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HomeMy WebLinkAbout2333 t~ i k t i E ~ ~ ~ '4 I . _ . _ . . . ~ ' ~ 4 ' kANCiIvG SiATGM[N? ~s Fese '~d to o f,~~ing :_rt~:pr 4or , y;nrs..:~nt !c :ne Un~4.1m Com:ner[r77 Code: ~ 3. Mat~nry dote (if ony): # o~u; ~lnst Narrw F sU ard odo-as~esl - 2. $ecv'ed Partyvesi and oddrasx:esl- i fp f~l~rp Ofi.ter (Dat~. 7~ms. Nw+~l'xr, and F71:np Offic~) # " ~ j $ # e-.m~r_~ rrank :'rovihent ~inar.ce ~o-~~an;: ~ - u ~ , ~T~~! E C ~E ~.venue 2 - ~n~e ~venae _ y ~ ~rt :~=erce, = ;o^;"e ~ort ~i?rce, Floric:a i ROOER?OITRA ~ _ { RECOLRED YER K~~ ~ '.-'~Y_;- _ 7n,s 4:nanc~n~ sto~ement covcvs ine follow~rq types ~Q ;eC.na; of VroGenY: ~ _ e ~ ~ ~ I ~ _ uf t.w no~sertold p:~ds now or nereoSsr. bcared ~ dcb~o.•s res~dc,cn odd.ess x1 fwth above. ! ~ ~ ~ S. Auiyne~ta) of S~c~r~d Purty and Addreu(a) ~ :itn>, p:oPe~tr desv:bed a ~ - (Item) _ { I • _ I ~ ~ :,,eck ~f t-ue ~]{ihe stocr:ps reqv~r~d by Chopter 2C1, F.S. Fave t,een p+aceai ~n the prom~ssory ~~strurr~er:ss scc~reo 4 ~ nereov, and w.t, be p~oced cx~ any odC~t~onol ond s~m~to, ina:r~ment ttwt moy bs so xt:.red. ~ ry - ~ *n,s statr^.ent ,s 4~ied w~mx~t ttw deoror's s~ynarure +o pe*4ect a sr.~ iry ~n:xesr in wlbterat. (C3iack ~ if aoy ~ ~ J Alrefldy su~tecr ro a sea.n*y mrnesf ~n onorner ~ur~sd~ct~on wnen ~t was broupnt ~nro th~a s+ate. wn~s ~s ~oceeds ef +FH w~fl:~wl cnllate*ol dsxr~txd obore in wn,di o security ~nterest wos pe+fected, . _ -.,:k ~,f co.rred: ;jX-arcxeeds oi Col{atroi ore also co~ered. ? hodxts oi Geilaterol ore atso corsred. No. of oddifiorwi SF~eets ~esented~ ~ ~'Y w,.n: ~uc~ e~:.ou^:' ~ourtro~_:Ge ' .'3 . ~~efs-----`'~;~ _ / / ' ~'ra~;v, r. '~r-:.;~t ;e~Tar.~i~ ~i ~ Provident rir.ar.ce CoTr,e.ry a r>._ - ` Spna+v~e;sr of Qebr«ia) y S~prwr~ro(t) of Sa+wred Party(~n) ~ .~~A~ F~M ~ ; . . i~.r:.,Q (,1{r:~~. ~opy ..?Ip4~obet~co! `:i MP~d bY TOM ADMAS. Sd-r': . . - - - - _ . , 9 ~ "s . _