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I` I TMIS STATEMEIii is pr~s~nNd ro o filiny affica fw filinq pwwawt roriM Uwifws Cowrw~rciol Code: - 7. Mowr~~y dou ff on~t. 1~23~72 t. ~eb~o~{s) (tosi Neww Fint) awd oddr~asl~s) 2. S~cw~d ~artrti~s) owd addr~ss(~s) r•• r~'+v a~"•• ~t :a) ROCER P81T~AS . Cox, Joseph H. ,Jr d. Betty B ~E ~U~ ~K RE ORD YERIfIEO C.~..~~ 105 N. 4 40th St P• a~ 8 ' F t. P ierce, Fla. 33450 PORT PIERCE. FWFt~QA 3 3 4 b r 9 Zl ~~1Z . Th~. .a»~n~ .d«. ~o «q~ol rin~ww S~m«n~n+ e.o.i~ r~l~ No. 174378 Ifra~Qa7a>s f;,~ w;~, St. Lucie p,~. ~;,.a Jan 31 1969 B , s'. ; ConAmw/ion. Tlw oriqinal (inewcinq s~oNwwM bMwNn fM (upoirp D~b~er awd S~cw~d , b~ariey iib sho.rw a6ow, is stitl df~ctiw. ~ e!~Q•.mwwtion. S~cw~d Pwry ~e Io~OK cbiwn o s~crriryr in~~st vwdw My financiW sbNwMU lw~M9 fiN ~u~bir ahowrn abMr~. E 7 ; AuiyeaMnt. TM s«uhd v~1"s riqM vnd~t tly finoncinq NoNn~wt b~wiwY fib nu~~ slwrrw aAov~ te tM ptapKtp d~w~d in INw 11 Aos 6«w aas~Yw~d b Nw o~spn» wAos~ naw~ oed addr~s~ a'p~or iw IMw~ 11. J Awwndnwnt. Finoncinq SaNwwN b~orieq fil~ w~wbn sA~wn obo~~ is wndrd os ~M forN~ in IMw I1. 9 f] R~bow. S~cw~d ~aAr rd~as~t Nw tollaMro! dncrib~d iw I~w 11 frow IM finowwq NoNw~d bb?inY fiM nr~ia ~hovv~ abow. ~ 0. :~~Mck if nw. Atl decvw~nbry staw~y roaN dw end oor~ w N Mceww dw and VnTabb Pnwan~ ~e ~hoMM ml, f. S. Iwv~ M~w poid. Ne. e1 ~dd~ioMl sMMS pnwwNA: 8T. LUCIE OOUWIY BANK tr: ~r' S~qeo~w~!s) e( O~btw(t1 (MC~tw~p only if N«w ~ b applkoN~). Si~ewlw~is) ~f S~nrnd ? ) STANDARD FORM - FORM UCC- (1) f~ Offits+ Copr - AlphoMtit~ ApproNd br ?OM AOM1S. S~erNwr of S~ee•. Srot• of ?Iw~da