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T11~ FiNANC1NG 3TATEMENT i~ pn~ested te a ANes dbcer t~? RUat prw~aet 1~ t1~ Uaifors CesMrcial CoAe. ; M[~turit~ datrti! awr)s ~
i Deblor(~) (Lo~! Nams Fwst~ ond addrsu(s~~ ~2 Sseursd tarty(ist) and addrsu(n) ~~'cc~ p~cs
Stein, Dr. John N., d/b/a XYOmed, Inc. ~
2 45 Lura Ave. ~~~F c u~~Y ~i~.
Ft. gierce An3.nna1 Clinic 1 y o~fR Pott1l~?S ~ =
2801 Orange Ave. Cincinnati, Ohio 45206 c~ERx c~~cutr cOuRT i
RECORD YERIFIED ~
Ft. Pierce, Fla. 33450 ~ ~
4 This Anaeeia~ st~tement eo~en the followtni 1fi+~ (or items) ot pwptrt7. ~
. 294Q24 294024 ;
1 model 3235-6 Universal 60MA XreyUnit Control s/n CG0069209
• Tube s/n $E50930374 -
~ Aeei aed to: Third National Bank &Truat Co 34 N. Main St. ,?Dayton, Ohio 45402 .
S
, u ~€-~n-- have been
~ The documentary stampa required by Chapter 201, Florida Statutea, y,
~ e o th romiesor inst enta secured ereby, and will be placed on any additional
and s~ar ~atrument t~iat ma~ie sql~ecured
This equipment is leased ~o the debtor party and awned by the secured party.
Chaek ~ i[ eo~ered: D Proeecd• o! Collaterat ar~ alw eo~sred O Produet~ ol Colbt~rd ~r~ alw to~ered No. ot addltloa~l ~h~tt~ ar~wat~t
F1bQ witb._.-... '
Dr . o N. 9~e a .
XY ,r_.....,Inc . -
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' By:~...__ By: _ .
r(• of D~btor • - tsatua $teurd Pi?rt )
i ili~ O~'ieM' .
7'bit /orrr o/ ~w~~ti~s tliln~rr! h~f~re~r/ ~y fbt Sttrtl~ o) St~!/. -
STAHDABD p'OSII-UNIF~08M OOl[YYSCIAL OODBr-UCC-1 ~~06*1(~
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