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~ '~iS FiNANCING STATEMENT ~s presented to o f~lu~g off~cer for fii~rg pxwont to the Uniform Conxnerdal Codr. 3. Moturiry date (if ony:)
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~ Oebror~s) Ilast Nome F~nt? and addressi~s) 2. Securcd Cortylies) a~d oddress(es) Fa f~l~ng OffKer ~Do~e. T~me. IVurnber,
~ ~ FitEY,~r ~"~t~u,~DEO
~ ~utts, G. ~~oreen a gle rinan ~ ~orp ot F. P. ST.lt;cci ~3~Mtr Ft~.
~ ut 1 Rox 729 2057 S. Fed Hxy ao._ ;;~~5 :t
~ ~'t. Pierce Fla. ;?l~5~ Ft. ri~~rce, Fla. ;?b50 Q«`~n~. ~ C~uRrU ~V
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~ fEe 18 i~ 3s PM 1~ o~
e ih~s finonung statement covcrs the following types (w items) of prapeny:
~il of debt.or ccr.sumer goods iisted at above address to ~.7S8OA ~
include all fixtures and i:rt~roversents.
S. Assqneels) of Secvred Porty ond Addresslol
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= 6 The secured portyls). whose s~gnoture~sl oppean below. stotes thot rhe swmps requirod by Chapter ?01.
flondo Sfotutes. ~f any. have been placed d+ the pramnsory ~~struments secured i+ereby. ond will be
ploced on o~y odd~t~onol and s~m~br mstrunent thot moy be os secured. _
This statert~ent is (~kd withovt rhe debtor's sgnohxe b perfed a secvrity interesf in collateral. ~Check 0 if so!
: Alreody s~b~ect ~o a secun~y ~ntercst ~r. onothe~ ~wisd~ctwn when ~t wes brought ~nto this s~ote.
~`^~3 : Which is prxeeds of the o~ig~nal colloreral deunbed obove in which a security interes~ was perfected:
_ =~.eck ~~f covered: ? Procceds of Cdbterol orc olw cwered. ? Products of Colbterol ore also covered. No. of Add~t~onal SheeK p~esented:
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Sgnoturets) of Oeborlsl Si9notu s) f Porty '~l
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STANDARD FORM - FORM UCC-1 Q,`R ~
" F~!'~~ i~t ce~ C•:py _~~Ct,eUBtitd~ ~?PWoved by Rrfio~d lD~ck) Stone. Seuetory of State. S~ote of Flo~~do
r~ ' EXfC. IDEAS NO_ 1679 .
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