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~ rHis EINANaNG STATEMB~JT K presemed w a filinp o(ficer iw filinp qrra~wnt b~he Unifonn Corrrnerciol C.ode: 3. Maturitr dott (if anp:) -
t. pebtals) (lost Name Fitst) and oddressles) 2. Secvrsd Piartyliesl ~d addnssles) For Filirg Offiwr 10oh. TNn~, Plun+bt+,
?attersoa, Leroy ~3r'._ara r,a le : ina~ce :.or~ of F. P. flt`~ ~~RECO~DEO `
g sT. cuciE couNnr F~~. E
13ot~ 2ist ~t. 205~ s. Fed ~~E~y RocE~ Pa~TR~s ~
~ t, Pierce, r~'la. 3?2:5~ ~ t. Pierce Fla. ~34~0 CLERK C,RCU~T COURt
~ RECORO VEA~~~EO ~
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rhK fi~w,c~ s+ox~ eo~e.s n,~ fdlow~ hw~ ~o. ~~nu? of v~r-
:1~I ~f debtor consamer ~oods li~ted at above ad~Tess ta
i n^lude all. ~'ixtures and improvement s. s. ~~.1s) «+d ~a~t.s1 ~
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~ 6. The aenxed PonYls). wl+ose s~9^ature(s) oPP~an bebw, stmas Mwt the stomps rpuired by Qwpter 20i,
flor~do Stotvles, if any. hove boen plated on Iht prom;ssory u?st~unenb secwd hcteby, d~d will be
~ ploced on ony oddifipwl ond similor i~trumenf thot mo~r be os secued.
ih~s swtemcnt is fikd withov~ the deblor's sirywhwe b pKfect o s~ewity inra~eit in edlateml. (Chsclc ~ if so) ;
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~3 [7 Alreody u+bjec+ ro a s~witY intuest in orwHmr jvrisdiction wMn ir wvs brought inro this store. s
~ ? Whid~ is prooeeds of the wqinol oolbteral described above in which a secwity intarest wos penc~ted: 3
~ Check ~ if tovered: ? Proc+eeds of Cdloterol are also covered. ? P~roducts of Collateml ore ofw corercd. No. of /ldditiawl Sl~eels pre~eMSd: ~
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~ STANDARD FORM - FORN~ UCC-1 f~L~ P~ •
~ k~ Fiiing Qf{icer Cop~f - A!-~~abetiea~ ~ored br R~dwrd ID~ckl Ston~. Sec*etory of Stote, Stote of Fla.ida
= 3 EXEC. tOE/~S NO. 1679
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