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~ ~ . V~ Bor ?IL-1 Ed May '70
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~ 293666 STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT FORM UCC - 1 _
TtiIS FtNANCING STATEMENT is presentsd to a fili~p off'~cer for tilitq pursuant to the Unitorm Commsrcial CaN: 3
i. Debtoris) llsst Name First) end Addrou 2. Ssaind Pa?tY ~ed Add~as * For Filiny Off'~lDate. Time, Number,andFilin~
- L~` ?F?~rFI('I:AL FI`•~,t~~ Cr~t~o~~~v Otfioei
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4. This financinp statert~ent oov~ts the followinp typeslw itemsl of property: (Chec* Dox w~htch oppHtsJ
Aq oJ the houtthoid Jiutilturo and f i~rnithln~ tleeMcd and aos oppilsnee.t~ lncludirg ttltvidon
scu, phono~phs and ncord ployen~ rcfi~r~oton~ et~. and othea pt?snnsl pmperry now owrred
D or henafter aequtnd [n replocement thtnojand now or hertajtei located at the naldence oj the
Debtort at tke oddres,r Riven uDov~e in Box 1.
5. Assignesls! of Securcd Party end Addressies)
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~ 6. Chedc if true x[J me stamps ncwirod by C~soter 2ot, F.S. have bee~ P~so~d an the promi~ory iratrumen
~ secured hereby. and will bs plaad on any ~ddition~l and similar insuument that msy bs so ~ecurod.
/)ocumentary stanps anac)ud to ortat»~l note and caneelkd
This statement is Tikd without the Debtord siynaturo to perf~ct ~ sswrity interen in collste?sl. lCheck ~x if so)
~ ? Already wbjsct to a sewrity int~nst in anottte~ jurisdiction when it wss brought into this state.
~ ? which is {xoceeds of ths oriyit~sl oollateral d~scrib~d sbore in which s sscurity interest w.s psrfscta~d:
Check[lif covend: ProcNds of Collaunf an slso ooverod.QProducts oi Colfamal are slso ooversd Na of additional Sheea presanted:
F1~¢d Wl~l: ~ ~t/k Of t/~! C~tCt1~t COY1t Ol ~ ST • ~i~~ ~ r COYAty~ ~01~@
C Secured Party ~ .
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,Debtor STANDAR~ FORM - FORM UCG1
* 7ypt j4r1! and eanplete enrporate nama
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