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; ~ ~ - ~ ` ! ~ ~ _ - - - - - - _ _ : . _ _ 5 FM.At~EmtG S~ 4TEMENT cs O«~S1~Y fC i!d.r+~ pft.etr f0' !.l~:tq A~YSi:M~t l0 iM Ur1~10rIn COR++*Wt~lt COtl~ ~3_ Maturi~Y dau lit snvf : Wbto.isl ttas[ l~s~+~e F,rst! r+o aoa•aa~i ~2. 4scu.~cf Partr+al se+o sdd~~ast~sl -__--j-FO~ c~,,.K o»c• i.~n. <<..~. N~n~ee.. ane c:~.~y OM.ce+ i ( 4 wt 1.L~OiRi~ i~iY ~ rmiViri/ ~Si rii~Y~ 1 5~~~~I~~ ~YM~Y 8? ~ 1 Ba2 4~0 LD! #1~3 - f P70. B~Z 381t7 - ~ RacER Pa~t~•i l ~ ~ ~ ~IERIC CELC{Ilt C8{IRT lOB? PI~,FL 33450 ~ RECoA~ v~P~f~Fo i _ t1+:s twuncin! svc~.enx :c.ses tn~ fouos.4M trws toa .urr.at at w~tY- ~ ~ ~ ~ ~O ~ .7 4IJ. OF D~~$~S ~1T~.D t~0~8, F~1ST~ i~ID PS~90bt~L ~P~ _ _ - 5. Ass;ye~.(.) or s.cu.~a P.+sr and e~aar.nl~sl > - ( } ~~436 i ~ ~ _ - ~ 6. T~e svad.wrvhl. wti sy.a~~*~ sws e~-:. ar~ Mst w~ zeass ~er w~are 20+. ~v4 Sr~wa. nw~ :,een ~ - y~nG on Y~ vwrr? es.re~ts ~ eeab?. aaa ! ee ~SaO e s~r ~awa a~0 w~~+r .em~aw~a~ Mw rMr Or r se[vtl - - Ti~is atst~n+l~t +s fiib wiChout t7N dlbtors s:~[+Kt TO Ow~i s tat~wiif intK~at in coNSt~ral. (CMtic~if sol ~ AN~Oy s~a ~o a s~c++ri~ iacr~i :n ~ewafw g~r:id~ctioa ww~ ic wsa ~w.y~t in~o Mis stsa. ~ w!?icA ia ?~otMQs of tAa ori~W cOWSUra~ dnKnO~d ~f0~~ in a~A?~cA s s~cur:all iRtf[~sl wiw p~?f~ct~d- . [hKlc ~if tOrMid: ~?fOC+i~dt 01 CO~~i[~id a[! ~1lO COM~b- ,~hOOYNf O~ C016NKf K! i~lD COV~fld. NQ O~ WditiOf~l ShMRf W~Nf~Ud: ' ti+w.•;~*: Q,~C OF Q~JP•! ODUBT OF S?. I.UQB OOt1~ P~901W. Z~IF? Pl.~T~DiC _ $r= ~ s w or5.cundPSrtrl~.s) Sirytu~ls) oi Dtlxa sl S7ANDARD FORM - FORM UCC-1 6QQX~ F~CE s~ 1'' Fii; (.;~f ~ r • r•/11p~betica) Avwowo t,r s~c.aarr ot sata, st•*• or F~o~ A3 ~`~~m ~ ~ u"~~ ; _ ~ ~ ~ . - ~ - ~ -