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HomeMy WebLinkAbout2778 i I ~ I •,;5 p~tVqNCiJyG STATEMENT is p~estntW to s ~~1~~9 o~f,c~. 10t titmp pursu~nt to th~ U~~form Commltc~il Coo~. _ T L3_ Ma:unty d~te lif anYl_ 2 SKUred Pu1V4~asi and Wdr~ss:asl 4 Fw F.~.pON.w ~O~ee. ~~:.u H.,~~r- r+e F.,:.qOM~c~; Debtoriti (Last Nam~ Firstl and sddr~(esl ~~~n n1t ~T 1~ P ~tt T.jf~ ~ ~ ~p~~pj,~~ ~jj;~,`~y p~jD L7V1 liL =+ttly ~ 11 V ~ CARROI.L, :dARY A. ' ~ P.O. 807C 38lt7 ~ filEO AMQ REC~R~E~ ~ 209 N• 40th STR?~.~fi { 112 S0. ~.Ith STREL'T ' ST.LIlCIE CONN l , f 33~t5G ~ ROCER PO~TRAS p ~OtZT PI ~::,?~'L 331a~ _ ~ F0:'.T P-~~,C~~FL - ' ClERK Ciii~i!!1 COURT ~ ; RFC~R~ vE?:yF,ED s 1 k . 7 his fina~c~ny sut~ment cowrs t~o tollowiny tyPK lor ltems) ol proparri ~ . ~ ~ I . . ALL OF ~~TOR' S HOilSEHOID GOODj, ~.3RYITUi~. At3i7 :':~'~i~iAa. ~ ~ 5. qn~t(sl of SecurW Pa~ri a~d l~ldr~ss~es) Yt30P:yc~TY ~ i ~rs 285159 ! ; , ~ 159 fj tlx ucwsd W't~ts1 wM~e tyV~-%~Nf! aDO~M~ FrNOw. ~tNes i~+at t'x s!I~OS rpY .rad trr C`~aC••• :U1 i~a~M StRut~s ~r.~. :`we tYt^ ' ~ a~cM m Me 7~~Y •'scru.~~ertc v~c~,.M t.aebY. aM .M' Le O~KeO c.n r~ xfdtw.v+ vM ~-,•r:s ~rnt.wrw~~f [hH mM D' fo sa~aeA- ~ Tnis suc~rt»nc is fii~d wi[hout tn~ d~btor's siye~tur~ to pe~f~ct a s~curitY int~ren 4n co~~~cMS1. IC~~ck~if wi ~ ? nueadv suot«t to s s~cur~t~ int~!~st in ~nOth~r junsditLOn wMn it wn brouqht into this st~a. } U nA~ich is tuocMds oi tA~ oriyinal collsior~l Q~sc~1bW abo+r~ in which ~ securitY int~r~st wss pwf~ctW. y, - i Cn~ck ~if cov~rad: ?PrpteWs_of CoU~tM~1 ~rf s~so cov~s~d. ~Produtts ot CoUKeral at~ ~ito tovar~d. N0. of ~dditional ShNri D~MM+I~d= _ F a F;~.d w~t^. CL,i„~IC OF CIRUJIT CaJ~'i' OF ST. L"JCIE~ - - - ~ ?~.S 'AL. `t'iiKIFT PLA[~,I_:C ` ~ - - - - - - _ . ~ 3v %y! _ ~i-- - - - - RY~ - - - i urNs) o S~cur~d osrty(+ss)---- L~ 5~4~atur~fs) ot D~bto*'s) STANDARD FORM - FORM UCC-1 ~ e0~~ ~2~ ApprOV~d by Slc~~t~~Y 01 SUU, Stata a! ~'c•~'~ . ~1 F~!~~~ Officer Capy - Alphabetieal ~ ~ _ `U" ,~a. • f " ;s:; , ~ „W_. . _r~~''.~_._ _ ~