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ni~S Flw?NC~NG Si~TEA~B~tT K p~eserNed w o fHw~p offics. tw FI:~p punuon~ a ihe un~fonn Canr+K.ool Gode: 3. Ma~wnp do~e Gf a.qr:) ~ ' r ~
t- Debtorls) (last Nome fitst) ond oddressla) 2. Secwed ibrrylie~ ard address(es1 Fw Filing OFfiorr (po1e. Time. Numbe~,
and Filinp Offics) =
~ri~ce, c~m.~ner & Mary AGLE ~~A~''~ t
1121 Linc3ln ~t, p.p. BOX 3265 L HV~~~• 29C8`76
~'t. Pierce, Fla. -?;i:5~ (20~7 S. FEDE
~~DA j3450
FT. PIERl."E,
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t_ n,is ra+ancing sto~enent oore.s the to~lowi^~ +rP~ (o• Hems) of qope.+y: ~
.4s listed on schedu~e "A" security l~st dat~d 8-30-74 ;
3
s_ A~siqneets) of Secvred PbAr and f.dd~ssN~1 ~
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6. The secued porrylsl. wFwse signanwels) oPP~ bebw. sto~es Ihof the stamps retfinred b~r CJ+op1e~ ?01, a
Flwdo Saw~es, if a~ryr. Fw~e been ploced an M~e prae?isi«r pw~umenn sccwed hereby. and will be i
ploced o~ ony additwrwl and s~nwlor ieWrun~f lhot mor be os seawsd. .
?h~s sfote~+t is filed witl~u+~ ~he debw's s~grwture b perFed o seawiryr iotarest in cdbeetol. ~Cl+eck ~:f so)
?/!l~eodY Kr~jeCt to a sawiry interest in a~oN~er fur:~dc+ion wFwn R wos bwught into this stote_
? Wh~d+ is procseds of the wgiml odbterd descr~bed above in whid~ a sawity intnes~ wos pe~fected:
Chec# ~ if cwered: ? Procreds o( Colbterol ore alw covered. ? Praducts of Colbam: ae olso corered. No. of Addiriawl Shee~s peseneed:
filed wnb:
--L~,~-Y~-~~ C __EAsI.d FIN~.tICE C;~RP
a ~ Q-n'~ ~ ar: ~
r~ `
Siyrwhx (s) of Oebwls) ~~s) ~ ~ w
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STANDARD FORM - FORN~ lKC-1 E;rt, ~ ~
t' ^-~~'~r=- rc- t.~'r.•.-:a6efiea[ App.wed bp Rief~ord (D~ck) Swne. Secrero.y o( 5eo+z 5rote ~~do
~ 1,~~t~~ p~t. IDf/15 M~_ 1679
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