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! - r . ~ 1 , , • _ _ ~ . _ ~ , . ~ E _ P _ - - - - - ~ _ _ . . _ _ - - - - ~ - _ _ _ _ _ _ _ _ _ _ - - - - TH1S fNiAlKNG STAiEMBVT is p~eaanhd to o filirg off'Ker fa Rir~ pxs~wnl b th~ Uniionn Goerm~rc:d ~odk 3_ Mofurilp daN (if any:) 1~.~?9 t. O~ort+i ~ Noa~s F"nt) ond odd~les~ 2. S~cvi~d Poryr(ws) and oddnssl~sl ~~u~Y 0~1 ~ Nunb~r, Skaggs, irtiilliam ~I. Amanda EAGLE FINANCS . . . 52~ s. ~~~n. st. P.o. sax 3zss , Pierce, :?la. 3?b50 (?n5T S. FEDERAL HWY•) ~ a ~'T. PI; RC~, FLORIDA 3345 ?i~i. fr~uin~ stn+.wi.n. aows a~e +oUowiig +~rp~. ~or i~~nn) of aop«~n As listed on schedule "A" security list dated 11-13-71t s_ k.iqr~.ts) or s«~..a P~f~r ma AddnsN•) 6_ n+~..c.M.d var+resl.••Ao.. sipnow?.ls) opp~w: bdow. stot~s ewt ,~,e swmp. ~.yuind br Qwphr 20~. Fbrido S~u~Mrs. if onr, hwe bew~ piooed on Ih~ prom~swrY irrtn~ms a~outrd her~r. ond will be pfocsd aw ary add~sorwl and siwrlor irdtn~r~nt Nwt awp bt os s~aw~d. ?his sb~www is 6Md wriM+aK ~he debb's sipnotu~ b p~rf~d o s~aKihr in~sr in aolialerol. (CENCk if sd O~dr w8j~d a a s~awi~r in~est in anoNw? jurid'i~~on wMn A woa brwyht into this sto~. ? Mllwd~ is poaMd~ 01 th~ ori~iwl aoHo~ol desvibed abw~ in wf~id~ o ~sarritp irwer~st wos p~hct~d: Oieck ~ if mrw~d: ? Prooed~ of Colbl~rrol oR obo oo~ree~d. ? Produds of Colbterol as olso oo~ed. No. of Additiawl St+w1s pn~aHed: F.i~d ~r~s ~~234 ~ 44~ EA(~E ~'It~ANaCE C~RP - s,,= ~',s~''~t ~ ~ d S~pnotin~ls) of S~cvnd PmtYli~s) STANDARD FORM - FORN~ tKC-1 ( iy Fifir.g Officer Copy - Alphabetica~ ~vP~~. IDKk1 5wrw. Sw~tary of S1ote. s~we of Fb.~do . D~C. IDE/~S NO. 1679 _ _ ~ - - f .~a.~~,.;:~ _~._x_~~.,~,~~~