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, E f ~ ~ - E iNiS FIW/1NCINCs STATEMENT h pnsented ~o a fil:np offirer fw filiig PwwoM to th~ Ueiiwin Conrnercial Codr. MaNriry. deee (if cM)= t. D~b1or(sl (last Naw» F:nt) ond oddr~ss(~s3 I~Y~~I 2. S~cwtd ?oApC»s) ond odd~~ssl~s) fa fiWq Otfiw (Oote. Tw. N~sib~r, a~d fil:nq Offic~) ~ ' :r^~.'. 5- 1~;::ar.~ ~ ir.~:nce Cc•r~.:~r~;._'~~ FILEo AM(~ RECOROEO ~ _ ,.-,•_i~:~ J; - _ 3T.lUC1~ COUMTII G d 'Sv7 e'1 ~treet -~--t:•'.1 d-. . „ . R ~ ~ 1 ' ~C:P. PpITqR : : :.erce~ :,~ri•i~~ ~~4:~0 : t. • - .,~:0 ClfkK ~i,v`iIIT COUAt ~ RECORD YE~tFIF~~~ a. Thia finonciwq swhwtsM cwers Nie followinp hP~s (or itews) a? Proq~h= f~ Ol ~'1~ !J All of th• consu,n~r yoods nor locoted in or ebout th~ pr~is~s constirvti~p th~ debtori ~~sid~nc~ ot eh~ir oddr~ss obov+ set forth or M my oth~r oddr~ss to which tl+~ sae+~ 1way b~ renwved o+d anr Prop~~tY hsqd b~bv.. 3. Assiqn~~(s3 ~~~d ~ A~~ss(~s) Th~ (olb~.~ny propertp: 1= LZA ~ • ~0`Z ~ - 28~45'7 ~ E. rr. ~ew..e o>+r'+~. .~ros w~'•,a aoc.» eeb... was r». .+a.w+.ww+.d br C1woa+• lo~. ib..do s1w~e.. ~1 orN. ww e..r o~~d an tM vor.~~w~? •ne..~nen+s s.~w~d N+~W. ad r;ll b~ dood un ony odd.~.owel ad rwfer w~str~www+ Na wwl b so s~v~d. ~ ~ This sbteinent is filed witf+wr 1he debtors siynolvn b perfM a s~arriy inlirrest in collaMrol. (Check ~ if so) ~ ' A}reody wbject fo o xcuril~ i~Mesf in anolher ryriydicfio~ wMn if v.os ~wghl into ihis sbN. , v.hicA is poceeds of Me ori9inel cdkurol d~saib~d abwr ie which a sewrifp inpr~st wos perfeded: ~ - CMd $ i! canred: ?rocNds of CdbNrol we olw co~rered. ` ~rod~cta of Coiioierol w~ alw covered. No. of additionol She~ts pres~nled: - ,-J a fIT~ 1MIN1: ln~~~~~'. v ~..V•'.+r ~ ~ . f ~ _ : .:T : . - Y... _ _ ..a. ~ ~ c ~ l ' , s,:- ~ ~ ~zt_-~~ - ~r Iw~ s) OF D~b~w(tl ~ S~qnoNr s) ei S~cwed ?orty(ia's) ~ -1 ' ~ STANDARD fORM - FORM UCC-1 ~ r. I?\ ~f~~ ~~r (`^ilj/ ' N,ir ~:~..~:i'_,:i Appre~d bp Rid~md (Oidj S1one. Seu.~o~y cF Sfot:. Sta*e ol f1o•~do ~ ~m ' -.~y, ~ . _ ~ - - - - - - - ,~`~i. ~~-w°- ~ .v ~ ' ~ r ~ 3 . .K '~~-s'~',.€. _ , ; v . . _