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Bo,?,4L•1 Ed Jan '67 •
STATE OF F~ORIOA
UNIFORM COMMERCIAL CODE _ FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENj is p~~s~nt~d to o(iliny offic~r (w filino pvsuont to ~h~Unifona Co~ucia~ Codr. ! 3~
1. D~b1o?(s) (Lost NanNFirst)mdAddr~ss ~ 2. S~cund Party and Add~ss'x' ForFilinpOHic~r(Do»,Tiw~,Nuwb~r.ondFilinp
Offic~)
I('NAf2D SA~ I SRURv gF~'F~' I(' 1 AL F I r~A~~CF
~'~^7 St3MRlSE RLV~ 11~51 S FF~ Nk'Y
~^RTYPIFRC'F,FLA. ~ F(*RT p1~~F,FLA.
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4. This finmciny stol~wMnf cov~ts th~ fo~~owinp fyp~s (or ittms) o( propNfy:(Cbet4 box ubicb applies)
~All o/ tbt bousebo/d goods nora oaned os berea/(e~ acqui?ed in ?eplacemenf tbereo/ ond noa~ or
i___._~ .t.. nex....~• el.,~o ..I .p~id~rv at aAd~ess eiven above in Box 1.
urir~/~v ...w.o..... r--•- 5 As N( ) 1SlCwtdP r dA~r~s ( ~
I . :iyn s o or1 an s~s
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6. Ch~dc if trw ~ Ths stomps r~quir~d by C6apter201. F.S.lwv~bs~n ploc~d on tM pwmissory inshuewnts~
:~cur~d h«~by, oed will b~ plac~d on ony odditianol and siwilor inshum~r?f that mor b~ so s~cw~d.
Documesttary slamps attacbed to origina( note and cancelled
I Thi s stot~~t is ftl~d ..iehou~ N?~ D.bto.s• :iynww~ to p~rf~et a s~eunty ~nt~r~st ~n eollot~ral. (Ch~ek G~s w)
[ Alrwdy subj~ct w a s~cwitp intM~st in motber ju~isdietion wh~n it wos brou9ht inro this stot~.
! [ which is pwc~~ds of tl~e oriyinol collotwol d~sctib~d abov~ ie which a s~curity int~nst ~ras parf~ct~d:
C hock~ if eowred: ~'ProcKds of Collot~ra) e~ olso covK~d. CProduds of Collabrol or~ olso cov~nd No. of additionol She~tspr~s~nt~d:
Filed witk ClesAe of tbe Crrcui~ Couat o/ Coun~y, FloridQ'
S.cu..d Po~r ' ` .
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~ .1~=~~-_~._.~`?.G~_~`_~=`_-1------_-_ BY.___
Mono9N
DeMor
STANDARD FORM - FORM UCC-1
* Type /u/[ and complete corpo~ate name.
2_ ~t'~ `~2
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~uciE c0ut~ilY~lA.
ROCEi~ POITR/~S
CLERK CiRCU1i C011~t
RECORD yER~f IEO...~"~
~ 13 t2 zo PN'Z'~
~ f.,~~ PAGE i V
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