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! 1+ ' . . . 1 - . , . _ ~ ' 'I ~ ~ ' ~ ~ ` • f . THIS flNANClNG STATEMB~R is pASUN~d b o filiig ofFialt iw fllinp "putsuwM b fhe Unifottn CAmmertwl Codt: 3- N1ohKily doN !if any:~ - 1- D~b~orls) (lost Nanr Firsti and odd~ssl~s) 2. Secw~d Parhr{iesi ond oddnsslss) ~ fw Filirg Offia~? (Daw. Time, Nuwb~r• ~E ~•~AN~ and Filinp OtRod White, Calvin & Patricia 0. ~X 3Z65 ~ 2?0!, Av M 2057 S. FEDERAj- Ft. pi er es, Fla . 33450 . PIERCE, FLORIDA 3345~Q _ a_ nus ~+o~~np +b~aew~ ao~~s n~. fdbwi~w ~YP~ (o. nems) of wop.rhh As listed oa schedule "A" securi ty list dated 11-15-74 S~~ ~ 6. Th~ s~ou~~d pon~rts). whoss sip~whrtNs) aPP~ b~low. s1aA~s thof the stomps ?~quind bp U+oP~er 201. Flwido Sw1Was, if ony. hove beu~ plocad an N+~ prweis~aY irWn~nts s~cur~d f~e~aby. and will b~ ploced cn cny odditionol and siiewlar iiutrwnM+r ~ot enay b~ os s~cwed. This sfalMnwM is fibd willwuf ths dsblor's sipiwhn'~ b pafect a s~curily intMest in collateroL (CiNtl~ ~ if a) - ? N~Y ~~N~ ~o o~'~1~ in aartri lurisdiction wlwn it wat bra+yl?t imo tAis swte. ? Mfhid~ is proa~ds of the oripinol oo1loN~d dntribed obove in whid~ a s~axily interesi ~ros perf~c~ed: CMtk ~ if oowrd: ? Prvc~eds of Cdiotaral ort also cov~+d. ? Protlucrs oF Collmerol aro olw tove~ad. No. of Addtionol Shests p~~ed: Filsd wi1h: ~ ~ . ~p L+~} ~*~/~Q ~p~ Cdf3ldi P 11tiKl~Nri CV[1C - • ~ - 6ra~ ~ ~ s~.~~ ~r o~w.,~ ~ s~+~+~ ~ STANOARD FORM - F4RM UCG1 (t~ F~f;ng Officer Copy - Alpka6stica! Avw~ M~~ ~ad~t sw~.. s.~~r ~ sraM, sro+e ~ ao~~'- ~~Q~_ 9 DQC. IOEAS Pl~. 1679 j / i * ~ ~ ~ ~ . ~ ~ .~~x'--~~ ~ ~ ~ ~ - _ . . = =~.~~~`~~..~'.z , _ . : - . ~