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fIlEO AttU RECORDEO
iT.lUCIi COUMTY FIA.
ROCEr_ POITRAS ; - ~L.~
26Q~ JV CIERK L'..:~.ilii =iV~i~= V
RFCORO VE~~"?EO~~...~-~•
No~ 20 t4 09 AN'73
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is presented to a tilinp off'~cer for filinp purwant to the Uniform Commercisl Code_ 3.
1. Debtorls) (Last Name First) and Address 2. Securod Party snd Address * For FilinpOfficerlDate,Time, Number,a~dFiling
Officel
_ <::u .ti•ral io 3~.:~efic:al i~ina ~c ~ ':o.
3J~ : r,; i~ 11!tl = e i. . i-.ry. •
.~ort : ierca, rl. 33ur~ _ t P~_arc~, : I. 33'v5~
4. This financing staternent covers the following typaslor items) of propetty: (Cbeck box which applletJ
AU of the houschoJd jumitun and furnishi~r, elecnico! and ans opplia~ce; includina te/evision
~ serr, phonogsnphs and ncord playert, rcjrlaeroton~ etc. ond other pusonal piope~ty now owried
D o~ henajter acquind in nplocemtnt thercojand now or hercaj~e~ located at the nsidence of the
Debton at the uddnss Aiven abo?t in Box
5~ Assignee(s) of Secu?ed Party and Addressles)
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~ 6. Check if true~ Ths startips required by Chapter ZOt, F.S. heve been plecad on the promissory instrumen
sepired hereby, and wilt be placed on sny additional and similar inmument th~t msy be s~ securod. .
Doeumentary sto~nps attached to oriatnal note and eonttUed
This staternent is filed withaut the Debtor~ signature to perfect s sxurity interest in collatersl. (Check nx if so)
? Already wbject to a security interest in another jurisdiction whe~ it was b~ouyht into th~ state.
? which is prooeeds of the oriyinal oollateral desrxibed above in vrhich a security ioterest was perfxted:
Check[~if eavered• x[] Procaeds of Collsteral are slso cavered OProduca of Cottstersl are slso oovered. Na of additional Sheets prese~ted: _
~ F iled with: Clerk oj the CireNtt Court oj County, fToiido . ,
l $eCU at i~',..::n: < ('n. :r, F,,,
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Debtor
:.~.R.::?t:~,.1.~.~G.G.:~.~~~Ci er
Debtor STANDARD FORM - FORM UCG7 • Manager
* Type fi~ll and canplete coryorott nana
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