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Home My WebLink About0522 f f ~ - t THIS RNAPICIPI('s STATEMBiT is presented to a filinp officer ior filirp pursuont b tF~ Uniiam Com++erciol Code: 3. Mahairy date (if onr:) -?9 ~z 1- Debla~s~ (lost t'lorne Firstl and oddress~es) 2. Se~w~d Portylies) aid oddrassles) For Fitinp Offics~ IOote. Tims, (~k~~r. ~ a,a ~r off~ ~ Smith~ Sllis i•:. k Rose Etta Eagle F~'inance .%orn of ~0 Ay~ RECoR~O ~ iT. WCIf COU11ri f~1. 2706 Sheraton 31 2057 Fea NwY RpcE; •0;7R~S ~ Ft. Pierce Fla. 3 31~5o Ft. Pierce Fla. ~3Et5~ CIERSC G~ :;.~J~I COltRT ~ ~ R~C9R0 YE*:!FIEQ_....~.~,_,. ~ ,Mis ~ieg ,b«n,~t oo~ers ,he followa+y ryp.. (a it«ro) of p~ope~fp_ ~Mi ~ 31 ~N'~l ~ ~ ~ All of debtor consur.ier ~oods listAd at above address to j~8a~ss inc'-ude all ~'ixt~sres and ir~provements. 5. ~;~s10~ s~d ~ ~ ~F ~ ~ 6. The seaw~d poAylsl, wbose siqrwhKNs) aPP~s bebw, states Mwt tl+e stomps rpuired by Chopte? 201, : ~ Horido StoMes. if arhr, have been ploced on th~ promissory ie~struments s~cured hereby. ond w~ll bt ~ ploctd on oryr odditiawl ond simibr ient~uer~t that moy be os snaxed. ~ This stobmeiM is filsd wi~had the debbr's signohwe b perfed o secwitp interesr in colloterol. (Chsdc ~ if so) ? N~lOdr f{I~Ct 10 o fKWifr N1fMRSf Nf Of101~~l/ jYliS~iCtiOn whNf if M~Of bfOU911t inro this f/01!_ ? YYhid~ is peoceeds of N~e oriyinol aolbterol described abare in which o secvrity inmest vras pafec*ed: ~ i Check ~ if oorered: ? Proeeeds of Cdloteral are olso covercd. ? Produc~s of Colla~erol orc olw cwered. No. of Additiorwl Sheets presenfed: `s ~ fibd wi1h: - € ~ ~ , ~ ` ~ ' - FJs~'•L~ ~~I~f:N:E CJ~.P . ~ ~c~ ~ - ~ ~ ~":A~ E / t ~,V~ ~ dy: / ~ ~ ~ Sipnotwe{s1 oi Debwts) s~~ ~~YI~s1 ; STANDARD FORM - FORM UCC•1 f~ _ (1) Fiiing Officer Ccpy - Alphabetiea~ /?pprwed by RKlwrd ID~ck~~~tone. Secretary o~ swro. Sror~ os No.~do EXEC. IDEAS NO. 1679 _ ~ _ ~ ~j / - - - - _ ~ ~ ~ { ~ s ~s_z5._ _ ~w., . . ~~-"s~~.