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iHIS HNANCING STA1EMBdT is ptisaMed to a filinp offioa for Rlirq pursuaM b the Unifonn Gonr~ercid Codr. 3. Moturi~y datt Cf ~1?=) 12-?9
1. D~brtals) (lost Nome firstl a+d oddrrssles) 2. Scwrd PorMi~s) and addnsNesi ` . and Filinp •Offio~ • tiui~, _
Mahovetz, John S. GLE FINAI~TCE ~ •
b01~ Av D O. BO}: ??65
~ ~ p ( C~ :7 F~?~i R~L ~-T~VY.)~ `~'7a~s
Ft.Pierce, ~ la. .3~t5 _ _
. ~''1::C~:, 1;~:_.~iT~c~ ~;3~54
4. ihis finonc~nq swMenwK ooren ths folbwirw ~f~PK (w i+«esl of piop«M
As listed oo s chedule "A" security list dated 12-7-7~t .
5. Msiyr~ts) d S~cur~d Pbn1? Add~1w)
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e. n+e seaw.d Po.yrlsl, whos. s:pnonirets) oPP~s bbw, stoh+ b~or ,I+e stomps nauied M awpe? 20~. ~
Hwido SbhAes, if a+y, have b~a+~ plot~d on th~ pranissaY instrums~?ts ~aw~d Iw~ebY, and will be
plocsd on ony addilio~wl ond simib~ i~n~nwa Nwt ewy b~ os s~arnd.
ihis sbNment is 61ed wifl~ouf the deblor's si¢w1w~ b perfeD o uarriry inl~st in odbleed. (CMdc ~ if so)
? Alnodr subNct a a aavrity imaest in onothv ju?o~ction wlwn if wos bivupht iMO N,is sfot~.
YYhid+ is powds of the wginol aollaterol dacribd abort in whid+ o seawiryr i~est was paf~c~d:
Check ~ if oorar~d: ? Proc~s~ds of C.ollaterol on aho ooverd. ? P~oducts of Colk~erol ore alw oors~ed. No. of Additionol Shas~a pracM~d:
RMd witlh
~ EAGLE ~"Il~:At~1C~ CORP
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DARQ FORM - FORM UCC-i i~
1 ( I~ Filing GffieEr Copy • A1 66tied ApP~aved M 16d+otd IDicic) S?a+.. Socneary of 5rot., siore of Florido
/ EXEC. IDEAS NO. 1679
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