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HomeMy WebLinkAbout2682 i 1Ni5 fINANCWG S1AfEMENi pr~s~n~ed ~o o fHmq off~c~r lor khoy purtvonl b th~ Uniform Comm~ruol Code 3. u,o~~r~~~ dor• pf onri ~ ~ ~ Deb~o~i~1 itost Nomt Firs~j ond oddr~ssi~sl 2. S~wr~d ~o~tr(i~s) o~d odd~~sslesl Fo, F;,~ny Ciffic~r i0or~. '~m~. tvum6~r, and FN,nq Off:c~) ~ ~ JLvvO~~, F/, y~ .EG Z~ ffFC ~a, f~~ AMO ~U[~~~ ; 3co ~ Rr~ L F ti•.2 - Sr ~ Q{!1 ~ /=T ~~2~~P / ~r/~.r~c.t G/ Eso r 3~ yS~ _3 3 S<j Z ~L€SK ~IN~ iT ~OU~t ~ RECORD Y~RjF1~Q~.,~,r ~ ~ TAis f+noecleq sto~~m~M tor~rs th~ Fotlo.r~ny I~p~s lor tt~msi of prop~rry: . i~~~ ~ ! ~I fI~C•~ CrC/t.'sL~ii~c--~ /`!R'O~PI nl~ c~c,o vs ~y~yM C~ S Asse4nNis) ol S~[ur~d Porty ond Addr~fs(~t) ~ ~V~J E - z~asss F ~ 6- Ch~tf H hu• fi~ sfwnps naar.d br Chope•r 201, F.S. Aor~ b~~n Dloc~d on Ib~ promissuy insfrum~nls secu~~d . h~r~bY. ond.Hli • ploc~d on mr odd+~wnol ond sun~br tn~truw~~n~ Mot inoy b~ w s~cvr~d. ~ - ; Thts sioeun~nr ~s (+I~d wiN~ovs ih~ d~bwr's Npnafu.~ w p~ri~ef e~~avrtt~ ~nt~ns~ ~n eolbt~rol. (Ch~ek QX N w1 ? Alr~ody wb~w b o s~a~rtty ~n~~r~st ~n o~oth~r (vnidktwn ~.h~n n.ro~ brovqAl Mb ~his sbl~. ?.1A~d+ b proc~~d~ d ~hs uqinol colbNrol Q~sutb~d obo.~ a.rAKh e s~cvrnp int~~~se .o~ p~rf~UM. i Ch~d ~ N w.~r~d: ? Vroc~~ds d Coltoarol or~ olw co~~r~d. ? Vtodvtls d Coiiol~rot or~ o?w tw~r~d No. oi add+r~onol SAt~/~ pr~~~nNd Fll~d wilh: 3 s ~ , ~ J`~~'~'f ~~t__' ~usF~orl~' ~ir?~~-c'~ e / l ~ ` L" L'~' " , . f r Sqnowr~lsi d D~Ww B~ sq~ow«1.1o1 o.h(+~,! _ STANCARD FORM - FORM UCC-i 80fiX~~~ PAT+t2681 - ~ c. • „ A ~ohveeb<o~ Appro•~d oy IOM AOAMS. Seue~a~y o! S~o~~. S~o~~ ol PlaWa i