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. ; i f ~ I ~ ~ ~ . - • - ~ - ~ SH~S FINANCWG STAifMENT is pr~s~abA b o At'mp oRic~r fo~ hlMy qr~woN b IM Uel(orw Com~~raa1 Cod~. 3. Mow.n~r da• ~r} ~ . D~Wor(s) Rod Nww~ F4~U ond oddr~sa(~s) l. S~cw~d iwty(~~s) oed uddr~sd~sl for FUkq ORK~r ~DoM. 14a~. Nv'nb~r. ond Fi1Gq OIFk~) ~ FIIED ItN~ RECOROEQ ~ Ambrose Rsndall HFC st. tUCIE COUMTY FLA. 201 Esaea Drive P.O. Box 32I9 RocEa PoitR~?s ~ CtERK CIRCUIT COURT ; Ft Pierce_ Fl Ft Pierce I'1 RECGRD YERIf~ED 'r ~ ~ thw IMOn~p sa+«w~n~ co.~rs ~M (dlo.nuo h~s lw nan~ d p.owny: SI~T I~ IO S~~73 ~ ~ - 2sss5~ ~ ~~~~~q S. AaslpnN{s) d S~cvnd Parryr ond Addr~ul~s) ~ "ALL Consumer Goods." ~ ~ ~ ~"s A Ch~d / Iro~ ~TM tlaiwPs rpotr~d b~ ChoV4+ 201, F.S. Aa•~ b~M P~~d oe Ih~ Wawisaory hfhum~nb t~wr~d h~~~br. ond oW b~ oloc~d oe on~ oddiMo~al ond Ww~lar ~ns4we~af Ilwt so? 0~ w s~arr~d. ~ ~ . ~ TNs qoMiw~d b Hl~d .sMaW k~~ d~b~'s sqwehrn b w~l«f o s~ar~ w~r~s~ M wliaqrol. (Ch~d ~ N wl ~ Q A4pd1 Wb~KI b o s~arH17 MNrpl N o~Wh~r ptisdWbn whM M~rot brqpM MNO /~b sbN. ; 0.AW~ b p~ocNds d b~ orq~nel oolbNrpl A~w~Md obo.~ ~w .hkh o swrr~h nartit .os p~riW~d: - ~ ~ Ch~d ~ 11 omr~r~d: ? Prx~~ds d CoNoNrel or~ oiw tw~r~d. ? Prodrdt ol CoYd~rol w~ olw co~~r~d. No. d addilionol ShNb pr~t~nqd: ~ ~ a ftl~d with ~ ~ a~~ 219 ~~~~5~'~. , ~ - . . _ _ . - _ . _ . _ . ~ f1G ,~t-~~--~_ HO.~c~, ~ ~ ~ B~~ ~ Sqwewr.(.) 01 O.b~o~ts) . Br~ Sq~owr.l S.o~r.e Portil~.s) '=~5 STANDARD FORM - FORM UCG-1 - 1~•t~~~ O~!•ce. Cov• ~~oFab~beol Apyro~~db~ipMADAMS,Sw~!aryd~ror~ SrofsdF{orWo . - - - . . - - ~ , r ~ , ° . d ~ ~ 4 ~ j y ~ y ~b~~,+~~sE'~':,~.~.ltis. .....4{~~_...~~~. ~"v'Y+~'4,~.`:~-`-"v.4.`~'q'~E