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I ~ 's ~ E t} i € d ~ d F Q ~ Z . . . ~ . _ . y i ~ iHis FINANCIlVG SiATEMENT :a P/ffMf~ ~o a f~l:nq o~ficer !w fiifny punwn~ eo tM Unifas CwnnHrc:oi God~. ?~~~^~Y da~~ 'I 1~21~77 ? - ~e. r.~.y a~.n. ow. r.... r.,,,.?... «s r.~..y a+K.: s ~ ~ptor s~ loN Nor.» i,rsf ond oddr~s~ 2. Secvr~d ?ort~;i~s. ond oddr~st,~s) • ~ f ~ Trabulsy, D~, Norman W. Healthco - Bower Dental Supply ~ 601 N. Sixth St. 2400 Florida Mango Bd. Ft.Pierce, Fla. 33450 West Palm Beach, Fla. 33401 r: K ~ ~i ~ ~ ~ Tn~s i.nonc~nq srof~..~nt w.~rs rM Iollo+~.~+q type~ a i~ems' ol pop~.ty. . ~ ~ , ~ ~ ~ .SPR attached list ' ~ S A»pnN.s` ol Secv.~l ?w~r m~d Add~~+~(N1 ~ ~ i ~ ST. LUCIE COUNTY BANK ; - j P. O. BOX 8 ; t `z t ch.~? ~r ~.,,.[gr~,. .fomo. .ea~~•~d Er Ctiov~•~ p~. F S ho.• e.M ~«~e on ~M po.e~sswy .«,,..e ~ FORT PIERCE, FLORIDA 3 3 4 5 0 ~ I~er~Y. ond W~11 M Ploced o~ any oddilionof o~d s.~n~lor insrrum~M tAo~ moy M w setur~d. _ I ~ r - ~s ~ro~~Mt ls fd~d wnhw~f rM d~bep.~s sqnot~.~ ro p~rf~ct a s~t~rit~ ~nf~.~sr in coHo~~.d. ~~,tMck g i1 sol # ~Alr~pd~ sub~~c~ ~o o s~c.+.~~t ~m~.est 7n onWM. jv.~sd~ct.on wAen 7~ +ros b•ouqhl ~n~o ~Ai~ stoa. ~ w1.~cA is O~«~ds oi ~Ae w.9.no1 cotlor~rol de~cnbed abo.• ~n ~Mch a~ecvrily m~~r~st .ros p~rl~cMd: ~ ~ ' :^~ck ~.1 co.e.ed ~?.uN~s of Colb+t.ol we olso co.e.~d.~ ~~odrers o1 Collor~rol a~ slso ~0+~.~6. Ne. of oddiKawl SM~ts p~~s~nt~d: ; '=a _ _ ~ k `y f;'~d w;th: . St . Lucie ~ 608K ~ ~f ~ ~ Hea co - B~ower Dental Su 1 ~ ,;t ; ~a 7~ ~ ~ ~,~,,,1Q : _ \Y 6r S.pnoru.~ s; o/ D~beo. s `r S:q~wwr~ts; e! S~cvr~d ~rt~i:~si ~ e _ . . _ ~ - STANDAitD fORM - FORM UCC-1 ~ 's Ap.o.d b~ Taw Adenn. S~c.NO.r o1 SNN. SNM d/laida - ~ a . . . . . . . ~ . - ' m_--_ - _ '^-t a~ _ . . _ . . , , . , _ ._;-'''J=.