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Home My WebLink About1741 I > FII`AA1C.iNG STAT~MEt~ii ia presented to a fi}:ng oificcr fnr fil~. g purswnt to tt~e 'Ja+f;~m Ccrnmerc-al Code=_ ~ 3. Maturity dote (if o~y1+ `v - - - - - - - - . ~eb!oris~, ilmt (vamo ~irst) ar.d adoress :s) I 2. Secured Party(ies) and odoress(es) { for F~liny Officer lGate, Timx, Number, ond filiry Office) ~ ' ~ ~ " " : olyzl ::e*:~. :~`ina::ce :c^ ;cr~:t~or. 1 1;,orL ~ - ~ ~ , - fiq~fN 4.~. _ .,?~:,er,a ~~;01 :'~:aer'1 _:wy ~ ~f' f.JK~ _ - _c~ ie, _ a. 'r't. . '_~rce, r~a.~ ::~:~0 ~ i ~c~~ rt~ s F~~ ~ ~~!-.y ~ » Tnn fino:x;r.g starement crners the folbwir~ types {o Item:) of p:cperty: ~I ~~'13 I All of :he ~usehold gc:ads naw d F.ereatter locoted ot deutor's residence address sei forth above. ~ i ; GhE-~ p•cperty cicw~:,ed ai _ ' S. Ass;qnee;s) of Secured Party ond Addre3s(es) ` ( ttem) I zsss9s ; c _neck ii trve ~j ine sto~r ps reGwred by CF:apter 201, F.S. ~me been ploced cn rhe prom~ssory +~strurnen;s uc~red ~ 265696 ~ereby, and wili be placed o0 ony add:hanal and s;rr~~iar i~str;,me~t that ma/ be w secwed. _ I '.^~s st~sement b filr! w:!hout tne deb'or's s:ynot:;ro to pe~fect a security mterest In cdlote~aL (U~~eck ~ if s~) Already s:,b~rct to o setunty interest tn on:,tner jurisd~ct.on wken it wos b~ought 7~to this state. wh~.di ~s prctieeds cf the or~y~nal w~la;erai Jexr~ned oboYe i~ wn~ch a sec~rity ~nterest was perfeeted: _--~_K ~ if co.e~ed: [~j Praeeds of Coliateral ore also covered. ? Produds of Colia!eral are olso covared. No. of additiawl Sheets presentrl: F~led w~tn: . . ? .~u ia..l... ?`I..~1..CJ JUi1.t~li..S~~~I~.:. . . ~ _ . " = ~_~t~`~i-~'__ • ^ _ ' _ - r ~ - ; o R 1 ~ ; 7. _ ~!;~s~.~,~ .>~:~-u~? $ 9 ~ 7 ~ Siqnatvre( of Debbr(s) S~pnat~re(s} of Sec~red Party(ies/ f~? ^ O{I:ce••CopV - Alehobt~ticol STANDARD FORM - FORM UCC-1 Appravsd M TOM ADAMS. Secre'~-i . . _ ~ - - yt k _ . . _ . . - ~h . ~ ._2-.