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1Ha FlNANCING S1AiEMBdT is preseMed a o filirg officer iw filinp punuarM a ~he tlniEonn Cam~oiol Cod~: 3. MoAwilp doee ~1 i
t. Deblats) (Last Nome Fust) ond oddiessles) 2. Secv~~d Pbr1r(issl and oddreW~s) , for Filinp Offioe~ Tree. tiun~.
GLE FINAl`CE °"d
~,ng, Henry & Irfariah .o. Box 32~s ~ ~ 293435
2?~3 !?v L APt 2057 S. FEI~LRr'1.L H~VY.)
Ft. Pierce, Fla. 3 3bS0 , pi~; CE, I=LORIDA 33450
n?is financinp slaun+.~? oo~e.: the td~ow~^~ n~+ (a ne~s) of wop..~r:
As listed on schedule security list dated 10-3-7~
s. ~aq~s.tsl ~ s.cw.a ~.hr ~t ~daw..l«I
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~ 6. The secu~r~d patylsl, wFwse si9rwtwels) oPPbn bebw. sto~as thot the siomPs rp~wad b1? C7aple~ ZO~.
fbrido Sblules. if dty, have been plao~d on tht promissoey instnmw~ts acvird henbp, ond will be
plooed on ony odditiawl urd simibr i~struina*k N~at moy b~ w s~wrsd-
ihis sto~msrN is fild wiN~ae rhe debw's sqrwtw~ b pNfed o s~cwiryr intswst in ooNoarrd. IGh~tk ~ if so)
- p Nn.udy x,bjscr w a:.ouri+r interes+ ii+ anod+er ju.is~ct~a, whu, a wos broughr ieno x,is sto~e.
? Whid~ is proo~sds of the o?iyinol oolloterol desaibed obov~ a~ whid~ a sK~xity in~erest was peri~ctrd:
Check ~ if aorsred: ? Pra~sds of ~dbterol o?s also oovered. ? Pr~oduc~s of CoUaterol aro olw cwa~ed. No. of Additionol SI+eNS pre~d:
R{d with:
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EAQ.E FI?:ANCE CuRP
, ~ 60QK PACE
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s~w~,.N.~ ot a.a«~s~ s~t~10~ vo.M~st
STANDARD FORM - FORM UCG1
(i~ Fiiirg Of4icer CopY' AI hebs~ice~ Approred M 16dwrd ID~d~I St«+e. Secretary of 5~aro. Stcte oE Fl«;do '
oc~c. io~?s ~a. t s~q
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