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~-~tiANtIPK', STATEMENT 7~ D~efecrld b o id7nq off~s~. fw hl~n~_pw?uonl ~o r1+~ Unifo.~ Co~nm~rdol Codr . ] Matu.iy dcr~ .i1 pny., V~ ~ - - - ~ - - ~ - . _ ~ h!o..i (l:st N~me Fi.s~. ond ocid.~ui~s~ ~ T S«wd ?or~~'i~s? or.d od~re»,~s; For F~I~ey Ofi~ecr tDoM. Tim~. Nun.b«. ond F~nq Of~tr TOTE A POKE 'ASSOCIATBD GROCBRS CREDIT 1JNION ; p 3720 Okeechobee Rd. ;6695 N. W. 36th Avenue ~ ~ C+~ _ Ft. Pierce, Fla. +Miami, Fla 33147 ` ~?01 ~ ~ ~ ' REC4Rp YEPt~ilEp ~ ~ F;~~,ri - - ~ - Ti/ ~ • nq sroN~nav+~ coven eM'ollow'{ ~ypea ~tanf; of p~ep~rry: ~ ~ ~ 0? ~ ~ ~ 1 Starrett 2dr Ice ~rt Mod~BGOI, Ber#CG91042-2 3~~?~ True 4dr Cooler Ser.iA135024 ~ Bev Air 4dr Coke Bs Ser#910836 Mod~ DW94 s. ~..~~c.~ of s«,,..d «d ~~.-K~ Bev Air 3ir Coke Bx Ser#910893 Nod# DW~6~. Bev Air 4dr Bee~ Bx Ser~904830 l~iod/ DiW94 victor Cash Reg. Ser#2474107 a~~j~ _ rhe s«w~d porry(s), vrl+os~ siqnoNnts) eDp~an Mlow, s~o»s Nwt M+~ s a rpuir~d by CFwbbr 201, florido SrawNs. if my. Iwvr bew~ pl«~d on tIN promiasory instrwn~nM wcw~d~. ond witl M ploc~d on ony ~ add:nono) and awnilor instrwn~nt ~AM nwy b~ so s~cur~d. T~ srotem~n~ is filed wiMwrt Nr daalors siqnofuh b pMf~N o s~curiy inMS~t i~ cdlo?erol. ~C6eck if w` ~ - Al.eodr s~bjed to a sacwifp inNresf in wwlh~r turisdiction when it wos bro~qht inb this sbl~. »h~cA ia p~occds of ~M wiQ~nd callaeerd de+cn'bed abore in whicA a ascwil~-inNrest was p~+fschd: ~ ~~e:~ "_ii cove~~d: ~roc~eds of follah~ol or~ olw covw~d. ~ hod~+cb of Collol~rol on dw eovK~d. No. of odditiond Sl~ts pnwnMd: ? f er1 w:rt~: . ~ TaTE A POKE BY: WILLIAM NIDLAN ~ MI1.D8BD G. WIDLAN ASS GROCERS CRED : _ ~~G~t~..,~~ ~i't ~a+~...- - . - ~r= S~qnatwe(s+ 01 Wbtu~s} Siqnotwfs) O KVf! Poryj7~s`, , STANDARD FORM - fORM C-1 , . ~ =;l~r,a Offieer Copy -~Al~hobe:ica) , /~o~w•e M Te.~ ~do.~; S~oMeey eF S~se.. SIoN oi Florida ~ ~F ~ ~ ~ ~ ~y • ~ ~ " aoa soa-ooeo s.. ; Credit . Union - `~~'p~' s„ / _ ~•rouw swo~w~NO iilS N. ~iTN A~E. ~ ~~~T MIA~I, fllRlll ~ ~ O. sOX ~~S ~ISCAYNE ANNEX WAW, ~LORIDA. )~152 . ~ J~ W. Hdtd~ 3 MMUOSrt - I.~or?n O~cs~e 7 3 c COII~t Saviop Aecou~u Tote A Poke ~ 3720 Okeechobee Rd. • ~ Cerstiicacu oi Deposic Ft. Pierce, Fla. Chri~t~u Cl~ AccounU ~ parsonai toaaa 2 NCR Cash Register Ser~ 32-9789896 ~ xev ~neo Loao~ 32-9791535 ~ . , v.a euco toans 1 Walk n Cooler Zero Plate 10' x 20' long k st,aTe toa~ Carrier Central Air Conditioner ~ ~ NCR Cash Register FR-806387RR, N205397X-10 ~ Insurane~ Loan~ ~ boat Loao~ ~ irailei Loao~ . ~ ~ Caaper Loaas ~ ~tobile Ha~t Loan~ R ~OOX ~ PACE~,~ ~ ~ Score Loaiu ~ R~~cs Lauip~aat I.oans ~ Salf-Coot~ia~d lquip~ent ~ ~ ~r ~ ~tors Iniurance Loana ~ ~ A.C. Stock Loans ~ _ _ ! _ _ _ ; ~ _ . , _ . W ~