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~ i i € f ~ ~ ~ ~ THIS FINANCIh'Ci STATEMENT is p~sen'ed fo o filiny offcer fw /ilirtg qrrs~wnf to tAe Uni(orw Cows~rc;ol Codr 7. Mot~rih do» (i/ on : _ ~ 1. Debfor(sI Itos1 Now~ Firs1) ond oddr~tis(es) 2. S~c~red ?ortyf~~s~ ond oddres~(es) For F~t~ey O~ficsr (Do», Tik, Nusbe+, ond filieq O~q) Johnson, Stanley FLORIDA BANK AT FORT PIERCE fi~EO ~NO RECOR~E~ 101 Es sex Dr. p O. BoX 3469 SL WCiE COUMTr t. Ft. Piercd~ rla. 5010RANQEAVENUE ROCEa PO~TR~S ' FORT PIERCE, FLORIDJ133450 CIERR CtRC~~T CO1lRT RECORD VER~FtEO TAis finoociny sfoteiwent covers tM fello~7ny h0~s (or ifee+) of Wooert7: /~r~ 10 O~ ~>7~ r` w ~ '~ew 1972 ."iayta~ 'viasher i~KA606 S#691011}L' hew 1972 Dryer I~yta~ Mx~~ob s#~375852 s. ~•=;~R»,•, o~ s~ ?o~, aed Addn~s~ts) ; 2425~'2 ~ 8. TA~ t~twtd porhls~, rAOU si9nofYrt(s) oDDwrs belo., stotes thot fhe stow0~ ~~O~~red b~ UoD~K FloriQo Sta~~tes, ~ ii ony, Aaw bww Dlotsd on Me Orowiswry IM~IY~RMIf ft(V!!d ~I!!lbY, and ~~~II b~ Pioced on any odd~t~ewal ond slm~lor ' iesfrr~e~t Not ~ b~ w secwed. ~ ibis sto»arnl is fibd .itAo~t tM debfer's i~peohrre to pKftef a ucrriryr inter~sf in colloferol. {Q~ck d i/ io) _ ~ t] Alreod7 srbjecl le o s~c~riry inf~.est in enetMr I~risdiction .Aeu if .as brov9~t inb tAis slole. ~ r6icb is procetds of tA~ x+oinol colloNral diuriEed obe.~ in .hicA o ucnity inbrnf .os Wr1xNd. ~ ~ ~ C1~ck 0 if certred: ? Iroceeds oi ColloMrol ore alse cer~red. ? Irodrds o( Co1loMret are olso co.~r~d. Ne. of odd~t~onol Sbeets ~~SMNA: ~ - F;~_;M: Clerk Circuit Court, 3t. Lucie County, Ft. Pierce. Fla. ~ . Florida ~ank at ~'t. Pi er ~•e . -y?-~ , ~ _ ~r~ ~r° •(sl S~ywotvn(11 ~~tl~e+) 6R - STANDARD FORM - FORM UC~1 SD(JK P~Ct Appevtd tr7r [ic~md (Dick) Sron~, S~cnfory ef StaM, Stoy o~ ftorfdo F'I?r.,-. r`.Cl.-_, l.'`^?b°}ICO~ _ _ ~ ~ ~a:` . g-,x ra 'a'~. ~+f ~ ~++~.yC„ ~ r:~.<•t ~'~c~ i~'~T`'~~~t~'~s+ - s ~ - ' . ~ . . _ . _ . : ....<:i _ ~