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; ~ . 'I f ih15 fINANCIHG STATEMENT b pnrnMd a o fiiwq oNiw for filiip P~aw~ b 1M Usiforw~ Caa~wrrcid Cod~: ~~4 dew ~ll: ; oebrn.:s: :Los~ Na~e i;?s+? end oea..ss!.s) ~O$5~~'j 2. s.aw.d ?onsfNSt ad oadrwl•s) ro. Rip ofrw. (Dsb, rr». M~w.e«. awd f~wy off'w) : ,.,~~,n, .:~Jr °~~3~~ r~_ era? _'in•_nc.: :p.•:-~~•. ~~on i~~~ ANDRE~~\ . _ ~ ~ ~ ~ _ T ~ J:... - CtE Cp~ a . . _,:ti _ ~ » ROCfA ~01T1t~ts 1 ~ . ~ ^e f _'i ~ • _`'='re ~ REC~ORED YER~R (EpT ~ \ ' F ~ ~ n,G: finona.y s~ohweM co.... rr foNowirw ~rva l« iMwn) or vrao«+r: `T All ef th• coe:r,aa~r peds new locmd ~n w ebovt th~ yre~is~s consriruriny ~h~ dsbton' resid~nc~ ot ~ ~ th~ir aMs~ss obsr~ set fath or ot my other oddrtss to .rhich fM sa~~ ~ar b~ rew~o~~d o~d snr ProP~~1 ~ lis~~d b~b.~. S. Assiywe~(s7 of S~wr~d ~wb awd Add?~ss(~s) ~ Tb~ folb~in9 V~~iwb= ~a7~~V ~~V~ ' - e. .o..e mn.w. .w. ..a...;v wav. e.b.. r» .m.o. ..vM..+ a c.eo.. Zo~. rr.~. s..,n.~ i1 .q. eo.~ w«.e o~ n. o.er..ory ~'s,..w+. ..c~...r w.qr. «a ~.i b. obad w w~+~ aw s.d. ..l..w M~a ~+r a e rw.e t1:is sbtewenf is f.l~d writhw~ the deblor's siqnoM~ b perl+d o t~airih id~resf i~ ooNoMa1. (Check ~ if so) Abeody wbl~~~ b O secvtdf inwrest iw anolAer jwisdclion ~rhe~ it w~CS 6too9Af iMe fhif sbfe. ~ ' wl~icl~ is prooeeds oF NK oriyinel cdb~erd desa~ed abow iw wAid o a~airifp inwrest wos qrhded: Check if co~end: ?rou~ds ei Calbtwel an olw cowr~d. ~ hodVCts ef CdioNrol olso cow~~d. No of odd~Y.wal Sheeb pn~ew~ed: ~ Fi1ed writA_ nj~ ' {y f•"? n!.•1.1 v _ a 3 0 R i ..e:a' .'in_.r.~~ _ •^~r: ;ior. ~ - ~ ~ , ~ sy, ? Siy~o~w~{sl O~bbrtsl Siynoh~r~fsl of ?orty(i~s) STANOARD fORM - fORM UCC t ~ ` (~:f:....~ i,i, ~ ' i tilj L, ' t~~ti~~Z.~,.~1C.f~ A~rov~d by Risl~ord (Ditl~ 5/wr. Stcrebry of Stot~. Sfa~e o ib~:da ~ . - s _~i_ _ .~v. " ,.,e- ,