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HomeMy WebLinkAbout2802 . i ~ i ~ ~ ~ ~ INIS FINAlKU~IG StATEMENT b v+~rnwd a o 6Cwo oflie~? lw 81i~o wnnaM to Mr uniferw Coww~cial Cod~: Ab~urib dsf~ t~f a~1r1= o.wo.t.) (taa rw~~ a.a oae...~t.s) : s.~..a ~«+r(~..1 a.a wea~+at..) ro. ~~a ai+y? too~., r.~.. ~,,~.b....~a ~.o orr~.) w /asa7. 1!~?P~1~3ns 1bb~et L G~6~~Z F1~d~ OOQ'p0~'~~ iT~LJCkE "v I UM~Y ~j~ ~'~N ~i ~ ~1~ - iiQGi~: ?~I?~tA~ Ft.-Pia~as, ~L. 33450 Pi~a~ ~la. 33f?SO ciERK ^.;:~u~r coust liFGO~i:; Yrc: ~.c~ 4. This finawawp sbNw~n~ tor~rs dy iollovrieY h'P~s lw ilnwf) Or V?~bi ~T I' r~ All of th• cons.r~~r foods nor bcot~d in u obout ~h~ Prwis~s constitufin9 th~ i~bt~s' r~sida+c~ et IMir ed~r~ss obov~ sN lorth or ot anr oth~? edd~~ss b.h~ch rM sa.• .er b• ~..o•.d a~d a~r o.oo«+r list~d b~bw. 3. Astiow»(s) of S~cw~d ?arb osd /Wdti+si~s) ~ r~ Th~ folb~iny yroy~rtp: ~~A ,~~A i~ V ~L7V'T~V ~ 6. ih .e~~ o4q10. .row rrw•:~I aoow+ Mb+. rw. wa M. o.~es rN~+~d bn O~~or~ ~DI. florid~ Srw.'.a d a~. 1rw l~ee Wx.r e~ M~. va~.~+ar ~^r,ww+ a.c,nd ~w~6r. «d .wll M obed w w~dina+~ wd wwlr ~w~r..r+ M~ae ~r M ~o word_ ~ - TAif stele~w~wt is f~d wifhwt ~M d~bfors si9wMr~ b PKfM o t~twiry iwM~st i~ colfof~rol. (Ch~ck ~ if w) ' Alrqdy wblN~ b o sew~iy :nf~n~t in owo1AK jw:s~ction v~h~n it vnas brwyAt iMO Ihis sbte_ ;]~.hid~ is procwds of Ilr oriqiwol collo~d dtW~d abow iw which o s~awNp inMSSt ~ros pMiectid: Cl..ck if aorp~d: ~ hocNd~ ef Ge11sM~e~ er~ olw oe~wred. C frod~fs of CoYohwl an obo oora~d. No of odditionol 51~eeb pnrwtid: nlea'ic os o.,....,.t+ lhs~as~ C~maeat.ica . ~ - ~ ' ~ ' e~ s«~„d STANOARD FORM - FORM UCC-1 ~ ~ (1) fitir~g t?f#i~er C~py - Atphabetical ~.,..a br b~ ca~~ s~., s«..+~.,~~af3+'a~ s,ak ~ r~~,e~ _ _ , ~ ~ , , _ - ..~~'3t.~`e ~ ~ ~ , = r-.~ ~ - ~