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~ i ~ ~ . ~ _ . . _ _ . ~ - - ~ - _ - - - - - - - - _ ~ _ . _ _ ?Hl5 HNANCING STATEMBiT is paa~d b o filig oH'~w tor fiMq P+rsuaK to the Unifoeen Corrmsrcia~ Cod~: 3. Ma~uriM dot~ lif ony:l 1],~79 Fo. Fiunp otfio.. (o~•. r.r.. IVw~... 1. 0~6wr1s) Ila~t NaaM Fi~) ~ oddn~sf~i 2. S~awrd PahfKSl and addr~ssi~s) . and RlinO Office) ~ f Sandelier, ZY?omas ~ Nancy AGL$ ~~ANCB , . 16?8 East 13~• St• •O. ~i4X 3265 ~ Sj~uart, Fla. 331~94 ~'S7 S- F~DERAL H~VY•) . PIERCE, FLORIDA 3345~0 2~3(~ nMS f~C:np sloMwwM aor.n ~he iol~o~ri~w A~A~ (w :~«m) of aopw+r: As listed on schedule "A" securi ty list dated 11-11-71t S~~ ~ . s. n» ..ou~.d par+r~sl, who» ~ipno~e4s) avr~«s t~?. ~s rtwt a~e stamw ..awna br cJ+op~. Zo~. Horido S~o~Mes. if oery. lwre bw~ piaoed m th~ promisaar irotruimnts ~ecw~d henb~?, and will b~ p{ood an ony oddtior~ol and s+eiku inc?ruw~k d~ot mo~r b~ os savnd- This sta~mrM is fiYd wiMwut th~ d~bbr's siynoh~e b p~fed a~ourib awrerst in oolblerol. (Clwck ~ if so) ?~+~f~ ~~p p a s~wrih int~r~f in anoN~sr iu?'s~i0ia+ wlwn it wos braryht i?w this stote. ? WI?id~ b peoowis of !he oripino~ Cofloh~al de~uib~d abore i~ whid~ o seawify inferesf wos pahclsd= Ch«!c ~ if oowr~d: O~ d Colialewl a~s olso cwered. ~ P+oduc+s o( Ca1b~s~ot we dso oorerad. No. of Additi«ai ~ phsaMed: Fhd wilh+ 800~~ ~ ~ EPIsLE FI2vAi1 ~ CORP 1~~i~ a ~ d D~ba1s) ~ Sgno~ueels) d Po~pli~s) y ~ ~ STANDARO FO~RM - FORM lKG ~ (1~ Filir.g ~Jff'ieer Copy - Alphebeticaf p~C, IDEAS HO. 1679~~ ~~dwrtl ID~c1c) S~. Seaetory of Sw1s. Stote of ilorida = r ~ ~ C/~ ~ ~ ~;7,y~~~ _..M1 ~ . x , - ' f~ _~it < , ~"a~r _