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HomeMy WebLinkAbout1749 i ~ - ~ i iHiS PI'~A ~C:.~NG STATEhf~NT ~s p~Kert!QC to e t~~~ng ott.ca~ tOr f~IIIf9 pylSUiRt !o th~ Jn:fo•m COmme~c~a! Cods: i3. Mstui~ty data !if anyl d ' _ _ - T. . _ _ _ _ _ _ . - _ ~ ~ 1. Gebtor~s? (Lest hame Fi>st~ and add~KS{es~ 2. Secu~e0 PartY~~~~ ~^d addresstesl ? ia ~•:~~p OM.cer ,p~a_ t,...e hs-or re -.Q C`~ce; g MIjd,II~~ JB~4SIS & ~ P$~.90ilAT+ `lSRIFT P?+Al'1~INC ; i1LE0 AMD RE ~ n wc~E coa Y r~yy~ r~a~r ~s ; p.o. eoa 3847 ~ ROaf R POITRA; ~ 1G05 AP~iUS H ~ 1~t~T PIc.F~SsFI' 33~ ; CIEIIK C~RCIIIT C~1ljf F~RT P~~CS~FL 33jup ~ ~/yJ RFCORO YfR?FIEO...~¦..~,~ ~ ---1-- ----1~" A Tb~s financ~n~ stazernent co~+ers .M tol~ow~ng tvaes to. ~tems'r ot propertv ; O ~ ' ~ 81.1. Ot d6bt.OT~ 8~uSBE~I.D QOOI~, FURNINRS~ /1ND - ' 5. AtsiqnN~sl of $~CUred Party ~nd Add~KSIM) ~ P,~iSO:~N+ pRQP~i TlC ; Y ~ „ _ r 6. TM ylC.pP1 p~rtti:t} yynp~~ t~Qr~'+~e~i` mDlM~ Gt-.Ow, i4~Sf tn~t r~e s/?^yt re~ri,.r~ D~r C'.~!+'~ ZQ7 ~b~da 5t~lut~y. .f anV. ~~.y (~Kr: h : K wacd o~~ tne Wom,swry ~~sV~•+~e-t, sr_•wea ~c.eDr. M«.~~ O~ O~aced r-~ rr aAa.•.ov s~c s m.i~ ~.nent K.rt m~ tr w se<v_r: ~ :c .--_.___-'-_"J__.__'-'_-----_".___ ~ Thts ststement if ~~~~d w~thoYt th~ y~blOf'S Siqna[u/~ :o pNt~ct a s~cu•ity int~~~st en co:lat~rtl. (C~~ck~if :p) j} ~ Cf AIr6iCy Sub)~CL t0 ! fKUtitY ~n~N~3t in inOthlt juriydictiOn W~1M N wN brOUQht int0 tAit ftAt~ t C ~ which is proc~sdy of th~ uriyinal coll~c~rsl d~sc~~b~d ~bove i~ which s securitv ~~terss[ w~s p~rf~ct~d- ~ ~ " - ~ ~ CA~ck ~ if ~Ow~ld: ?PrOClWt O} COIIatMa1 irR ~IfO cOwr~d. ~PrOduGif Ot COIIat~rsl sr~ slso covr~d. No. of ~dditlonat Shpts pr~ntW ~ ~ F~~~ w~=^ t~ERB OF QRCtJI? t7~URT OF ST. LUQ~OOtJ~tTY - i ~ ~ { • ~ - ~ ~ ~ --r'-_~~ - - _ - - - - - - - - - - ~ - ~ ~ J ~ - / ~ e,/x2~-`d~~- _ gv ~ _ .jL~~±~+ ~ • Si~natun~s) of Debtor s'~ S~ tu{Ns) ot ~c~rW P'srty(~es) ' f ~J i 4i STANDARD FOR1~'1 - FORM UCC -1 EOO1( ~rVV P.~GE', ; ~ Fi~~np Officer ~Op~/ • Alphabetieal AVProv~d bY Sec•etarY of SUre. S2a*e o' F+~~ ~ v - . . _ r ~ ~e`~'~~~ , . . ~ ~ _ . ~ ~ _ . _ , . . , ~ ~