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~MIS ~TATEMENT is ptetMted fo o lilinq off:cer for filin~ porsva~f to fhe Uni{wm Commerciol ~ode:- 3. ' Matunfr dote ,if any, ~ ~13-69
Debtor(s) ilasf Noms FGrs~; and oddi~ss:esl ~ ~ ~ ~ ~o, ~x~ r.,,.. ro..~p~.. ~ ~.i,
Secu~ed Party[,:es; and oddress~es: O~ e+ ~i... ~q O~r.c.
, Ftl,Ep AND RECORD
i~nats2l, Roy ST. LUCIE COUNTY BANK ` ST•,
LJCIE COUNTY, F~A.
?4 Palser Drive ~ P. O. BOX 8 -'?~n ~f~ ~;~~~p
Jeasen Beach, Flo . fORT PIERCE. FLORIDA 3 3 4 51 ~92,~ * O
' o aPR 2 r a~ io
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a Thcs a~or~ment reiers 1o wiqiaol Fmonanq S~otemM~ bearing fil• No._ 16~~~,_ t :
r.led ~.~~h ~{r• iM~?iP. Oate ' VunS 1 v 19 ^ fSil': -~fC
5 . . . py a
COnfinuotion. iM or~g~nol finonang statemenl bclwem tl~e fo~eqomg Debto~ o Secvr~d ~wtY, beoring filt mr ~1~{~rr~~~'~t~y~ ~.ry
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' Xx Terminofiort. Secured porty eo longer doims w secvrit~ iMertse undcr th~ finoMiny stofemeet beariog fil~ n~mbtt shown ebove.
Assignment. The secwed porly's righl unMr the (inancinp stut~m~nl beoriny fil~ n~m(kr sAow~ obore fo f!u proptrty dturibed in 1?em 11 hos been ossiQnsd
to fhe ossiqnee whoi~ name oad oddress eppeor in ItNn 11. _
Ame~dmtnl. Financing Stolement beorinq 4ilt n~mb~r sho..n ebove is omended os sM fplh in II«n 11.
ti' ; Releose. Secur~d Pony rtlwses 1M coliotNOl described in Iftm 11 fro~n th~ finonc:ng sfotem~nl beoring fil~ nvmber shown obore.
X, Check if frue•--AII docv~nenrary stamp taaes dw ond porobl~ or to become dw ond porobl~ pursvant to Chop~er 201, f. 5. har~ been paid.
No. of oddi~ioeol ahNh pr~senled: '
~ 600K ST. LUCIE WUNTY BANK
sY: sy, _ yp
Signohrrt!s~ of Debtwisi lnecsssmy only ii Itern S is applicobb). Signah+r~!s: of vred y(i~y) '
STANDARD FORM - FORM UCC-3 - ~
(1) i~l~n9 Oflicer ~opy - plphabetieal Aqpror~d by TOM ADAMS, Secretory o} 5}0!+. S~ot• of ilorldo
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