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i` ~ ~ I n~~S FINANC~NG STATEMB~lT ~s p~ese*++ed a o filirg off~cer fa hlin~ pwwom b ~~e ll~~fam Conrnerc~ol C.ode: 3. Mo~vrity dote Uf a+Y=) 6-79 ~ _ 1. Debtor~s) l~st Nome Ficst) o~d oddreuks) 2. Secw~ed P~nrtrlies) ard addrcssl~sl For FJing Offioe~ (~te. Tims. Nun~r, j ond Rl~np Offio~) = :!eZls, ~ar-- ~'~onr:e ~gle ^inac;ce Cor~ o° :'P ~ ~1-:2Cg :'rl ~k L` ':n ; S. ?ed .?~r~; § Joro ~eaci:, "_ls. ?t. Pierce, ?'_a. 3?I~50 285699 ~ n,is fie~o~My sto~ema+t oo~re.: n,e folbwinp ~YP~s (a items) of woper+r: ~ s listed on schedule "A" securi ty list ~:ated '~-1°-711 - S. Assyneels) of S~cured Purry and Addressi~a) ~ _ ~ ~ s 6. The seaxed portplsl, whote sigrwlurcisl opP~s bebw, skates lhot the sbmP+ rsquued b1r ChoPM 201, ~ ~ Flwido Sb~u~es, if a^Y. ihore bsen ploced on 1ht promisawy ~nstnwnenn secwed I+ereby, ard will bt plooed an aiy additiorwl ond s~m~br instnwnent that moy be os secvred. - - This sb~aner?t is fikd w~Nwur ~he deWa's s~~+onwe b perlM o seewitY ~ntercsr ~n colbteroL (Chedc ~ if so) ? Alreotly wbjed w a sscvrity intercst a+ enoTher p~risdiction when i~ wos bro~ht into this stofe. ~ ? Whid~ is proeeeds of ~he wg+wl eolbmel descnbed otwve i~ wl+id+ o aecvr~ty interest wos per(ected: Check ~ if cwe~ed: ? Proceeds of Cdbteral o.e olso cwered_ ? Producrs o/ Cdbrerol ~.e olso cwe.ed. No. of it~w~ol St~eefs presented: Fifd with: ~ . P :~n.iT L .vL' v., ~ - , f - ' gy. ~3L. l~~ , Y JC .d~ 6y: ~ ~yrw+urelsl of Debtort~) Ib~iesl~~ ~ ~ ~ STANDARD FOR!JI - FORM C-1 ~ , ! i~i ^;:'~nr -~1c.habefieaf Apprwad by RKlwrd (~1 ~f~. ~rrtary of Sro~e. State of Flo~ido F ~ . _ . , . _ _ 3 O~G IDE/1S NO. 167V _ - - ,a.. y,,.-.z , _ - - j r w4 5 ...,.s~, a,. + ~,z.,t:~~ y - . - . _