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~ THIS FINANC~NG sTA1EMe~lr is pieserN~d a a rd:~p off-~u. tw rdin0 purnwnt a tl+. Uni~o.e+ c:onrnanao) codr. 9. AAonwir~r da+s Uf «qr) 10-79
1. D~b~alsl Ms~ Nane Fint) and oddnssl~s) 2. S~caed Purhll~s) ond oddress(as) _ For filieg Offioer lDok. T'rnt. t~iumb~r, ~
ond Flinp Offio~i
0~ Brian, Keaneth Sandra E cLE ~vA~vc~ - 293438
1912 W~~oming Av. P O. $OX 3265
Ft. ~'ier oe, Fla. 33~t50 ( 05? S. FEDERAL HLVY.).
. PIERCE, FLORIDA 33450
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As listed on sche~ule "A" security list dated 10-1-?4
5. Assipns~b) of s.cv..d Party and Nddnss(M)
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e. n+...cv~.a vmMs~, wfw...:pew~wals) ~s b~bw. .aMS ~twr ~h. s*omvs ..au+na M c~wple. ~o~•
Hwido SbMes, if anp, ho~re beee~ pland on dr promis+al? ~K ~twrd heieby, and wiii bs
ploo~d cn anp odditiorwl and wnilw irot~unisM dat nw~r b~ as s~air~d.
This s1o+r+wM is 6t«l wiNwut ~he d~ba's s"ywtwe to p~r(ect a rawihr inNnst in coltotaol. ~Uwclc ~ if so)
O/11r~odr wbiW w o s~aKitr ~^t~+~ ~n awdNr iuri~d'iction ~r1rn 'M wos brouqh+ imo this sto~e.
? YMhid~ is prowdi of the oriyinol aollo~ud desaibed abwe in whid~ o ssa+ritp imerest wos perfacMd:
Check ~ if ao~ru~d: O P~oc+d+ of Collalenol ~ olso ao.e~ed. ? Producb of Colbterul ore olso cwered. No. of Additionol Shee~s prasented:
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STANDARD FORM - fORN~ UCC-~
Filir:~ Gfficef Copy - A~he68~iGd{ MPrweJ bY R"id+ard (Diclc) Stone. Secretory of Stote. srote oi Florida
, ~ : ~ ? 7.. ~ D~G. IDEAS t~1C). 1679 .
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