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~ ; - i ~ E ~ 4 "r ' ~ 4 8 > ?S s 's ~ ~ ~ ~ ~ ~ ~ ~ .,i- -)ir~~- .~;hANG{tJG STATcM[NT is prcsented to a~filing~offiter lor fiGnq pvrs~ant ro the Unifcwm Commercea) Code: ~ 3. Nlotvrity dote (if any}: ~ ~ Fw Fitiny Offfcer (Dote. Time. Number, and Filinp Oifite) ~ ~ b'or(s) (Last Narne fintj ar,d add.essies) 2. Sec~red ParfyDes) and oddreu(es) ~ _ ~ ~ . . ~ ? _ ~ _ t Y. - ~ ~ n ~ ~ J ~ t ,a _ . 1~~~r1~~~ • _ ~.c~_~. _ , ce _ , cc c' ' "a R SO~: ~ , : . _ . - _ , , _ ; o=. , ~ ,r ~LEItK C~~~1T~~...~ ~ • - - - - ~ - _ _ V . y , o _ ` _ :ti : ~ ItECORD y~R~F~EO ~ _ _ ~ . -;..,s finonc;nq state.~nent covers ihe folluw;ng types la ~rrms) of pruperiY: ( 3=.• , 1-Ali of tne hoisehold geods now or hereofter located at debtw's residenc~ oddress sat forth aba+e. , _ j ~ t7:he. pr~p~~ty desu+bed o _ i 3. Assflnee(s) of Secured Party and Address(es1 _ Utem1 ~?wy~y~0 i''` ~ aJ 2'~9380 _ ,~t~.~ck if true The siarr.q required by ChoPter 2U1, F.S. ?wve bee.'n plattd c.~ tt'.e P'aT'issory instruments sewred ~ - -ereuy, and wi~l be ploced o'+ any odd~t:wr~l ond sirr~ilar insin:rretit llat rr.aY ~~~ured. - ~ : ~ :.j;¢ i~:s statnr.rnt is fJed w:tho~t the debtor's synoture to perfect o secvnry interest in coit~terol. (~heck ~ if so) J Alreody wb~ecf to o seurrity {ntere# m ooother jurisd~U~on when d: wos wovyht into this srate. which is proceeds of ~hs w~q~nol ooitoteral dexr~bed above in whidi a sec~~~ry ~nferest wos perfMed, ,:c ;y if w.e~ed: ? Pruceeds of Col{ctero) are olso covered. [J Products of Col;oteral ~re olso covered. No. of odditicnai $heets presenfed: _ i~~ tilC'd Wl~li ~l . _ ~.~i(. . C(~~J ~TJ " d~~wi/~Y ~ .i..~ . _ .Cr vC"_ ,r.. • 5z~ ~ . ~ ~ ~ - - - BY 9_~ t (s) vr orty~~s : $~~nat~~e(il of Debtorls2 STANDARD FORM - FORM UCC-1 t F;t;~q ff cer CopY - A~phob~tical ~ . : AVGra/ed bY TOM AD/1M5. Secre'ory :i ; ; ~ , , ~ , ,