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TMIS f7NAtJCING STATEMENT is pr~senred to a filing officer fw fiiirg pursuanl to tM Unifwm Comm~rcio~ Cod~: J. Mo~urity da1~ ~ii on7r}-
~ Dcbtor s. ~.loat Nams first' ond address`.~s; 2. Secvred ?ofty(ies', and oddress;es: io. F~luq 04Frcer ,DoM. f~nw. N.~mW., ewd fil;.p Of1:c~i ;
HILL, MICHAEL T. FIRST NATIONAL BANK OF FORT PIERCE f ED AMQ RECOR~ ~
S~lUC1E CQUMTtl ftA, l ~
Rt. 4, Box 297 . P. O. Box 970 ROCER POITR~:
Fort Pierce, Florida 33450 Fort Pierce, Florida 33450 pECOR~ vFRRiEO CO~fRt
a Th~s 1ina~c~~q ~tafsment corers tM (ollowing I~pes lor ilsms! of a~a•~= LN201091 ~p
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New General Electric Refrigerator, ModTFF22DNWH Ser,( ~39 7~J
New General Electric RangeMod. JR 19WH, Ser. N666188G S. As~pne~;s{ of Secur.d Ponr ond Add..ss(•s)
New General Electric Washer, Mod WA8400WWH, Ser.
~ LH 124421
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~ ~ Check if Nue~' TM i!amps reQvir~d by Chapter 201, F.S. ho~t been ploced on fke prom~sswy inslrve+NMS setuted
hereby, ond vrill be ploccd oe~ ony additional ond iimilar instrvment thol mor b~ so secured.
Tn~s storemenf is Filed withwf 1M debtor's a~gnoWre to perfect o secoriey mteres~ in collatkol. t«k ~ if soj
Already subject to a securitr ~nfe.est in anoth~r jur~sdictio~ whsn ~t wos broughf intu this stot~.
wh7ch fs proceeds ol tAe oriqinol colloMrol deunbed obow in whicb a sec~rify int~rt+l wos p~rtect~d: ~
-:t ~ 7f co~e.ed: ~ Pr«eeds of Collor~ral ur~ also co.ered. Prodvch of Collotaol ore olso corered. No. o( odd~tionol SAeels pr~senMd:
Filed W~fti: Roger Poitras, Clerk of Circuit Court
Michael T Hill p~ First National Bank of Fort Fierce :
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By:~
r[~ - gy,
S~gnoture'.s' o( Dcbtor-y` ~gn ~r o Pa.tr;ieti~~
T. O. Milla V4ice ~resi ent
STANDARD FORM - FORM UCC-1
(s~ `FF'~;~5 ;OPY-ALPHIIBETICAL ~
Approvtd by Tom Adoms. Se:re~o•r ~ ~-~'e `~~'e o~ fl _~~~e_
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