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TH15 flNANCING STATEIM9dT is presented b a filinp officer k~ filinp purworM b th~ Unilam Cann~ool CQde: 3. Maihwily doM rif ary:l l~i-79
1- D~blo~tsl (tost Nome first) and oddrsssl~s) 4. S~cwed Portyti~s) aid addr+sstesl Fw Filinp dfior (Ool~. Tw~e, li~~bw,
Warren, Richa rd 3~ Frar.ci s FAGLE FI~AAi CE ~ ~ ~ O1d °~i0'~
1106 'Trinidad Av. P,C}, BC~'"~ ' ~ ?7 , ~
F ~ 0 (2L„^ ~ f -:,i.^-a, ?34~''~.).
Ft. Fier ae, la. ~3lt5 33450
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s. ?T~is fie~ancinp stotenwnr wren the fdlowiny tYP~+ (a items) of PnopwM
As listed on scfiedule "A" security list dated 10-1-74
s. Msipn..ls1 of s.ouwa lbA~? and /1dd~...fni
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~ 6. Ths sscsw~d Po~Ylsl. whose siyrwAxels) opp~oa below, sbl~es Nat the sbmps rpuitid by Clwp~sr 201.
Flwido Sbtu~es, if anr. hove bas~ ploted on th~ pranis~ory i~+ents a~cut~d he~bp, and will b
p{upd on w?y odd~tionol ond similor irntnxna~f lhat nqy b~ ot sa~arnd.
ihis stoNmaN is fikd wi1Fw~» the deblor's siq~wMe b p~rkQ o Mwrilr in~est a~ oolbleid. (Ch~ck ~ if so)
O AlrwdY wbject w a sawriry inrenst in a+oM~ iurisdiction wlwn e wos brouqht aao dsis stow_
? Whid~ is powds of th~ org~nol cdloteral dacribsd abwe in wfiicfi a secuitp irNerost wos perhd~d:
CMck ~ if aorsr~d: ? Procteds of Cdbterol or~ olso oovend. ? Products of CoHo~ol we dso ro~rered. No. of Additioewl S1~eMS pws~ewd: ;
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{I~ Fi!ir.g Ot"ficer Copy - A!phabetica{ AvP~~ bY ~ ~ °4 ~O~°. ~'f f~"d°
; r l~ 7 5! EI~C. IOEAS NO. 1 A79
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