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THIS FINANCING STATEMENT is presented to o filirg offioer for filinp pvrsuant to ths Uniform Corm~ercial C.ode: I 3. Mohirity dats (if my): - -
1. Debta(s) (Lost N«ne First) ond addreu(es)/ 'd3 ~ l 2 Secuted Pary(iesY and oddrea+(es1 Fa Filiny OfficK (Dat~. Tim~. Nwnber, a+d Filinp Offiu)
: _:nor, ir:cr:~:: ' =elcdy . f~~AM11 0~~
ii :s ::i~w::OTe '~'~~?I'~-~ i i?1:..~.•~' v:,~l'QOZ'c'.:tiIOTI ~ ~e ~i~Y~~TA/«
~H' - ~2 ~ 'C?8 ?euer:._ :a OGEII PQ1i1tA/~~~
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~ 4. This finoncirp stotert~nt covers the followiny types (or itans) of propertY: ~ ~ ~~~'r~
Q; All of ths hovsehold poods now or hereafter locoted ot debtoi s residence address set fwth obove.
5. AssiW+es(s) of Secwed Party ond Addreu(es)
OtFu: property dewibed a
(Item)
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6. Ci~etk if tr~e Q ihe stomps required by ~apter 201. F.S. have been plarsd on the Pra^issory instru~nents secwed ~
he~ebY. ~ will bs da~ a^ ~Y ~;tiorwl ond simibr instrwnent thot moy be so stcvred.
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This stetement is fikd withu~t :hs debtp's siyrwiwe to perfeci o security interest in cdloterol. (Check ~ if soJ i
(J Akeody wbjed to o sec~xiry intersst in onother i~isdid~on when it wos bro~pht i~ro this state. ~
Q which is praeeds of tho apiral collaterol described abova in wfiid~ o secwity interest was perfMed: ~
~hedc (~j if wvered: ~ Proceeds oF Co~laterol ars otw cove~ed. ? Prodvcts of Col{oterol we also wrered. No. of odditional Sheets preaerued: ~
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~ ~(s) of D~bt«(s) (s) of S~cvred Parh(iu) f
e~± Fcr~9 o~~~~e, Copy A!phabefical STANDARD FORM - FORM UCC ~ ~
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/lpproved bY TOAA AO/~MS. Secre'c.r ~ i.
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