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I _ ~ ` TNIS f11VANGIW(i STAiEMEl1T in pes~nNd M o f:tinq oHiur fw /~ti.q purwa~ w Nr Wrte.w Ce~a/w«del Ced.: ~~~r d~.l~ Mr): 1- O~Weria) (lod Nenw fint) ad edd.~ss(~s) S~cw+d ~a.tp(i~s) ond ~ddr~as(a) r.. r+w oe's iew. w..~... rr.~ oHel f Th~iafl~ Qla~l~te Pratt, Yiilie Jr. j Iiildred rd~a Ho~s ~pp2i~nc~a, Inc.F p~AND~RECOROED~ ~ ' 200~2 ~v~eane Y- - 22~ Or~ngs ~ve • ST IUCIE COUNTY, FLA:` ~ Ft. Pi~res, Fls. Q Ft. Pisrc~, Fla. 33li50 t coRO ~9418 ~ Th~~ fi+wwciny .taN~a co.~.s Me foHowiev WP~s (w iN~ws) of Prop~t~= ~ - i 'TO M q PN I: SZ ~ nsv 1970 ~d~irai ~ Colo! Tsl~visioQ Ilodsl 2L511w s~~~~~~ ~ scy~ ' ssr #55T~o9 ; OGE,~ P ~K ~ CL RK C~ItC , P. . 8 ~ b. t~ ~t ~,,,~QJM .a~v raav'N~d br Clwveer ~o~, ~.s. e..~ n~«~e r.«m.~ H+s~.~.n ~«r.~ FORT PIERCE~ FLORIDA 3 3 4 5 0 ' Iw~~br, ond wiN b~ plec~d on mr sAditionol ond si~wilo? inshv~wt MW nwr M w s~cvr~d_ ~ ~s sMt~nt is fibd withpit ~M d~Mei s sq~otrn b pafM o s~nwit~ inNryf iw collatNO1. (CAKk ~ if w) ~ At~wd~ srbj~tt to o s~cwity inNr~s! in awotM~ 1wis~tfion ~irn ef r+m bo~qAt inro Mis s~eN. ~ Which is procNdi of tl» or:pinol collot~ret dNCr:b~d a6w~ "iw vrhid~ e s~cwitr int~r~st wm ~rf~cNd: Check 0 if ce.ered: ~ h«Nda o1 ColbMrel an dw ur~r~. hoduces d ColbMrol an o1w cortnd. N~. e/ edd:tione~ S~N~ Pr~s~nMd: i ` ~ Fikd with: ie yOVA`?y . ~ - . ~ yG~ ' ~ ~~.-a~..- ~y ! ~ , i ~ sl ef Is) •r~ SiYnetw~S~l ef ?ertfl'ws) ~ 0 R ~.,7eJ~ "~i? i~~Ficea c~i/L ~ NA Tic~~ STANDARD fORM - fORM IKC-1 ~~OK~~ ~ ~ AM?~.~ M Taw Ad~y. {wNSrr d St~N. i1~1~ ~f Hs.if. _ fY . . . . . _ . . _ i . , . _ ,