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Bor 24L-! Ed May '70 ;
FILEO A!t? RECORDEO ~
. ST. ROCf ncPO TRAS 2i~rp4~ ~ ~
- CLERK C1~CUIT COURT ~ '
RECORO YE~tF1E0_.,_,r,~ ~`1~~~.y
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OEC i3 10 4s Ai!'73
S7ATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1 :
T HIS FINAaICING STATEMENT is presented to s tilin9 officer for filinp pursuant to the Unitorm Cwntr~ercisl Code: 3. ~
t. Debtorls) iLast Name First) and Address 2. Setursd Party and ~?dd~ess * Fw Fiiinp OfficerlOate, Time, Number,andFilinp ?
Offioe) ~
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Th is financing statement covers the followin9 typeslor itemsl of propeRy: (ChecR Dox which appflerJ
.tU oj thc household furnitun and fu?nishirl~ eleeMcoJ and aas appliwuc; includi~ tflevision
? utr, phonogr~aphs and rccoM pJayerr, njriaaatorr, etc., and o[hcr pe~sonal prop~rty now oKRed ±
or herrojtt~ acquind in nplact»tent thenojand now or herrojte~lototM ot the nsidentY oj tht i
Dtbton at the addrcss Ri~en abovt fit Box l.
5. Assigneels) of Secured Psrry snd Addressles)
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6. Check if true~ The stamps required by Chapter 201. F.S. have been plsoed on the promiuory instrumen
secured hereby, and will be plsced on any additional and similar insdvment d~at ma~r be so sewred. ~
Docwnuntary stanpt attached to oriatnul noAr and cancelkd
Tnis statement is filed without the Debtor~ si9naturo to perfect a sew~ity i~terest in oo?lamal. (ChedcQx if so)
; ? Already wbjsct to a security interest in anothe? jurisdiction when it rvss txou¢~t i~to this stst4
i ? which is prooeeds of the oriyinal oollateral desuibed above in which s security interest was perf~cted:
~ Check 'Lx~if covered• z~ Proceeds of Collstersl are also oovered.QP~oducts of Collstuai are also corered Na of additia+al Sheeu prasented:
~ F i)ed with_ Cltrk oj the Cim~it Court oj County. Aosldo
~ SEturod Party * ;
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STANOARD FORM FQ~iM UCC-1
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