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t i `t f S . ~ i k ~ 6 ~ ~ t~IS SiA1EMENT If pffsMl~ 10 o filinq of(~cer (or Fil~ng pun~ont to H» Unila~n Co~n»~ciol Code: - i 3 Motu~~f~ doe~ ,~f onr : 1~5~?], . ` - - ~ ~ Debe«;si tlosl Na.ee ihnt? ond address(es~ 2. S~cured ?ortr~i~s'. w~d addnss;es., •~r ~~~~y~I e`. ~•~•ro«~`•~ . .~l~fL ~ii/Y~. • . . . ~ ~ ;_a:tsfield, Frank ST. LUCIE COUNTY BANK ~R ~ ' ~LfRlc pRGqT OOMT tc.~ ~ Johnson 5treet P. O. BOX 8 ~~oy~~---=~ a ~ . Fierce, Fla. 33u5~ FORT PIERCE, FLORIDA 3 3 4 51 5 9~~M ~j, ~ ~ _f - - ~ ~ ~ a Tn,i srafHn~nt ref~rs fo w~9~no~ fina~ciny S?oreme~f b~or~ng i~le No. _~5_?i5 - . 20~2~; _Uoh F~led_ ~ ~ ,~d _,,h_ _St. Lu~ie_==_ - Jan. 7, 1969 ,v---- . ' r ' ~ ~ COntin~ofipn. T1w o.iq~nal f.nunang ~ror~m~n~ befween Ihe for~qo.nq Debta a~A Secur orry. beor,e.- F~te n~~,nbcr -'orn obor~. is s~~l~ ~f(ectivt. ~ Y~,(j( Term~nOtiOn. S~[~r~ partY no ionyef doimi a secvnty inf~~~s1 u~d~r ~M F~nanunq +~otNMnt be~nnq {.Ie number ~ho.~, . abore ~ ' A~s~gnment. The sec~•ed wsnr s r~qAr under tlu linoncing s~o~~.n~nt beo.inq f~l~ ~u~~ls~r ihoWe obo.~ ro ~M propertr drscnb~d in I~ew. f 1 has b~H+ o++.q~~d _ ro fM as~.qne~ whost oa~ne und add.~ss opWar in I~~m 11. ~ y = . Amlrtdmenf. fiaon6nq Sfof~ment bewieq fi{~ O4TMf ahown obore es om~nded o~ s~t iorlh in I~em 71 ~ . R~leasr. Sec..red Por~~ nieosn tM colloterol dexnbed ~n I~em /1 from rb~ f~noncinq ~ta~eme~t beonoq F~!~ numbe~ .howe obov~. ~ ~ G Y Check if true. AII duomenro.y stoTp to¦n dw ond poY~~~ a~e becwne doe ond po~obt~ p~n~on~ to Chop~er 201, F. 5. ho.• bNn paid. ~ - i A - - ~ - - . _ - . _ _ . ~ ~ ~ ~ F4 ~ N^ of ,.n onol ~Iw~H pefMNd: j :"-~r`. - - - - ~ ' - - . - ~ - - - - - - - - _ ST. LUCIE OOU1YT1f BANK ~ ~ - - - - ~ a o 3~--- 28 l~s t. Br _ _ dY - ~~y~a~ure s o~ D~bfor s a~c~+sary only if 11em d is opplicoulr. 5...;^~•ve s of $~vr~d I ~,Nt) f~ ~ STANDARD FORM - fORM l,':C 3 ~ (1) FiGrq ~fficer Cepy - klptiobe}itO~ Av~.o.e~r .,r TO?n AUAMS. Sec~eto:~ of S•o'• S~o+e oF `Ic•~do ~ ~ a~` . -F ~~s.~_ . L ~ .s ' _ _ = ~ f..~ s. ~:r .r-, a~- ~~Y