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2215
,i ~ i - - . - - _ _ . . _ _ _ - - - ` ` _ _ - - THIS FINMIGING STATEMENT is pnsanted to o filinp offlor for Rliep pwwont ro 1M Uniform Comnwcid Cotla ~ I 3. AAnhwity dab (ii oqr1. I. D~WwW <taa Nanr Flrst) and addr~ss(es) 2 S~air~d ?ary(iW ad odd~w(W. For Fili~ OfHar (DaM. Tiw~,. Nwabr, and HILq Offic~ lf~~ ~ ~ I~ ~ ~ ns~ ~1 s ~~~~atY~~ ~ ~ 1 l~oc ~ l506 ~n~ ~eal ~~tMq ~ ~ ~ r~. rs.~., n~sa~ r~. n.~w, ~taa . ~EC ~ ~ yZ~ ~'~I 4. This fi~onanp alot~nrnf aowrs th~ followinp tyqs {or iFrru) of prapulr. ~~V~ ~ Ali of tM Aous~lafd poods naw or Mrwher looot~d ot d~btor's r~sid~rKS oddr~ss ~t falh abov~. 0~w 3. /1a~ly~w(s) of S~anrd ?arh and Addnu(s~ (INm) 6. Ch~dc tf hu~ ~ Tlv +to~ws ~~q~ir~d bY C3ap+r 201, F_5. hw~ b~«~ piopd an t~ pwmiawry inatrwrwus s~aw~d - . ?wr~bY, and b~ da~ on ony odditionol ond stnrfar instrunrN thd mop b~ ao a~cv~d. mta sbtwn~+t is fi!d withwe Nw d~Wora aiy~+o~w~ a D~?fs+ o»aniy irw~t in aollot~ral. (awdc ~ H ~o) ? AIr.cM NibM~* +o o s.arriqr tnw..a U aw~h.r iuri,dfaion wh«~ N was broudM ino tAis woa. ? wl~id~ i~ oroc~s of ~ oripinol aolla+~rol d~wib.d abw~ b whtd? o s~cwih iwrw was p.ri.a~d: if aovw~ p howdt oi Co11oN~ot an olao oowrd. Q Prod~cb d Collawol ar~ obo aowr~d. No. a( additiaal SlrNS pwnt~d. fil~d wi114 , ''t ' ~i • ~N l ~~lL J l ~l1CJ_~~K~ ~~y,~,~/~~~~ ~ . ~wrww^~w •~~IY~/ +7'^"~'~~ ~ ~f~ ~ (1) Fi~inq Offidv C~py • A1plwbeKed ~~~A~ F~M ~ ~C~~ ~ ~fq'~ ~ TQ~~ AQ~I($. $Ppl~Nty Cf $tate. Str+~ ~f ilor:d7 . x. : , -~a.r:;-~a ~ ~ ~ . . . _ _ y"=,,~-`r" ~ . ~~Y.