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~ THIS FINANCING STATEMENT is pr~sented to o filiny officN for filinq pursvant to th~ Uni(wm Coarn~rciol Code: 3. Moturitp daf~ (i; my;c 1
~ Oebtor(s) (lcst No~u Firsll ond addr~sa(~s) 2. r~d Port~(i~s) ond oddr~s i~s) FOf ~'~"'o a~[~~"~~ ~K~~
, FOIST, Cal Ear~ Jensen an~ Junette s?.~uciE cou~T~
; 601 North Fork Road Johnson Jensen RocER ~o~r ~
f
, Stuart, Florida 33494 6427 Badger Court, Fort RECORD VER iEO
C°U~_.,
~ Pierce, Florida 33450
~ ~ I ie PH ~~z
j a th~s finonciny s~m~ment cor~rs tM Followinq trpes (or ~~~ms) o{ qop~rty: B(~u pment, ~~A~~
r plants, and supplies located on the premises at ~
i Box 190, Route 4, Fort Pierce, Florida, together
~ with all additions thereto. S. Assiqne~(s) of Secvr~d ?urtr ood Addrps(~s)
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~
F
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f 6, Ch~ck if rrw [~Qhe s~omq rpvir~d bY Chopter 201, F.S. har~ 6Nn ploc~d on tM
promiuory instrvments s~cur~d
! har~br, and wiH be plot~d on onr odditionol ond aimilm iestrvment thot enoy be sn s~cvr~d.
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i This slo~em~nt is (i1~d witho~t the d~btw's siqnotvre to p~ri~ct o aecvri?y intMy~ ia collol~rd, tCMck ~ if so)
' Alreodr wbjM to a sK~rify iMe~N/ in onotMf jvrisdidion whM it wOf b~ouqM int0 this sfoN.
~ which is
~ p«Mds of tM ori9inol cdlaNrol descriMd abo~e in which o secu~ilr inMest wos pM1~ct~d:
I _
t Che<k ~ if co~ered: ~?roc~eds oF Gollotkal or~ olso cowr~d. ~/roduces of Co1laHral ar~ also co~er~d_ No. oF odditionol SMNS pes~n»d:
~
f Pikd w~rh_
f `..~C~ ~ y '
~
6r: ar;
!0~'~~ Mr[~(~~~ S' •(sI of S~tund ~ortr('
~ o rV~~ ~r~~1 STANDARD FORM FORM UCC-1
(1) Fling Officer tepy - AlphaF»Ntel
Approv~d br Tan Adoms, Secrerary of Stat~, S~a~• oF Flcr;da
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