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HomeMy WebLinkAbout0670 + t ; ' - _ ~ ~ ~ - - - - - - ~._.~..-`.7~'•-~---~~~o-~sn----~ ---HfS FtNANQNG STATE!.~ENT ~s D~Kanted to s t~:inp oit~cN for t:l~ny purw~rtt [o th~ U~~}o+m Commetusl Cod~:-~ ; 3. MatU~ity da.s 4it ~n~1- & ..i ~btorls) (Lass Ni++e F~.sel and a6d~ass(as) i 2. S~eurrd PMy(i~s) and a0dr~ssl~s) ~ F« Fe~~ ONCw IGatr. i.me. TMtw. rb Fd.eyOM~a! 1 Personal Thrift Plan, Inc. 4 ~ .,].ice (~reris ~ ~~,~QI~ 2708 :+alker Dri.ve ~ P.O. ;~ax 3~~? ; R~[~ Ft. Fierce, rla. 334~ ~ Ft. Piercz, Fla. 33tt5~ ~FQ~RQ y~s tIL~ - ~ ~ o This f~nu~cG~,q s:stement cowrs cns ~aiow+ny ira~s ~ o~ +cK*+:i ot wovercr- ~ ~~~~~~a? ~ ~ ~ ~ i ~yT_. 0~4' ~i:i~iTL 17.s:3TCi S ?~j: ~;:1 i : *i~•iS~EIOI~ C-O~DS, .',iTJ .`~...,''~•90 h ~I, # 5. assiyr~ta) ot S~cu.W P~r:r and Aeor~ss/w) Pc~OP~i:Y ; k ; # ~ - - , 6-~-T~e wc~rW O~w:d. w~nese W.auseh~ aoo'+~ t.e+o+.. ~tatrs tM~ nx :ts~roa r~o~.nW b: Groee~ 20t. fw.~e. a•wwn. ~t sh. ns.e e~ee.+ _ - i s~{ t pyCtl M fM PO~YQn ~*~vrw'~t atv~0 ~fe~e0~. Id w~: b~ P~~W o~ /7 tl6e.o~~ i'+e a»~a+W •rrrtruR+M~t i~1/! ~W D~ fn fKV•O ! This stat~~t is ti~~d witlr~ut th~ d~btor's siynatur~ ~o Ow~Kt s sac:a~tY ~~jp~ i^ ~o11~t~N. (CMck~1~ sa) ~ ? AirNdY subj~ct to ~ s~~erify inu?~si ~n ~nothM js+~isd::.tion wMn it was broipAt int0 this st~t~. ~ which b Wocwds of ths ori0inal colNt~ra~ dasc?ibW abow in yrAich s s~cwiri intxM +~s D«fa-t~d. ~ ~ Ch~ck ~if cov~rW: iorocsbs of C~Ilata~t M~ a~w covwW. ~Producu oi Collatka~ ~re Mso cow~d. No. ot sddit:o~+M S1+Mts 0~~~~d: _ i• y FiNdwit , ~ ~+T ~r~ r-r~•~a n.^r~xr.~ - --~~l-viribttlY-sssr-!akl~viB-~iTZ r----- ~ ` P~:%i~~.i, ~r:.~.~i 1_2a~ I21C. ` - - _~~E1o~~~~-- - - t eY - ~ 9y~ - - ~ 1 f Sq~atu~~(s) O: O~bio-~s} STANDARO FdRM - FORM UCC-1 ~ c,[.~ ~ Qf4;-~, Alphabctica) OY SKrKS~Y af SVT~, State ct ~ _ ~ - - ~ r _ ~ _ '~`~vr~ § ,a - r - ~~s°'~"~`~aa" _ . .:'~~'p' ~ ~ _ . . . , _