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i ; ~ i ~ ? . ~ _ . ~4 ~ ~ - ~ • - . ~M_ _ _ _ - - - - - - - - n~~s wwwca~ sr~h~ ~~a b a fi-~:~ fi~~ ~.~m a~ u~~~ c~+.~ coa~ 3- AAohKity du~e (if on~) 12-79 o.a«t.t F~+f ~a aaa~«t z. s.~w.a pa+rt~ ~a ada..~tw w. r;~~~ o~ r.~., r~~.., - Et:cLF ~~~~.Tc~ . - . ~ Miller, Ar~hur ~,.E~. 3109 Tropic Blvd 4,:-~°-, ~;j.`I;~??:~4T. I~~V~X•) . P ~ ~ 3450 . ~ : _ ~ Ft. Pi rae,F_a. ~ Fi". a~::-~~x~~~~,, i~~i~RIDA. 3:;4~0 na. R~w~i~g +w+.e~e+ oo~r~s ,n. +dbw:w rrn.. (w N«m) af wop~tn As listed on schedule "A" security list dated 12-12 7Lt • 29 ~a~Q 5. /lniprw(s) of S~aw~d Portp and Add~ ~ e. ni. ssaw.a ponyt.l. who.. sipna~krrels) aPP~s sbas thot N» s+omps hqui~d M~wp1e~ Z01. Fio?~do S~oa+1~s, if an~r, hove b~~ plocd an N~ PwmissaY imtn~rtrnls aeawrd F~~bY. a+d will b~ plond on on~r odditiorwl and simibr irWnnw~t tFwt nay b~ os secu~d. ihis stownerM is Rlsd witF~out ri~e deboPs sipraAire b pKhd a ~axiAr irr~r~st io cdbte?al. ICi~ ~ if so) . O Alnodr ~~d a a a~wih ~nanst in anoMw? iu?isdc+an wMn if wos bno~rgl+r iMO this stoM. ~ ? YMhich is pouds of ~he ori~inol cdloa~d dacrib~d obo~re in whitfi o feawily inlaest wos p~i~ctd: CINCl~ ~ if aovMrd: ? Procwtls d Colbterol ae olto aovswd. ? Plrod~cts of Collat~l ore olw aov~nd. No. of Ad~tionol SI~u1a presenNd: R4d wi1h. ~ :A*~CE G~u . sr` ~ ,w s~..w ~ o.~«~~ ^~~Q~ STANDARD FORM - FORN~ tKG 1 v1~ ` (1) Fiti~g Off~ce~s Copy - A1pFialusticeE . Mw~ M~=iw~d toickl sron~, seue+ory o( s~ote, s~cm ot Ho.~do ' ~i, ;!_5 _ 7_ E~C. IOEAS NO. 1679 _ _ ~ > _ ` ~ ~ tt:~-c _ - , - _ . _ ~