ~ UCCr~ e OK181 `~{lEl~/~Vz Aapov~ bt taw Ad~w~. S~crNer~ e1 51~N. S~o1s of flor:do a t : ~ - - - - x~ _ ~ - ti _