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. ~ . ~ , ~ ~ ? TH~S STATEMENT is pr~s~nMd ~o a l:linq dficer (w f~liny p~rsvont M tM UnHwm Cowrwwciaf Code: eto?~ritr dote t;i onr:. ~Za71 ~ ~ -Deb~w(s) llost Nan~ fir~11 end oddressti~si t. Secw~al ~orty:"wst asd oddnsties) rw r.~...a Ot~ Otro; 8o~oliso, Patriclc 1~ Jo~ca ROCEA POI~RAt ` ST. LUCtE OOUTV~1f BANK CLERK CIRCdIT ~OIIRT et .~1 ~ Hoz 160 p, 0, g~X'8 - REC0110 VERiilEO~...~.~ L+t . Pisres. lla. 33450 FQRT PIERCE, FLORIOA 3 3 4 51 ~ 21 ~ 3~ p~ ~T ~ I 17 + th~~ sroNw~ent r~fers /o wq:net financ:ny Sto~~n~ent b~orioq fil~ No. 17779s ~,,.e - S t~ Iu~ia Cnuntt o~w, s;ae 2 I969 ~~1~i r 5 Con?inuation. TM «iqwro( finoncinq seoN~nt bMwe~n forpdwy pybwr and Secvr~d ?on~, p~orNg lil~ ~w~nb~s showw osor~, is s~i11 ~If~ctiw. i~nn:notion. S~ew~d po.f~ ew bnqy ebinn o swwity int~r~st w~dM rM finoneiw9 s/oN~wt ~orin~ fiN nvrwb~r shown obo~~. Assiy~m~M. TM s~cw~d oort~'s r:qM undrs 1M linoncinq aror~n~ Mwiwq file 'wmb~r ~hornn abo~e to tlr qu~rty d~scrib~d i~ 11nn 11 Iws 1»~n ossiyn~d . ro tlr otsiqn~e wlqt~ naM ond addr~ss ap~Na~ in IMw i 1. 3_. Aen~ndm~nt. iiooncirq Sfohwynt bso.ap fiM wwwb~r shown aber~ :s aMwd~d es sa fw~h ie tNiw 1L ~ ? .~~Jeote. Secvr«! ?oAr a~l~es~s flw~ so11a1ad dwcrib~d in INiw 11 traw 1M finant:nq stol«w~nt bwri~q Iil~ mnwb~? ~lwww obo~. i v~ Cbtc? if uw~All docrw~rorr stawp faa~s dw end Pa~abh a a 6~caw~ dw and Pot~ Pwsro~t 1~ Chapur ZOI, f. S, hew b~~w poid. ~ NO. of oddieiowY~ flwds pnMnN/: ST. LUCIE COUN7Y BANK ey S.owoevrrsl e( Wblorisl in~c~ssorT ee~y if I~ww ~ is oppli~obbl. `r~ Siqnolw~,s; ef Secund /M~ STANDq~t~ FOAM ~3 (1) filinq Qifitsr CoPr - AlphobNic~ ~ Ap{wor~d br TdM AQAMS. S~trHOry o( S+o'~. Sto+~ oF 'lor~do , _ . - _ _ ,'a , ~ ' ~ ~^v~.X,-~°°5 ~ _ _ , . _ 7 a~'~~'- ~ . - ~'"4-1..:?,~1,~~