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THIS FINANCING STATEM9iT is presented to o filirg officer fw filinp punwnt b/he Uniform Cwrrnerc~ol ~ode:_ 3. Matwity date ~if ony:) ZC-79
1. Debtor(s) Ilust Nane Firsfl ond oddressles) 2_ Secured es~ Fa Filing Offioer (Do1e. Ti/ne. Nun+b~r.
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~ 6. The senxed ponYls). whose sigrwtwNsl oPPeOn bebw, sta~es Ihot 1he slomps req~rircd by Uapter 201,
Flwido Stctules, if a?y. hove been ploctd on Ihe promisaory instrurnenb secvred hercby, ond will be
~ ploced on aMr add~twewl ond simibr instrwneft that mar be os seaxed_
~ o sscwify iMNeft in colloterol. ~{Chedc ~ if tol
This sbtaneM it filed wilF~qrt the debbr's si~w~Re b p0/iM ~
~ ~ q~r~ody subject w o secwity interest in ano~F~er Iwisdiction when i1 wos braught into this smte.
? yyh;ch is prooeeds of the aqinol oollaterot descn6ed obove i^ wh'd+ o secwity interest wos perfected:
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~ Check e if co~ered: ? Prooeeds of Cdbterol orc alw cwered- ? Products of Cdloreml ore olw covered. No. of /lddirwrwl Sheets p?esented: T
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STANDARD FORM - FO ;GCC-1 a
~abetical ri~.oKd M a~~twrd lo~ctl s+one. Secre~ory oi Srofe. Srore of Flo.~da
; i~ F~'~nn ~fj;c^c C^rY' p~ ~J' 1679 ;
EXK. IDEAS NO.
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