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HomeMy WebLinkAbout0861 € ~ E i t€ t : 'sy 6 tt a S 4 'i I ~ - = VAN:.t~ ST:.T:M;NT :s prexr.'rd ~o o i,i;n9 .~•f.:er fy f~i~.+~y p::rsw.,+ ~o *~+e i;n;'c+m Co~rn,~-*c~al Code: ~ 3. Ah~t~rity dafe_i~f ony): ~ ~ ~ ~ . . _ . _ - - - - ~ ~ rx;:; ~Cost Na-ne f~rsr) and ~Mreu~es} ~ 2- Securrd Porty~~es) ond odCrcssies) ~u F~linp Otf~ca (Dote, Time, Nucr~ber, and Filirrp Offics) ~ ~ - ".~C12TS ^F.^.T;. ~ ~i ; ~•.ov:ae^t C~!:°.!1Ce Co^~-~az!;; I f~~~~~QU~~ ~ ~ ~-~1^~, :-e±::a - ~ ~ _:eQ~ ~Jn,lr~ 7:~ ~r,.,~e :;v~•;i;e 1 a fdl ~ , ~ ~ira? 1 r r ,;nt~rt ~ ort ~i rce o= =~:a RE~~R6 Y~R FtEB ~ R1 ~ 1 ~i 1 T~ ~ ~ -,..t Ll`~I~CF't - ~o. _ a i ~ _ _ s f~nonc:np sta+ertant covers tM 4oibwinfl ~YP~'s (or ~tems) of o~opsrnr~ ~ i~ ~ ~ ~ Y Ati of tne i~ousehold ycods rww a hwcafter tocnred ot debtor's ret~de~ce odd~eu se1 fwth abo~e. i • ~ ~ 5. Ass+qnca(s) of Secur~d Party ond Address(ss) - , i7ner p:oP!*ty descr~bed c ~1temJ = i i ~ ~ ~ { ~ .~-.,cic ~t rr~x V Tne stamps reqv:red bY O+oPtcr 20i. F.S. hava bven pioced on +h~ prom~ss~xy ~~strvments sec~red '~v reoy, and w~ll be ptoced en o~y odd:t:onoi ond s~m;ior ;nstrvrr~ent rhot rtwy be so secwed. ~ ~z - = s sto:err.ent is f~ted withoa:t th~ deb!cf's s~qnoture 'o perfeo a sec~rity ~ntsre:t in cd{ateral. (Check ~ if ao) { Alreody sub~ect ro o aecw~ty ~n+resf ~n anoths: ~w~~d~ct~on rvhen ~t .vas bro:pht ~nao th~s state. ` wt~~di is p~oceeds of ths or.q~nol ooibteroi deecr~bed abovs ~n whid~ a s~c~~ty interest wos pe~fecred: R~~4 cove:ed: b' Proceeda of Coihrterol we olw co.e~ed. ?rodxts o~ Colfatsroi ore atw covxed. No. of oddrt~onol $heets preser~ted: ~ - ~ -'•::y f~~~ed w~tA: J~ • 1.U^~ P' _.L~ in+. .0~~`_'t}:~~:.: _ ) - - - : '3 s - _ ;j-r; c-~;!~`! ..:!:1.^.S ~'t• Vl :PI~ r'_Il ^.C@ CO?9'•?~II~ ~ _ F ~ _ • f _ S.pnc:we(a Debtoris) Siprwtw s) of i~w~~d c;j~.~o [Kficer Copy' Ai~i.abetical F~M ~C~~ ~ ~ . " App?oNd b~r YObA ADAN4S. S~crsfc.ry ~r - - - - - ; _ - - - _ - . _ ~