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Tiws fINANCiNG STATE~AENT is preseNed b o F'ilaq OIRca °f ~1110/O~ Mo1w'h ~ ~
Fa 61inp pvrswnl b the tleifww Gowinerdd Cod~. SheNS haented: 3- [ - -
1. Debtorls} (lcsi No~e Rnt) ond AddrettlKi: 2. S~cw~d ?or~rl~sl: Nawelsl ond Addr~sslal= for . : fili O~ce
R06ER AOfT11Ai~
Moshier~ Robert ~,¦ua ~o~w co.a~w,r. a+a. CI,ERK CI~CUIT OOIti1T
Moshier, Margery Box 222 BECORd VERIFIEQ
401 N. E. C amelot Dr. Horseheads N. Y. ~ t3 "~l ~
Port St. Lucie, Florida 14~45
S. Tb~s ~nonc~np S~aem.~a co.as ~e Idio+.~rw hna 1« itews) d propKb: Auiyne~li) d Setund ~artp and Addreules)
~ All ol tM horahold co~srmer qoods oi erery k~ed noo o.~cd w heresfea ~c4~~•ed M~
~ebfon in repl~caneet of uid canwne. qoods (~nd D~oceeds) sw or IW.eafter loc~fed i~ .
a sbw~ Debrors .eside~ce abws set fortA.
/1 certai~ motor veliicle, comP~He .n1h dl ~MacAme~ts a~d e4~iPme~! (and Woceeds) wr ~~,/V
I~ated N the resideece of fl~e Oebtws ~i abo+e u? fwth, to ri1:
MAKE SERIAI NO. ~ODY SnLE MODEi YEAR THER 106'VTifICAT10
ou a on ue
ahe. edlotaol: r e-up O n» e.K.;b.a «oP~ a~o,.~.q a b oe 9.a.. w:•
TAe d~scribed 9~~ ar~ a are M b~ alfwd to: •
p~«..a~ - Green ? hodvch of Me Colbtaol a~ olw cwered. • 13esv~be Real Eu~ts N1o.).
t. W~«ib~ teel Eswe~ Herr. Noaisls) ~ -
t~oad
Ownata+ ~
Carnlr Section Mqck ~ l01
No. i Sfreel Town a G1r
10. TMa stotesa~t is 61~d witlaot ~h~ dsbta's siqno~we w perf~ct o s~cwiry intarest in oolbtad -
(ch«k oppropraa baR)
O vnder o saw'~ry ooreew~M sion~d M d~Wor antAai:iig s~auad porfp b ik tbis state~ent, a? ,
~ olraodr iYbj~d b o Harriyr iiuK~st i~ onwhar jvrisdidian ~rhen it wos brarpM Mto IUis std~, er
Q~rtrcl~ is pocs«b d Ib aqinol colldaol dacribsd abw~ in rrhich o sacwiqr ietersu wos paiahd: _
'UN.1C LAiIJ! COMt/W11. It1C. ~
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s~~ ef ~.b+o.. Siys.+w•~~~ of s.a~..d'+r+rl'»+1
(1) Filing Otticer Copy
~umerical
~65 STANDARC FORM - fORM l1CC-1 - APVrw~d br Jobn Lo~sn:o. Seu~lory of Stob ol Ntw Tat ~ i~ ,,.,V ~
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