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~ ~ ~ ' ~ ~ . ' _ iH15 $1ATEMENT is pr~s~~t~d to a filinq officer for filinq purwonr l0 1M U~ifwm [omm~rc~ol Code: f]. Matvritr date ~if ony;~ ' Dtbtor s Losr No.ne Fanf:• ond oddr~ss es ' 2. Secvred iorty~i~s ond oddress q; _~~se. F.t;~y W~.c« DON. T~nN, N~r~r. pnd i~l~nq Q~IKt. Z Foster Arrington - ~ W. R. Grace & Co. ~,q~~~E Chiefland, Florida ~ Box 1210 25~~3 ~~~E~O~Kr?~F`~ ~S2 6 i Ft. P i erce , F Iori da 33450 ? ~ AOGE ~~~~~~'~~1 ~ - 1 3 ~ O~ERK C ` I ; IlEC0110 VE~~~EO ' ~t li 2 r~ f~MM't3 < s~at~m~nt ~ef~rs ro oriqino; Finoncing Stotement p~or~ny f~lt ~+o. 168 i 1 - ~ ; Levy County Clerk p„~ F;,~ May 15, 1968 ,q ~ Coohn~ation_ TA~ w~ginol flnoncing s~onment bsr,.~~en tn• +orr~o~ng Debtor ond Secu.ed Party, b,wneg fife number sbown obove, i: srii! ef{ecfive. ~ Te•minotion. S~cured po~ty no lonp~. ctaimi a secvrity interes• u~de~ rM financinq stat~ment beor~ng f~l~ number iAo+ve obovt Assig~menf. T~s s~cu.ed oorry's .:gbt ~nder tl» iinoncing atatsmtnt beo.in9 fde numb~r sbown obor~ to the property d~scribed in Item !1 hos pe~n ofsiyned to tM» oss~qnee whose name o~d odd•ess oppeo. ~n Ifem 11. ~ - 3 Amendment. Finoocing Stotemant b~pr~ng file n~mb~r shown obove is am~nded os s~t fwih in Item li. i ' Retease. Secorb Por~y r~t~asn tM colla~~roi desafbed in l~~m 1 i from tt+e finoocinq s~oNmertt b~aring fil~ number slrown obor~. . ? ChKk if trul. AI( docurrKnrory s10mp toxes dw oRE poYOOle or ta Ncome du* and payobl~ pvrsuont fo Cbopter 201, F. 5. Move b~en poid. R i f d R ~ ~ ~ No. of tio~wl shNts pr~s~nNd: e W. R. GR E& CO. ~ _ ~ ~ ~y: ar, ~ ~ Siynatvn s'~ 01 O~Mw;s, nec~swrr onlr Irwn s;~ o~~~~oa.,. Regional Ma~4~lg1e~:•i e! S~cvr~d ?arh(i~+j ~ (1) Filing Offieer Copy - Alphabetical STANDARD FORM - FORM UCC-3 ` i Approwd bp 10M AGAMS. S~cr~to~r o' S~ot~. S}o~• o~ fiorido