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HomeMy WebLinkAbout0851 ~ _ ~ This FINA!lQNG STATFJAENTis pr~s~ntsd b o filing oflict? for filiny pursuant b theUni(o?m Comm~rciol Codt: 3. Moturity date (if ony): 1. Debtor(s) (lost Name First) and address(es) 2. Secured Porty(ies) ond oddress(es) For ~I~'{p 0~~f;~r, ~j mber, . ` and~i~fTn~VTl~l~[) 1•0~`~~"17t BtiiiOE~ ~7t jt ~n1.~~ (~`~~'3,~pd ~~'tr Qp1'p. ~ S'. Li. CiE: CQU':Tv. FLA. Z~ ~~~a ~h• ag• ~n ~r~ : ^;'e^r: `.1,'--.I'~E~ l~br~ Pi.n., 1~lorida t~a...ill., S~..N ~~~ro sZ0 A~ iil'! ~7 . ~S 4.i i~fir3ancin~ stotan~ni~c,o.v~iZtfi~:`owiny~ es or i~t~) o-f QriNty: : _ - - - - - - _ - rln~ ~a~ Sei ( j ~ 1 R~oord Plyrr (BSlt~a~toa~) ROC~i 1T 1 ? ~ S~ir (~A) i~atal Ya~mt ~,39Z•00 s. ~ ~~~.a ~ «~a ~ 1 ~I, ~'~r. ~iia~O,r ~Oat Addr~ss(ts) 1 RilMj~arator ([~1*iaator) 1 9to~n (D?Ssi~) ~ 1 iiasbi~i l(a~hia (3PMd 4nMn) - 1 3S 8. P. Mmyd• Xrt.or - This staf~ment is filed without tl~t debtor's siynoture to p~rfsct o s~curity inter~st in colloterol. (check ~ if so) ~ ~ olr~odr wbject to o s~curitp inter~st in oreother jurisdiction wh~n it wos brouyt+t into this stote. ~ which is proc~eds of th~ oriyinol colloterol described obove in wl?ich o security int~rest was perfected: ~ _ Check ~ if cortr~d:QProcNds ofCollmero! w~ olw coversd. QProduc?s o(Collot~rol on olso cov~n'. No.of odditional5h~sfs pr~s~nf~d: ~ Fil~d with: ~ ~ Y ~ t ,~.e~_JL~ ~ ) sa , - BY; . . . _ . _ BY' - ~ Siynotur~(s) of D~bror(sl Siy~otur~(s) of S~cvr~d Porty(i~s) ~ STANOARD FORM - FORM UCG1. rA6E ~ VtJ1 a~ etms orn~ c~~r--eiv?,~w~e+..~ . r-~ ~ - - :M~ _ ~ . _ ~ . . _ t . .