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HomeMy WebLinkAbout1727 i T - ~ ':ANUNG STAT't.1'NT ;s erexnced to a i:l.rg ~'i cer for f~t: g pe,•ser~~: to rne Ur.i_rm Co-cm=rc:a7 Codr:_ ~ 3. W~rvr~!y date (if «~y): 1,~ y~~ ~ - - - ~ . -~r;;~ {~st Narne F~rt) u~.d ~.ddre~s(: $ccureel Party~~es) ond odd+essies) i Far FLng Officer (Dote, 7ux, Numbar, and Filfnp Oit.ce) ` 3-~hc~~ ROBERT tit~J IAIS ' GE;1~L FIt~ItP3CE CORP. OF FIAR~ A f~tFa ~q~ RECQADED i 7 ST. ~7C,c' COUM1r F : ::T~ 3 BQX 31b 2~01 So Federal Highvap I ~ Ra~E; aq~tRks tA. g rT PIII~cE FL. 33450 Ft Pi~rce Fl 33450 ~ ~EFx ~~~cc~rT ~p~Rt~ ~ RzCa:-~ . ~ u VCF;F?f0 ~ ~ t ~1-- - _ - - _ ~ I I ~ . ; _ vb( c . ~.•~n~cc~.:g s'atc~~en: co:ers sr~e fo!!::x.n~ %YF~S ~~'_^.~r o6 r rr7 ~ 9 s~ ~ F oP Y~ ( i t v.. of tne heur:h:,ld g:.ods no.v a nc~~-ai-er 'ccar-ti O: aCG~M~S res~~der.t~~ a.id,-ess se' f;,::n abc..c. ~ ~ ~ I ' ' . . . u:cpsty ,,>u.o-_d - 5. /lssigneeisJ of ,°,ec~:rd ?ary and Addres>ics; - tlternj ` ~ 6iS68? ~ . ~ ~ sss82 _ - _ _ _ _ _ ' ~ ~~f ;rus Tn~ ston:p; rcyu~red br Chep;er 2~1. F.S. na.e :;~cr. piac>a cn :ne pr_~r:;;ory ;n;:,.~mrr.ts sec~.rcd . .ny, und ,..~II be p~ocFd on ony edd.t.unai cr:: ,...ia: !n;~r-Jrr,en~ ..,.y o~ sa src~..-ed j _ - _ _ . . . _ , - . x - - ~ - ->corr~nan: ;s i.i_d w,;ho.:t rt~e ott~c*'s s~gna:~•~ : pc-rrac2 _.z.. .ry ...=rest ;r, cc;!a'e•al. ;Lhec'r ~ if so) ~ .%.:~eodl s.,o~ee1 to a;eo,r.;y lnic~est n ~noth<: ;..;~.~t-:n wr.en •r w~s bre, ynt ~.,nto tn~s seate. 5 _ hfi:cn is prcxc_ds ct vne or,q n~1 m;;,~eerot de;tr~c_d ::bo.e ~n wn~cn o sr_~r.t~ il'~iE~cST 'A"JS perfe: cd: : . - _ . . . _ _ - - - - 3 . - - - . - if co~.ered: " Pr:cc~cis cf a! u:e o.,a c~._:rd. L?rco~_!s ut Con:re•at vre uf>o u+c.ed. No. of ~dd~t~<,r.af Sneets p~exnted: , . . . . . - , - _ ~ ' ~-A wa:R: ~ j _ Y ' ~ _ - -'t/---- - Ci~.T~~~_~'IN~2~CE ~0_'_P OF FL11R~- ' ~ ~ J - X By_ ~ - 5~9~1~~eia1 d Gebtor(s) S y~ature~s3 of Secured Party(ies) r, r;r~~o o«~P~ ~'~py - Atph~h..t;~ai STANDARD FORM - FORM UCC-1 gNO~ `,29 P~'1~ ~ App:...ed o~I T `M ADAM~. :,rc'r•s-. _ . - . . . ! ~ . _ . . . _ - . . . . _ s~,: