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I ~ THIS FINANCMN's STATEMENT is Fre»~Md 1e o fixwY oF~ip~ i~ fil'~Y PR*'O°~ b tly Uniia~w Coiawsial Codr 7. MohwiAr det~ (if aa~): - 1_ Gb~s(s1 _(tas~ New~ Fasi) owd addreu(~s) 2- S~cYe+d MrbC~s) awd addrNSlas) - f« Fiip Off'.on iDa~e. T.~r. M+~~ ~~d Fino Olfic~) K~OYB ~~d 8/'1 , G!~!1'~ F~IIBIICe Ci01'~'8t.~0II iL 27iD2 Dslevars- Ave~nue 3~18~ S. ~Federal N3ggva~y ~C~~ p~: ~ Ft. Pie~ce~ FL 3345~ Ft. Pi~~~s 3~450 RECOR4 ~Ei~~Ep ~ ~ t Th:: F.awc:.q s/w..nM ~o...i ~u. rat~ h~P~ (a. iMw~) a. wav«+r: ~ ~ . g] Al) ef rl~e consu~~~ yoods no~ locm~d i~ or e~out Pr~wia~s constitvt:e9 th~ debtus' r~:i~enc~ ot tl+~ir oddress obov~ set Forth w a~ mr o~hK oddress b whick ~h~ sa...ey b• ~.eo..d oed my proo«+y ~ li:r~d b~b~- . s_ Ay • : uyn»(s) of Swrr~d Iarh a~d Addr~u(~s) i t "~J Th~ (olbwin9 proyettp: E i 29{35~5 ~ 2~Q58S ~ e. TA. .on.a Od+.td. .~ao,. .9~•.~'~(~7 .Oi... s.b.. .a. ....o. ~ a o~aw 70~. fk.:b s.ob..~ «.q. ~ vbc.s a. Ne o~o...v.. ....,,.~w. ,u...~ ..~.s.. od ~,a b reos o~ ..r wM.mrl .a .~ter :..o.~.. r~a ~er a.n .u.1.a I i This sbltwnwt is iled ~ri~hout Iht debbr's siqnoMre 1o PK~ecf o xc~h iwlMSt in aoNoleral. (CAeck if w) ~ Akeody sYbjRCt u- e secwiy in1~?esr in wwM»r Iw~sd.diew urhen if r.o' broryl~~ iwfo 1lws sta4. ;~.hict~ is pot~ds of rhe oriy:nsi cdbte~o) deso~ed abow ia ~rhich e f~cwifp interest wos pe~(tc4d: Check if woer~d: troce~ds of Cd1oMe1 an dw cewn.l. hod~rcb of Gdiare~al ar~ also cmrered. No o[ odo~fiawl Sl~ts prewa~ed: F~~ cl~k of circuit comct ; ~ ~ - - General Finana~ Corporatian F ~ ~.~.y ,i~~~-~~ «_.~L- ti. s.: Siq~oM~ts) of orbw.t•~ ~a+stKj ? ; STANDARD FORM - fORM UC~-1 ~~-1~ ~ r'~•.._. n'. _ _ f.i(.1.-~:_,-a'~ ~ . .':V ~/y'r;ie~.,~:.~~..ii _ Approwd b~ Rid~ard (Diekl S1a~t. Sw.ebry of Sfo}~. S~a~e of ~Ir;do - - - - - _ ~ - ..~~ir.~ ~ :"ri' . e, . . _ slt~',~-~`:~ . . . .