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, . I ! f i ~ r t i a ~ ~ ; . ~ WANUNG $TA.TEMEr:t ~s p:e.~r+r~d ~o o f.I~oq oH,c~r !ar F~i~n~ p~rsoaM b th• Unilorm Comm~ruoi Cod• J ~.~o+~r~t~ dar~'~f ony. ~ ebrorls: ilaat Nom~ F,.st. a++e oddr~ss'~+'. 2 ~/lNd~~l~'~(j~~~~+~ Y~ i c. +,t~n~ C.R~c~. :Do!e. ;~m•. '.~~,Cer. o~d ~~i.~q rff~wi ~ ~.n fILEO ANJ ~ECORpEO ~ `i~.o7~,aE%/~ ~//ASL -t~'t~'J ~ ~~~".wnihnrt uf :.~r~,rJii ~ S~.IUCIEL`OUMiYfIA. i y 1G4 <<1. 5__CU~:D ;;i KE~T ROCf= .O;TRAS ~ , . j7~/ v~/` ~ I CI~RK C;:.CU~T COURT ~ ~ RECORD YE~t-~F, ~ S r L~-~-i~ t1 ~'3f~s FV~~T Pr~~:CE, FL. 33450 ' QyGNE• NOwae~ 1 636@-----1 t ~ - - I os PM ~ l~ ~ a ;nfs i~noeUn~ s~o~~m~nt co.~r+ th~ fot;o.~~q e~pes'o. ~i~ms~ of p.oG~~ti `z ~ / t1/~ L~Ci» 5C'h7t~.t L1c'_ir/c~ G~'= l~~ ~ a ! ~ 5 Ats:qn~~i~, o{ S~cu.~d o~~~ a~d AEdr..s~.~~' ~ 2'7239~ = ;~~z3~s _ • CMd d trw~lh~ fromps ,~~~,.~d by C1+aore. ~Ot. f 5 r.o.s oe~~. pto:~d cn •h• or.~m~sso.y ~mn..~me~.e: sr.u.ed ~ . n~r~Di, o~d ..~t • o~c:~d o~ o~~ add~~•anol and r~n~!or m~r,,;m~n~ ~f.a~ mor b• so secur~d ~y ~ ~ 'b~~ stol~m~N is f.l~ .,,MOUt rh~ d~b~o.'s s•qna~~•~ ~o Ceri~.r o~~c~.~r~ ~~nt~rast m co~~ot~ro{ ,Check {„J so-. ~,j Afr~odti sub~~u to o+~c~ru~ ;n!~r~s, ~n o*+ot6~. ~vr.yd:ct~on ~r .,os Ero~,phr m~o rh~t s•~~• ~.rti•ch :s D~op~ds d M~ o~~q•~o~ cdio!~•al dev.•~t~d ooo•~ ~n .h~ch o s~c~~r~ry m~~.~s~ .~os D~~~«t~d _ '~cY J co.~r~d Q~roc~~ds oi l.otio'e.~l ort o~so m+~.~d ~ Grodu:rs of Coi;a~~ro! or~ ai~o w.ered '~~~irQ~~~i~:•i tt- ' ~I~d w~th: -_~i.s~us~ilte~t-9~'°YM~- _ Q 1U4 rv. S~CO+'~D ~iiicET ~0 ' , /c f;~ ' FUtZT PIERrF G~ ~~nsn . PFiONfs l~Ow~d 1-65 ' ~ ~ . { j!. T: .=~.1 1 ~r..~ t..~!~ -1 ' ar , ` S.Q~o~u.~.f~ ~ O~Gbr sl ' ,.q~otu~~ f~ 01 Se!~~~d 'vo~~~•~• - ~ STANDARO FORM - F RM UCC-1 - . • _ . ,..e br tur.t a., a1.. . . . , . . . _ , ~ - - . - - _ . ~ - i