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TH~S i1NANGIMCs STATEMENT is qN~nNd b o(iGny otficer For (flinq pursuone ?o Nw Unilx~s Co~+r~c:ol Codr Ma?urity doti {:f entiJ- ' - Oebtw ~i ~[ost Non.~ First` ond odd.~ss'es; 2. S~c~~~d ?ortll'en) wd oddrns:~s) ~r~.y OH.cw iO~r~. t.+r, ta...l....~d ~.s.~ OH.c•i Bee~}r~ htirerett J. Yoritz Pisno Co. Inc. F~LED AND r~cCORDED P.O. Boz 3a2T 206 Ave. A ST. LUCfE COU~J7Y. FL,1. i Ft. Pierce, Fla. 33~5~ Ft. Pierce~ Fla. 3345~ F:'- i.~Q319 ' 2 7 l~~ ' 2 . a ~in~i ~nonciny s~oft~nent cov~ra ? owinq tYp~s lo~ dems qopt~ y: - New 1970 Fender Cuatom Jazz Baea Guitar & Case )ei~ serial # 2597T7 ~ t-?,-~t s ~ S ;f~~~I~~drMt(M) ~ ST. LUCIE COU~V7'Y BANK ; _ P. O. BOX 8 ~ s~M~? ;r ~.,,~TM sto~.~ps req„ir.d br ChoPe« ~o,, F.s. ~w b..,, d«.~ on ~M prawlsswy ,«W.e FORT PiERCE. F'LORIDA 3 3 4 5 0 Mr~by, ond w:ll b~ Ploced en onr odditionol ond iiTilw i~strvment tf+o~ mcy b~ so s~cvr~d. s staHmenf :s lilsd widwvt tM d~dlp"s s:qnot~re fo pn/ec1 o uc~.~ty ]nt~r~s~ in collaNrol. (C~ck ~ i1 w) • Alrqdr w6jM b o sKwify inip~sl in onofMr 'ryrisdictio~ rMe if was bagl~l infe flfis stol~. . Wh~ch is poueds of tM «i9inol cdlo»~d d~scr:b«1 ebor~ in wh:d~ o s~c~rity intN~s~ v+os p~ef~Ned: C~~ck [~7 if co.~r~d; ~ IrocNds o! Golbevol ore olio cov~r~d.~ hod,.rrs sl ColbNrol or~ olse cover~d. No. o( odd:r:enol S1~ts p~~s~nNd: Fi?ed witA: ' ~ - _ / c, '1 ~ sY. ~r+ . ~ s:qnow,.;.; or n.b~«r,; ..tic».) . ~1 FiL:`~G OFFICEP. COPY-ALPHABETIGAI ST +!7 • ~~Qq~~~ii~I1YC AiP~etidl4 taw AJaiw~. SKrNwI e/ S1eM. SISN Of F{eride . a, . . . . . . _ ' . . . . . - - . . . . - - n ~ K ,,.5~ _ I _ D . h,~G - ' .._.._~c ..-.r., .x : ~ _