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_ 5 f:~lANUNG STAIEMEMT if p.tienied fo a liLng olf:cer far flling 7~rwoM ta the Umiwm Commeruut Cod~: ~3. Mot~nty date ~,i! ony;: ~
~ Debtar ~.iase Nortse Ffrsl'~ cnd oddress.es` 2. S~cu~ed Portyiies' ond oddres~.es; F~i,~p 0:~,~•. Do+r. r~..». r+,,.+w., o,e i,r.,,o Of/K.; .
~ Business Security & Investigati n FILEDAMDRtCOROEo
s Corp. FIRST NATIONAL BANK OF FORT PIER~E ST.U1CtE COUNTY ft~, ~
~ ROCE~ ~ORRA$
Post Office Box 2147 P. O. Box 9~0
i CLERK Ct=:~Wt COURt ~ =
; Fort Pierce, Florida Fort Pierce, Flwida 33450 RECQR~ VfRiF!ED
S i Tn•s iinancing star~mertt cor~rs tbt ~foUowir~q t7pef ;or iremsi of prop~A1: :
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~ Polygraph PSE 101
S. Assiy~(s;'of Sccured ?orty ond AddrpsSy)
2'~2228 ~
Check 7f t•ue The stomps req~ired by Chopl~r 201, F.S. hove been ploced on the prom~ssoryr inslrumtMS fecur~d ~
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j 'r.e.eby, ond wifl be pbced on any odditionol ond simiiw +nitavment lhot nwy b~ so secorud. -
T^~s sto+smeet is (ilcd w~thput ffi~ deb~or's si~noture to pe.fect o security inrv~st in collett~ol. ;CMck if so) ~
~ Alr~ody subyed to o aecvrity in~erm~ in ano~Mr jurisd~cfion when it ..as braght into tFis s1a1e.
wh;ch is p.oc~eds of the or~qinal collor~rol dexribed obove in which a secur~ty im~rsst was perf~cted:
t -._y ~f co+ered Proceeds of Coltaterol urt atso co+ered. ~?.odods of Collalerol are olso cov~r~d. No. ef oed~tiwwl SheHS pres~m~d:' ~
= f;=d W~th: Roger Poitras, Clerk of Circuit Court, St. Lucie County
~ B iness Seeurity & vestigati C rp.
~ ~.CL ~ First National Bank o Fort Pierce
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o e aa~ res. ~ T. O. Mi~l~e9~ O R~ed.P~.~Y:~•s:
' STANDARD FORM FORM UCC-1 801~K ~~~f ~~,+47
~ t~. v,i ntF:.^;c r.oP~1 - AIPHABETICAL
~ Approv~d by Tom Adams. Sec.e+a ~ . - ~c''e ~ ' -~t i ~ .
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