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~ THIS FINMICING STATfMBJi is presenl~d to o filiny officer fo~ filirg purxron~ to the Un;iorm Conrneic~ol Cod~, 1• 3- A~ohsifp dalt (if ary:~ ~
~ 1. Debto~s) (last Nane First) ond cddressles) 2. S~aw~d Portr(i~sl and oddrasslssl . For Filinp Offiwr IDote. Time, Nuniba,
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~ ~3S11?US~ ~1~13T'I 9' A~~eline I"~Vi:. s ~ia.~:yLL
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!~221 p~~e Ln {"~,;7 F+~i r~AT, I-?~.~'Y.} i
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~ I. Tha financirg sto~emwM aoren ths followi~g hP~ (a items) of propKty:
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~ As ~;.s~P~ ^r. ~c~e;3~~le A security list d~~e~ 1-1~ 75
~ s_ Iwqrw~s) of S~nwed ibnr and Add~ss1~1) }
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6. The s~cw~d ponplsl, wlwtt siyrwriKNs) oPPb~s b~1ow, states Mat the stomPs rpui~d bY CIaPNr 201,
~ Flo~ido 51otv/es, if a~y. hove baen plocd on th~ ptamisswy irW~uerrnri secv~~! herebr, a~d will be
~ ploted on ony odditiorwl ond similw i~WrurnaM lhat moy be os sKUSd_
~ This stot~ment is fild wiNa~1 the debbr's sgrahir~ b pKfed o s~cvrAp intenst in cot{oterol. IChsck ~ if sol `t
~ Q Alnotly wbjecf b o sscwity intuest i~ anoNN? j~wisdction w1+M~ if wos brou9ht iMO Ihis sble. ;
~ Q WI?icfi is prooeeds of 1he oriyu+ol ooibte~d described abov~ in which o sec~wir~ interest wos perfect~d: ~
~ Chedc ~ if aovarsd: ? Procards o~ Cdb~ol ae olw cwe~ed_ ? Products of Colbterol ore olw coverod. No_ of Addit~onol Sl+ee~s p~eM~d: ~
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~ 0 •R
600K~ ~ EAGLE 4'~'iA''CE C~~P ~ -
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~ Sgrwd+rels) of Oeb«ts) ' Siy~+o~nels) ~ ~1r1»s) ~
~ STANDARD FORM - FORM lKC-1
~ Filing Officer Copy ;~IRka6eticai i,~,~ b,, ~a.~~a io~~ s~. s~.~rory ~ Sw,,, s~at~ ~.;a~
~ O EXEC_ IDE/1S NO. 1679
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