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No~ 10 10 ~M')3 2~8~~
STATE OF FLORtDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
TNlS FINAMCING STATEMENT is preser?ted to a fitiny ofi'~cer for filing pursusnt to the Uniform Commercial Code: 3
t. Debtorls) (Last Nsme First) snd Address 2. Sacured Party and Address # For Fi~i~g OfficerlDate, Time, Number,andFiiing
;~il' iP C. c.~~ii~~ Rereficial rin=::ce Co. ~~'a~
?~t05 ahPraton 11l~1 S. Fed . Hr:~=.
F t Pierce, F1. 33L.50 Ft Pierce~ FI. 33~=5n
This financing statement coven the following types(o~ items) of property: /Chtck box which appltes/
A!1 oj the housthold furniturc and jurnisiiin~ e%ctrical a~d gas oppliaxc~; lnclvding television
~ uts, phonogrophs arul recoM pbyen~ iejrigerotors, rtc., and other persona! prope~ty now owned
o~ hemjter ucqui?rd in np(ocement thereojand now ur henoJcer located at the nsidence of the _
Drbton a! the addrc,rs ~qf~irn abo?~r i~ Bo~
D 5~ Assignee(s) of Secured Party and Addressles)
6. Check ~f true[~x The stamps required by Chapter 201, F.S, nave been ptaced on the promissory instrument
secured hereby, and will be placed on any additional and similar instrument that may be so secured, ~
Documentary stamps nttachtd to oridinal nofe and canceUetL
7h is staceme~.t is filed without the Oebton' signature to perfect a securety incerest in co!lateral. (Check a;f so)
? Alresdy wbject to a seturity interest in another jurisdiction when it was brou9ht into this state. '
? which is proceeds of the original collateral described above in which a security interest was perfected:
~heck~if corered: C1 Proceeds of CoUatera! are also covered.[]Products of Collateral are also covered, N0. of additional Sheets presented:
F ~ Ied ?vitb: C/erk oj tht Cireuir Court oj Counry, Flortdu "
~ ~ ~ Secured Patty *
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- pebtor - / . . . _ . , .
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Debtor STAN ARD FORM - FORM UCC-1
* Type fi~1f and compJete corpo?ate namc
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