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; ~E I ~ E tH15 fINANCIlKi STATEIMENT b p~es~awd a o Rinp offioK (or fiWq Pwwio~~ b Nr Uwiforw~ f.osrrrciol Codr. 3- MoNrih doN ~f): _ ~ i. o.b+«is) (loie Hw.. ~irs+) ma aad..a{.s) l 3 2. s.w..s Mr~rC».) ma add....l.s) re. Rrwo afia. (co4. T.... N,.we.., awa Fi~w arK.) ~ ~i~;~.~ ~_i~i.n~y _'~n_::r,~ ~:;cr.o...~~;.r itlE0AM9REC0A~~ -'~s i6 , ~ . _:i:,~.;.~ :;_~'";.,~-i:' T LiIC1E COUNTYFt _ v . aac~~ ~a~in~s . r _ ~ _.:l~C~.') ii~r::~ , 1 1.~ :`y• 'i:`.. _:.f.1.G.-^ ~•^C~'I~Ci~~zGU1TC0URT ' - :_.;t,~ - ..~w:~' PFC~RO VEk:F'~Ds t. This Fiaanci~Y swt~wnnf tov~rs Nr (dlowinq ryrp~s (or ilew~s) o? Prop~~f= `O Sa ~ . ~ ~ All o( the conwm~r 9oods no~ locw~d in or obout th~ yr~wis~s constit~~iny the d~bto~s' r~sid~nc~ et ~ ~ their odd«ss abov~ stt fonh o~ a~ a+r oth~? oddr~ss te ~rhich th~ so~. wsr b. nmo..d md anr oroP•.y 40~• IisuA b~lor. 3. AssiqnM(s) ef Sww~d ?a/b awd Addr~sa(ts) Th~ folb+iny yroy~ry: a. ...L..e osrr:,~. .w. wew.•ca .oo.«. a.w~.. .b... wo. a~. .~e.~o. ~.a~,:.a s. u~ ~oi. rw.~ao s~.,~.... o~r. ti... a..~ cbc.e o~ M.. o~e...+w. ..~.u.wh »cY.+s ~w.a. «a a b. oMee on osr da+~ad ms ....r ~avywrw Ma. .yr w.o aw..e. This sbMmewf is f~d wiMovt Iht debbt's siYnaAr~~ b pK1M o fKVriM ieMns! p~ coNaN~oL (GNdt 0 if so) ~ wl.eodp wbject ro o sec~r.:yr imer~u in owoN~t. iwiadic~ion ..Aen ir wos bagAr imo ffws sab. ~ ; whid~ is pr«eeds of Mw oriyirol collot~rol d~scn3~d abor~ in ~rhich a s~aw~ryr inter~st .ws pKhded: ~ ~ Ci+eck $:F ce?er~d: ~ IrocNd~ of Colbbrol an olw coNred. ,['j ?rodrets of CoGoNrol w~ olso oor~r~d. No. of od~tionol Sheets pnaenNd: ~ f11ed vrilA: - ..__'C'.-.. •.•.,.-~t ~ ..6. _ ' _'i~C 1::U1'"ly~ ~r • ~ e,: • 3iynohin(s) ei (s~ ( STANDAR~ FORM - fORM UCt-1 ~f t 1'.... ~[t~,.n• (~~r,• . `:.1 }1ah~'i1C~31 y FI ~ 1. . J ~'i /~pprar~A b~r Rithord (Dickl S1a». SwNar of Srot~. Sea+e of Flc.{ou - ;t„ xy, " 3-;~ ~"5,'~„xY~ ~ : ~e,-t ~ ~ _ i ~4X~°~.ALs"ie:c" rk_ ro `i"~£+5. ! y _ . _ , _ . .