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HomeMy WebLinkAbout2221 . , i , . ~ ' I I . I . - TM+s pwwcaac srATEMerr is p.ssm.a b a tilinp o~ox fo. ~:q P~•~,~ar a ~I,. tl~+;~ con~d s. A~uriry? aa1. (N a~n?=) 11-79 i. Drb~orts) Itost Nane Fiestl ond oddieafa) Z. ~~1~+~ dns~l~s) For Filieg Offiou t0ate. Tinr. t~~~. ~il~~+~ ? ~ and Rlinp Offiat) & Naomi ~'l. ~X 3265 i Grisby, Horatio~ Jr. . 1306 Av ~ ~ 2057 R~ ~ 50 Ft. Pierce, Fla. ,~.t50 . P~ . ~95393 il~is iinanc+np swum..N t,or+.s tlr idbwinp hp~s ~ P"0P'^1h As listeci on schedule "A" security list da`..ed 11-11-74 ~ s. ~piyn..~s) oF s.~ue.a vbnr /ldaw«i..1 r~ 6. ih~ a~aw~d portrisl, wlwae siprwRK+(sl aPP~s ~w. s~oas A~ad tM sbmps r~4rwed M~~~ • Florido Sbtuus, if anY. hort bee+ pbud on M» Promis+uY imtn~mnts s~cwed F~eeabp. and will bt p{oud an onp odditionol and similw ieutrunwnt M~ot n~oy b~ as s~a~nd. Thb sfolrne~M is ~ilsd wiliau~ tM dablors siq~whw+ b PK~ a~~h ~Kt in cdloreral. so) ? Nr~Y s~~bl~f q o s~~rih iM~nst in aaM+w juriadctio~ wMn it wos braiyh~ iMo this sbte. ? Whid~ is powda of iM oripinol adlolerd desu~b~d dwre in whid~ o ~eoiwity imerest wos paf~cMd: C1»t!~ ~ if oorend: ? PtirooMds of Cdfote~ul ots obo aova~d. ? Prod~ca of Collo~erol ore dw aors~ed. No. of Additiaal Si»MS pe~Md: Rbd rri1M • ~.~;~,,~p , Fa~a.E ~Ir~A.:cE caxP I(. ' . ~ . °'r sp„oh~.1s1 0~0~1~1 s'°n°K".(~ 4f »s) TANDARO FORM - FQIiM UCC-1 0!i bUQK ~+~G' (1) Filing Officer Cooy - AlpFia~ie~ica~ /?pprwed bf? ~+d+o~ ~Of~• ~'•'°n' oF 5rate, ora of Ho~~da - ~ D~C. IOfJ15 NO. 1679 _ . - - - , ~ ~ ~X _ - , _ e. r~ _ _ : ~ < ._y .