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i ; i ~ , ~ . i . f . ~ ~ ~ i . ~ o . _---i THIS FWAriCWG SiATEMENi fs pr~s~nNd b o ifiep oRicu iw Ninq purwowl b Ih~ Ur.iiw~ Com~n•rcw~ God•: 3. MawrnT dd~ (M owrk 1. O~bor(sllloar Nos~ F~rp) aud addnssi~sl 2. S~r~d Porhr{Ns) ond oddns~(~s1 For Filtnp OfNc~r (OoN, t4a~. Nv~r. ew/ FUwq OMK~I JAC830N, Werren ~ Armanda HFC Q~ s~ .~i~ °so'~wrtr~ - P. 0. Boa 1222 P. O. Boa 219 ~ ~~~t ~ Ft Pierce Fl 33450 ~ Ft Pieras ~ 3345o e~ ~co~o ~f~~F~o,`,~ ~ tkt ~9 12 ~ PM'~~ 4. TAif N~WwCMg ~blMwMl CM~fI II1~ ~ORO~M1~ MV~f IOf MNAt~ OF WOOMI~: ~ ~~sV ~ ' " All ~onaumera Houi~hold aoods." S. AssqnNl~: d S~cw~d ?ort~ Md ~WdrH~(~s) ~ ~ ~ . b CAd Y~~ ab~OS rpolr~d by CAop~~r ~01. F.S. ho.~ b~~* plot~d on M~~ YrpaUSwf insM~m~nls s~t~r~d A~r~bti. oad plsc~d en any edtMtonel ond uiw+br Ms~~ww~n1 Nwt n~ot M w t~ar~d. - ilus troNw~~u! b fY~ ~rNAaA I~blw's sqnol~rr~ b y~r(M o s~arr:hr cnqns~ In colleNrd_ (CA~cI Q H w) Q Alrwd~ w6~W b O~wrir/ MNr~st b wwlh~r wrNdiclbw ~AM H.ss brarq~l Inb M~b sbM- ? vAkl~ b V~ou~ds d~~ orqinal celiswrd ~~w~Md obo~~ M.A~cA e s~arrih ~nNr~q .e~ p~rlw~d: - Ch~d ~ d m.~r~A. ~ ProcNds d ColtoNro! an olao covN~d. Q PreduOS d CoNW~rel w~ elso ~o•~r~d. No. odditionoi Sh~~q pnaeNd: Fil~d wllh: C ~ S~p+w~u~~lsl d ~ i g~~ Sp..w..W o( O ~ STANDARD FOR - FORM UCC-1 Q4K PAGE F.;~,., a~r;a, C-~r A!~~ob~6to) _ A,pto~~ M 101M ADMtS. Sw~+o.t d S!~v S~c'~ c~ - ..`^ys., ..ra~. _:+F- y < - _ - - " ~ _ ~ s_ - ~ . . _E ~ _ ~ -