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THIS FINANCiNG STAtEMENT is pr~»ntd to o tilinp off~cer for fili~Q pursuont ro the Unif«m Corrrnarciol God~, I 3. Motwiry daf~ (if ony)e ~1~~~
l. D~bta(s) (last Narns First) otx! oddraslss) ~ 2 Swx~d PwYY(i~s) ond oddr~ss(~s) For Fi T Fitirp Off:n1
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ST. LUCi~ COUNTY,_FLA._______
- - IEAHY~-WlT'i~:RI~.-- - - _ - - l~":--P~$------ c ^ 0?; ~ V ~ R'r= ! E 0
102 P. JARDIN RQAD 2441 3~DTH FELB~tIIL 81~
po~r sr. ~r,oczs, Fr. pz~,cs, ~LU 3~50 191C)19
~ '70 l~~1!t 12 P!~ 1: I
4. This financinp atotsaTrnt corxa tM fol{owinp ypss (or itemsl of propKty. ~
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~Ali of t!r hovseFald pood~ now a hereafrer looated ot deb~ar s r~sida+re address a~t 4orth obovs. C: F. ~
P~~h dexribed o 3• 9nNW of S~cv~d wtY and Addr~ss{~s) ~
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6. Ch~ck if hus ~ TM stamps rsqeiir~d by ChopNr 201, F.S. hav~ b~en plac~d an ~M porr.isswy in~trwnar~ts a~cur~d
her~by, and wil) b~ pbcsd on anr addiriorwl and similor instrwnent tFwt moy bs so ~cur~d.
Thit statement is filed without tM d~btor's si~pwha~ to pKf~u o a~cvrlty inhr~st in col{ot~rol. (C.Mck ~ i~ ao)
Q Ak~ody wbi~ct b o seaxity intw~st in onothr iuri+dic?ion wlwn It ww bro~¢x into this stof~.
Q whid~ is pocMds of fM oripinoi aollotxol decribd obw~ in ~wl~id? o s~cwiry int~r~st wos p~rf~d~d:
CMdc g tf oover~d~ Q Pra~ads d Co{bterol ors olw aovsred. Q Products of Collat~ral an olao cov~r~d. No. of additionol SM~b pr~u~d~
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FIAAI~B IA1N COMPANZ OF' FT. P
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