HomeMy WebLinkAbout2291
il
~
~
~
~
~
TMIS ftNAHGIliG SIATEMENT is pr~s~et~d to o iil~uy offic~~ (or (iUny por~nont to M~ Un~forw C~~iwneol Code: 3. Mot~r~hr dot~ (if on i:
1. D~btoris) llu~t No~~ Firit) oad oddress(~:) Secrred ~aAYliefl md oddressfes) For F~t~ny Officer (Dore. Tiwa. Nu~b~r, ond filiny OfFoe)
Forbas~ Bi l lie C~ b FLORIDA BANK AT FORT PIERCE f~LE~7 :~t^ ~E~ir~1DE0 ~
P.O. BOX3469 fT•~~~~ C3;11itY fl~. ~ ~
MePCe~ ROG~~ PG!'~~f
52 Serendipity aoiorw~c~E~vdvuE c~E~+cc:-~turtt0u#t ~
Fort Pierce, Ftorida P~EtTP1ERCE.FlARIDA83450 F.~~O~~ ~E?:=~E,
l. tiis fiawciM sbNa~ul c~~s 11» folb.ino h~s (x ite~sl e( WopatY: ~ ~
/ ~
new Conn Sp4~et organ a~odsl ~ 3~+s seriat # 32688 _
~
~ S. Aisi9nec1~) ef S~curW ?orty ond Addressl~s) s
ti r~J i
~
~~v t
6. TA~ s~cvnd Pmhls), .Aou si9~ri~~Is) oCMars btlo.~, slo~ts tho~ !M ito~nps rp~Srtd by fAoD?K 201. F{orida Sio1~»s,
~ ii um. Aow bMn Vbc~d eu fl~ O~~issory i~IlifY~M~i TKYflA IIl~lD1r ond vill b~ vioced on oep odd~f~awl ond s~ailor _
intlrvaMl fAst ~oy be w f~c~nd.
~ i~is staM~tM is filed .itMeul IM d~br's siyeoh,m lo perfecl a secrriry inNrest en celbNraL (Qeck ~ if so) .
~ ~ Air~odY f~Al~ct fo a seotify inter~sf in onelMt I~risdittion ~Aen it .o+ Mov9M info Mif stoN.
- ?~rhid is procwds ot 1M wiyinal celloNrol diwib~d obo•~ in .Aich o t~t~ritp iet~test ~ot p~A~tted.
Ueck Q i( covKed: ?/rxeeds of G~b/erol me elto corurd ? hodudt of GIIONroI on aise cere~~d. Ne. ef odd~~~ena1 SANts w~aeM~d: ~
F;ka wiM: 'e of the rcu t Court, St. Luci e County, ort ce~ 1 ori da
C~ Ftorida Bs~lc at Fort Pierce
~ ~
sy: C'L i..~~ G"l/V~_a. tn
Si~naNnls) ef Debler(~) . Siq~Mvr~l~ el Sec~nd ?oA~lin)
!
; ~ STANDARD FORM - fORM UC~1 ~
j~~ App~o.~d br R~derd (O~cki Srone, Secretu•v o1 Srote. S+o/e of Fleride
Odlt !
~ Fil~ra O~f Ar Ccc?y-Alp a tita
~ ,
- . .r _ - _ - - - - _ _ ~
~ x~~ = ~ K
~ ~~r~ ~ ~
, '