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HomeMy WebLinkAbout0972 i ! ~ 0 ~ f E i 2 B ~ ~ This FINANCIP:G STATEMENT is presented to o fd~ng officer for fiiir~q purwont to ihe UCC: MATURITY DATE ~~r ANrI. ~ ;c DESTORI81 tLAST MAr[ F~esTt AND ADDRE5S1ES1 2. SECURED PARTY(IESI AND ADDNESSIE51 iOR FILIN6 OFFICER /DATE. T~ME. NUN~1J~, G AND fILINO OiFiCE) /'1~/~~~~ & V t ~ ~ iihite, Gerry W. Tera~l.an, Iac. ii~tcr~z..~~tc;,~~€~- - Florests Dr. 12 Colorad,o . 5i~ ~u~;_ -:~~u~~Y ~ ' - ~ ~ 5 ~ kG.,: • • ,-,1, RAS ~.1~ ~ Port St. I~ncie, Fla. 33452 3tn~urt,Fla.3~}1q?~ ci E~x .:°~,T ~o1JN ~ • c._ti ~ (GOfWlAR MAMt AMO AOOAti~) L[!'CF'• i' 4. TMIS FIHAYCIN6 STATEMENT COVERS TME FOLLOWIN6 T~PES w~ ~Ttwf) OF PROPERTr~ ~ All ot above debtor' a persanal P2'o'Pe~Y, hansehold goods, thrni ~ Y ~ fi:tures, and sppliaaces, located st dabtor'a reaidence, including i~ ~ V41i IIOV ii~l{~E~i W~ COIIe~QII4S Ol A1114[lQA~ b~~ rO~~'~AND1ADDRESS ESSECUREDPARTY } arid dining roooi and a7.1, rgplaca~eata thereo! md a~idition thereto. T~ AB~1S COtT.~~t1T. pAS BRWC~i'P IliTO ~'HI8 8TAT8 3QBJ&Cr - TO A 's ~78VVi~1ii 1i~1Ol~OVi ~ s. CHEGK IF TRUE Q TF1C SfOTpS tlQUlflA by ChOpflf ZOI, F.S. hwe txen Dioce'd on ~he p~ ~1~SSWY ~AS1fUfi1tf115 secured hereby, ond will be ploced on ony odd~twnol ond sim~Iar ~nstrwnent thot moy be w secured. ' ~s stotement is f11ed wlihout the debtor's sipnoTure to perfecf o secwity mterest in colbterol. (Check ~ if so) _ ~olreody wb~ecf to o security interest in onother ~urisdiction when it wos brouqht ~nto this stota. - V wh~ch is proceeds of the orq~nal colloterof descnbed obove in which a secw~ty mteresf wos perfected: _'~i F`_ Check ~ if corered: ~ Prxeeds of Colbterol are alw covered. ~ Products of Cotbterol ore also covered. No. of odditwrwl Sheets presented: - Fikd with: ~.LVLm w~} ~ l~ f.J K~J]~1~J`ll~ ;''s gy. ey: - fICNATV11E~ir Oi D[~T0111ii {13NATYR~(if Of f[CU~[O ~AI1T~~Iti1 APWoved bY : . ~ T TOM /?DMAS I1) F~LINO OFFICER COPY-ALPHADETICAL Cr`~ 224 pA~ 971 SECNETARY or Sr~T[ :'%y~ ST~TE OF ~ ~ ~ L :F!O~ ~v _ _ e ' ~ _ . . , . . . . _ . ~.d_ . . .