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HomeMy WebLinkAbout0639 TMIS fINAfJC~NG $TAiEMENi D~~se~~~d ro n~:I:nq c~f~c~r for F~i.ng p~~i~ont ~o ~h~ Un~iorm Comm.ruai Cod•. . 3. rroe„ruy dar• t~f a~ri: 1 O~btor(s: (:os~ Nom~ Fhs~, ond oddros~;~s1 ~Gui~Py{v~l~ ~°d-Vddt+?~:R+1 ' 1~~ Fo. f,i~nq Gfi~c~r iG'nq. TIm~. Numb~r. ond Filing Offic~; , ~ - ~ ~ ~ . . . i:Jr ~ ~ ~ '-t ` , _ F~LEU ~y=. ~~GORiIED I~OGL~ass 7-G F,L'~i~'flrsti/.?E.' , • ~ ST.luc~~ ~~~utitr F1.A. ~ ~ ~ • `~;A$ /~0.3 S. v~E ~.~.~u.c-f ' _ _ . .....~T ac•:,-'- . \ ' . • r~ ;U ' .OURT . Cl_^ ~//F.IC~~" 33S~,SZ' r__ - . _ . ncr~ : - . - ~ ~~0 J TA~s finont~nq stat~m~ne co•~n th~ Follo.~~ny e~p~s for ir~ms~~ of proF~•h~' ~ M~w' L` Z~ ~~.tiS d~~ ~`sc%~rG~~v ~%OOL~~ S ?ss:~n~~!si d $~cur~d Por~y and Addr~ss:~si _ - ~ ~ %~'~~bi7 6. CMd if erv• 1~~ s~omps .•~u~~~d br Ghope~r 201. F.S ~o+~ b~~~ Cbc~d on ~A~ Gromciso•~ .nitrumen~s sr_vred . A~r~by. O~d d b~ pl«~d on on~ oddaw~ol o~d N~+~lor ~~srrum~~~ rtioe mo~ b~ so secor~d. ~ TAis s~orim~nt b fil~d wtlF~ovt M~ d~bbr's siqno~ur~ b G~rf~U a s~cur:~~ ~nt~r~s1 in callol~rof ;ih~c1 Q~f so`.~ . ?•I.~ody sub~~cr ro o s~cur~ry ~nnr~se in onoM~, junsd;ct~on ,.h~o ..os E.ouyM ~nto +hi+ atot~ ?..h~d~ ~s D~oc~~d~ of ~h~ ortyinel co~lor~rol d~unb~d obo.~ +o w1+KA o s~cu.itt tnt~r~ft +m p~rf~ct~d. ~ O ~ 1(~' I' t" r~ A`.. ~ l~ s . _ ~j,J., . C~~c~ ~+i m.~nd: Q Pr«~~d~ ol Colior~.o! or~ olso co.~r~d ? Drodvas o~ Colior~rol on olso co.~r~d Mo oe o~W'iupao;~ASe:i q:~y~ae~d - - f F~I~dwith: I,J' . i . ` ~~0~ ~ ~~N~J FU~-:" r~._•~::'~. i~L. 3~-t70 ~ ~ ' a~ P:~C:::c: i:Uwa:d 1•u~{7U ,~t~ . . / ~ , ~ gY ~ ~ ~r / Sqnotur~;st oi S~cur~d por~ ~ ) ~4 STANDARD FORM - F~RM UCC-1 • - - ~ . . - ~co~o..d er r~, . . . _ . . ~ - ~ _y:y; . . ' . . - - - - - ~ ~-i „~y~ - ^a~! l hy~. i, • .S.~T .~'s.~.~r~C-<"~ - • ~~~~~~~~h~~ . , _ .n ~c. ~ _ _ . ~ a- '^a:,. - M~' i -v