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HomeMy WebLinkAbout0162 I ~ _ ireiS FINANCIHG STATEMENT it pr~s~ntW ro o filiwy olfiar fer filiny pvrsroM b IA~ U~e}w~ Co~wkciel Cedr. MoWrit~ dol~ a~71: s t DeDlx(s) (lmf Now~ fint) ond eddrtssl~s) 2. Secwed ~ory(i~s) wd odM~ss(~s) for ii~iaq Offic~r (Doq. Tiw~, lFi~bn, e~d Rliny Offlce? ~ ~`arris, .;ob t'. & .".essie t~. ~pR~ppgqNKATFORTPIERCE ~ 1~20 Leoni d Rd. n p, O~~. ~B~L`~~fC ~84b9 ~MO , e .:~CfGs~.'tl~'~ ~ F1a. 3?2~'.) ~7~1v~wRSC~~N~ t ~RP01T ~ s FORT PIEt~CE. ~iAR10N188450 R c?~y t aowet - ; _ AE+Q D i~E~~f+~0 . ± This fise~c;p stot~w~at cevers tM fellov.i~f rypes (er ite.s) ~ O~oDKhr: ~ t ~ ~ f~ ~ ~ _ ' t;~ F:o ~vinr+~ce cr:.:-ine 4o953R E0196b ~ - S. Ass~9~(~) of S~cw~d ?m?~ oad Addms~~sJ ~ ` ~'tOf Ti'ul ~^1' ~t'k i 2710Q2 - TA~ s~t~red perhif). .ASM siyaofonlt) oppears b~br. 4lotes Ihot tk~ sfO~pf ~puirld py ChoPIK 201. Fbrida StotuMf, ~f onY. Aow Men ploced oe tM pro~iswry insfrvwenfs s~c~rad i~r~br, ead ~.iR b~ ptxed on m~ odd;tiewol onA siwilm ~ s ~nitrY~Mt HM ~a b~ w wcvted. ih~s sM»~f is fii~d ri~har~ ~M d~btw's sip~otrn lo ver(~ct a s~cnritr ieterest in celbNrol. (O~ck Q if ie) Alr~ody s~b~~ct ~o o secoriy iet~resl iw onotl~ jwisd~ctim~ ..Nn i~ ros IuapAl into this sroq. ; ~:?icM i~ p«~eds of M~ wiyinal collo~erol dixribW obo+~ ie vhfcb e s~cvrih iel~r~tl ros perf~cted. . a - Check I] if corend: ? hxeeds ef Collohrot er~ otss cer~red. ? hoduds e( CollaMel an al~o corered. Ne, ef odd~Gonul SA~qh p~sMted: ~ ~ "r'd.;'": Cler of the Circuit Court ^uvatl Count Jacksonvilte rtor~da ; ~ ~ Florida ~;ank at Ft °i . ~ , ~ . 6r: ~~r ~Y, • - . , S~Matrnls) e/ Wbfx(s) S+Y+oh~ (sl S~crnd ~xt~(ie~) ; STANDARD FORM ~ORM UCC--1 ~ ~ 1 Apprs.eQ bY ~:cAerd IQk?1 S?on~, S~crowry e/ Sfof~. Stdro of Florida - F~~:^r7 !,t['~r.( ~ _ C1•, ~-.1C~'11CaI _ _ _ W~< ~ „ : - z~-- , _ : • _ . . , - ~ _ ~ .~`~~v°: