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I I f E t E ! ~ 1M15 fiNANCING STATEMEHT b pnaenMd b o HG~q ofFioK for f+liwY PKwwM b Nr Unifonw Coiwwrrdol Codr. MoNriy doN (ii anlr): ~ 1. D.b~or(s) (taa Nwa. Rrs+) end oddress{~s)// 2. S.cw.d ?«hfrsl awd aedress(~s1 wr ~Gwq otsio.r (oew, ii.., rlr.ib... ..d F7iw~ OH'wi ~ / r j ROriiC~~ M~iC.y~~ ~ ~il4~t'~Ql Fia~mC~ Ca!'par~t'30n ~~~lcr~ C4~N~'r . ~ 7V~ ~!W ~~~1 ~18 WYW F~~ a~+~+~~y R~Iti=:~ re~;! ~ F'C. Pia~ee, ~la. 33~?~ a F~~q y'° T~oy~ ; !'C. Pi~o~, lla. 33f?SO a r ~t ~6 s Thi, Awanc:np sbt.wua, cw+.. IM iolloMiny ,,p.. (w ~»wu) or i•oP~h,: JO 58 ~~~1' All o~ th• conwm~r yoods ror bcoted in or abour th~ prMis~s constitutinq t6~ d~A~ws' nsid~nc~ of ' th~ir addr~ss obov~ s~f forth o• a~ mr o~h•~ odd.•ss w.+hid~ ~h• .u.• •er b< <.aa••d ond my prop..ry lis*sd b~low. 3. Ass3y~w~(s) of S~cw~d ?oAfr awd Add?~ss(es1 ~ Q Th~ lol lowinq p~op~np: f~~ ' ' ~~.J I s ~ ~~5~ 6. n. .w.d conrc~. .r~os s~r•w aoo.v~ bto.. .rrs ~a M. ~'ro. ~.w~~ M Ctia~O~r 70~. r~erao M,a ~r r~o Mo...e. ~ vb~~d an er o~aw.saory .nir.ewri+s rcw~d Ar~6r, vd ~:N b dood a+ wI ~'o'd end rslv wsrw/+ ~ This statement is I~l~d wiMwr eM d~Mor's siynotw~ ~o VK~ e srcwib infenst in ~1. (CMck ~ if wl Alreody svsjrct to o seawih int~r~u in onoN~er jwisd'~ct:on v.hen it vraa baryhr inlo this stoh. ~ whith is V~ote~ds of tM aiy~nol callo*erol dew~bed abw~ iw whitl~ a a~a~~b inM?est wos perhded: Cbeck ~ if cmrered: ?rocMds of ColloNrel a?e olw aov~~d. Q hod~rcts oF ColbNrol a~ olw w~rer~d. No. of odditionol SM~ts p~s~nl~d: ~j fiMd wi~A• ~Q'i Q {ilti QQ~'~j ~ ~ ~ iJ~ii~i~ M"'~ ' . / ' / r ~ . ~ < ~y~~ ~!1 a i~ _ . ~ 5~~~( D~bwis~ ~ Sipne W oi S~cw~d to.ylies) ~ ~ STAtlOARD fORNI - FORM UCt-t ~ g00K~rW PAGE _ ~ • , i • - ~ - r , . ~ .l . . , ,1y~.ar.a sp Ridq.a coick) s~«+.. s.c..b.y aI sra,., srot~ of f~o.~da - , ~ - - T - - _ ~ _ _ _ , , ~ .