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THIS FINANCING STATEMB~li is preseMed b a filirg officer fw filiq pur~uom b ~he Uniform Conrnea~ol Cnde: 3. Moh~ritp dote (if any:~ ~ r, `
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1. pebro~(s) (lost No~ne First) and odd~essles) 2_ Po es) For f~Gng Offioer IOute, Tins. Mn~bsr. ~
o~bro t EA~E ~a~'~~, ~d orf~.l j
Sullivan, Janes & Bertha P.n. FOK 3265 . :
Po Box l~Bi (ZOS7 S. FI?Dr_itAL HWY.) ?
~ F~. Pierce, Fla. ?345~ FT. PIEt`~C=:, I~I-C~F.IDA 33450 2~8?7~ ~
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This finondng stokn~nt core~s the followiny types (or itcros) of w'oP~A~ i
~s listed on schedule "A" security list datea 5-16-?l~ ~
s. wssKp,eelst of secvr.d Po.hr ond Addr~ssi.sl ~
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6. T?~e secured porMs), wl~ose sgrwnwNsl oppeon below. stares that ihe s~omps requirod by Choper 201, ~
Flondo Sb~vees. +i or?Y. hove been ploted on the promissory insrnxnents secwed I+e+eby. a~d witl be . g
v es ~
plocld on ony odd~tiorwl ond similor irotrurtmerf 1lwt moy be os secwed. ~
This stotsir~M is fikd without the deblor"s siynohwe b perfcct a s~arrity imerest in cdbteml. (Cf~eclc ~ if so) ;
O Alreodp wbjed ro a seairity intercst in weoM~ jw~sd~ct~on w1~sn it was brought inw tFws state. ~r
? Which is prooeeds of the agvwl collaterol descri6ed obwe in vrhid~ o secwity interest was prfased: -
Chedc ~ if co~rered: ? Procreds of Cdloterol we olw covered. ? Produr_ts of Cdloterol are alw mrered_ No. of ldditiawl 51~ee~s p~sa?ted:
Filed wilh:
~ EEl ~'I':~A?ICE C0. _
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Nr1 Deb~orls) ~ S~yrwwrc~s) ~as)
STANUAR~ fORM - - FORM lKC-1 $OOK ~GE~U~ ~
(Il Fi~ing C;?''c~- C~- naEietiea~ Mw~ M R~dwrd ID.e#1 Swne. sec.emry or sro+e. Store oF ~~o~~do
; ~ f~C. IOEAS NO. 1679
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