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TMI$ i~NAN:ING STATEMENT n presen~ed to a f~l=^g off~ce~ ior f~iing pursuant ro the U~iicrm Cummerc~oi Code: i3_ Matonty date -f vnr
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1. Debto~ s tost Name iu~r m,d odd~ess~eti l 2. Sec~rcd Pa~ty ies and odd.ess es i.-• o~+•~.°, 7^' -,:,e r~.-~ ~,•.:e
WSP~VER, E. C. III and i SINGER & COMPANY i FlLfL• t~!~ :~CG3DfD
SARA J., his wife ~ 4200 Fulton Industrial ; si_~uc~= ~~vurY~«.
i R4i.: % F'I:T~AS
2410 Orange Aver.ue i Boulevard, S.W. , t~F~:r. ~ cou~t
Fort Pierce, F~c~~~~a i Atlanta, Georgia 30336 ~ ~{n''•" ~F`
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1. This f~no~~:.~g stotement co.ers the folfow~ny types c~ items oF P.-oP~,t,: Merchandise -y 8 2o AM'~~
supplied by secured party to Williams 5& 10 & ~
Luncheonette, 2410 Orange Avenue, Fort Pierce, Floridaj _
and the normal and reasonable replacement thereof . ! s ASS~g..« s of Sec~~ed Po«~ a~d Address ~s _
2'7'7393 z~39~
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5. Chr_k if ~•.:e ~ 1he ++amp* rey ~red t, Cfap'e• 201, f 5 hove bee~ pla<ed on 1he promissory inst.umenes secured
hereby, and »~If Fe p!eced on onY additicnul and s.m~br ~nitrument lcat may be so secureA. i
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This s~atement is f~led W~tbout ti~t debto~ s s~yno+u.e to ~e~fec~ a security interest in colloterot. Check if so -
Alreadr sab~ed to o secvn~y inte~eir ~n one~her jur~sd+ctio~ -rhen ~f +.as brought ~nto th~s s!ote.
wF1ch is pr«eeds of ~ke u~iq~nal colioteral desv~bed above in v.~n~:h o sec~~ify interest woe perfected-
!heck co~cred P~oceeds of Cafluterol are also co.ered Produds of Coilatewl ar~ aiso co.ered. No. of odd-honul Sheett preseMed:
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F;~ed w,'h~ Clerk of the Circuit Court~ St. _Lucie Count , Florida
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J-~ A~
~ j ~Q. S ING & CO NY -
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ure~s of Debtor.i Authori~e~'re~Lf~lC~r Iry ~es:
SARA J .
STANDARD FORM - FORM UCC-1
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