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. ~ , ~ ~ i ~ . . _ - - _ - ~ - - ! € -TMIS FINANCIIiG STATEMENT is presenbd ~o a filinq eFficer fw filiny pvrsuon~ b t!w Uni~«~n ConrnKCiol Code: 3. Motvri~~ do~~ !:f ony):1~ ~ ( ~ Oebtaisl llost Nowr Fin~3 ond odd~essi~+) 2. Secvr~d ?wy{i~s} ond oddresst~s) r« Fr:ro o~~:c« ;oa+~. r~.... ra,,.r... e.e fa:y oa;~.) + j - lE0 AND RECORO j D~aha~~ ~arsyn S. d~ ?raac~a B. ~ ST. LUCIE COUNTY BANK wCiE cou~nr r ; ~ To9 T~~~ P. O. BOX 8 ROCER POITQA= ; Ft. H~~• ~1a• 3345o FORT PIERCE, fLORIDA 3 3 4 51 IlEC0A0 YER F EO c , a ~ ~ ~ This fw~anciny s~ahawnt co~ra fM fdlowi^Y hP~s (o~ O~c 31 9~o ~I'~a ~ aa1l~a~a.nos~an Y.d.l uo2, 1~alaut ~i6o047 anltiran..n r~rtha timit 2d2~i93 ~~y ~opp~r~ walant ~ S. Assiqn~~;s) of S~cw~d ?arty and Addresi(~s) ~ B ~ ~ F~ ~n £ ~ 6 CiNCk if Mve Tl+e ston~ps rpwr~d by Glwpe~r 201, f.5. how b~~ ploc~d an Nr p?awiasxp enstrv~+b s~an~d ~ Mr~b1, owd wiN b~ ~lot~d an anr addMioed and sirwilor iwstrun~t thot wor b~ w s~cvred. ~ This sro~~nt is fibd wiMwr H» d~brw'~ ipewhn~ to pMfat a s~writp inhns~ in colbNrol_ tCMck ~ if w) J Ahwdr wbj~ct b o s~cwitp inbr~st in oiwdw~ jwis~crian rMn it ~ras brwyht inro this stoN. J.~I~ich is pec~~ of Ih~ wiqinol cdbNrol d~urib~d obov~ in wrhid+ o s~cwiy iaNr~st ww p~r/~cMd: : M:? '8 :f co~e?ed: ? o( ColbNrel an dw: te~~r~d. /roduct~ el CdloNrol an olw cove~~d_ No. of add~iwiwl ShN~s prn~nt~d: ~ F~kd wAh: , ~ / ~ _ QrN,,,,~ ~ ST. uxx~E oounrrY ea[rK ~ er: ' W= ~ Siqnowrdsl D~b~o~!sS . SiynW.rM(s~pl ~~ii~s) ~ STANDARD fORM - FORM UC -1 e~ ~ ~~'w~~ A/fital Copy - A4tiaM1~ Appror~d by Te~lldorm. S~tr~ra.y of :!6H. S~o~~ of Flo.ido ~ _ _ ° ~.b ~~~~-3.~~~~~. ~~~.~.w'SE~'_~s~r~'~'~''~ _ E?'~ ~ _ .