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FINANClNG SiAiEMENT is prnmted fo o ~~t~~.y oificcr7 for f~IEng p~nvont #o ~`s Uniform Cwr•m~nial Gode. ~Ma~~~dy date ~ii any;~ ~
i~ebtora-. ~,lai~ Name Firtf~ ond_ ndd.ess(esi I. S~cured Porty~iss; ond add.eas~,~s; --~~r-~-~a"''~ ~t~~(~x' f• ~a U'~•:•:
Hermaa 1itiT. Forbas, Jr. + FILE pND TY. FLA. _
~~E COUN
1004 FlOOd R02?d FIRST NATIONAL BANK OF FORT ~I~R .~n~r; YER'.~!FD
Fort Plerce, Fla. 33450 ~ P. O. Box 9~0 ~~'j4~jrj '
- Fort Pierce, Florida 33450 21
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- ~^~s f:~oncinq stotem~nt covers the follo.+irp frp~s tu items) of prop~Ay- .
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CrulBransen Organ Model 2104 Walaut, ~~6519 ~ pa= R+'0;
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Bell and?~well 294 M Tape recorde+~ CLE . ~~wd ?orty and Addnssi~s;
Fir st Nationa.l Bank '
~ P. O. Boac 970 -
- F`t. Pierce, Fla. 33450
- _heck if trw (aiTM slomps req~rir~d by Chopter 201, F.S. have b~en pix~d oe tM proewiafory instrvmtnb s~cvr~d
her~bp, ortd viritl b~ plac~d on anr addilionol ord si~ni{or instrum~nt Nwt nwy b~ w secvr~d.
tn:s stotemeM :a filed witAovt tl» d~btoi s siqnotun to pNF~ct o s~curit~ inl~rsst in collatwd. (Check ~ if soy
Alrtody s~bjM fo a s~cvrity iMwest ie anotMr jurisdidion whw~ il wm braqM iMO this s~att. ~ .
which is proct~ds oi tM wiqi~wl cdlatrral d~scribed obor~ in whid+ o s~cvrilr inqr~sl was p~rfed~d:
-e.k ~:f co.~red: rxt~ds of Collo~«o! w~ olw cov~r~d. ? hodvcfs of CdloMrol we olw cov~r~d. No. of odditionol SMets pres~nt~d:
F~~~a w;~h: oger Peitras, Clerk of Circuit Court, . ie County, Ft. P~erce, Fla. 33450
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STANDARD fORM - fOR1N liCC-1
l11 i~LING OFFtCER C0~-AL/HAlETIC~ ~ A~e~ bf Tpw Adow~s. S~cretor~ of Sta~s. i!u~• oi f!o:ldo
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