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HomeMy WebLinkAbout1236 i E f E i ~ i s 's 3 Y $ ~ ~ _ _ . ~ ~ i F:NANC~tJG STAiEMENT ~s pr~sen!•d ~o o i~imq cH~c~r For t.i:nq pursoo~t ~c ~h~ Un~form Comn.~r~o! Co~• 3. ~ea~ur:ry do~~ ;~f onri= ~ ~ ":eeto~(s) ~lost Ivam~ F~ne! o~d oddr~ssi~s: 2 Ss<u.~d ~orry(~~s: o~d oddr~~si~s7 fo~ F,Imy Off~c~r ;Do4. Tlm~, Numbp, ond Fil~ y OH.cil ~ ~ FILED AhD RECVR0~0 ~ 3mi}-~., ~~nn ~urline •.~~;sehold yinPnce ~~rp~rati n ST.WC~ECOuNT1rF A. ~ ~ 190? Il 16th ~t PO ~3ox 3?_~ 9 aocE~ ~o~tR~S ~ CIERK C1~CUIT COUR O ~ t ~Rrce 1& "'t r i~ rce la Z 3~} ~i0 Rf.COR1 VEE'.:fiQQ„~ ~ ~ Z ~I~ ~t~ ~ ' a~'*~s hnonunq ~toremeot co.~n ~M fobo.+~ng r~p~~ ~o~ aems' o~ vroG~~~~- ~ a ~ M~ Il 12 3~ PN'15 ' ~ 3 - ~ . s T. \i - . ~ ~ ~ " S Ass~gn~~i+! d S~cu.~d Corty and Add~~~s~.es! . ~T ';U:..~ - _ L•~ s ~ ~ Ch~d M trw ? TM s~amps r~Qu~nd b~ C1+op~~~ 201. FS. ho.e b~~n plond on rM p.om~ssorr ~nurum~nrs seco.ed ' ~~.~by. ond ~+II b~ vt«~d on an~ odd~r~ono~ and s~m~ior ms~r~m~n~ Moi mo~ b~ so s~w.~d ~ b; Thls stot~m~ol b filsd .riMou~ M~ d~bror's irynoru.~ ro D~rf~ct u s~cunt~ ~nr~.~st m coliof~roi. 'CMc1 ?x If so~~ ~ ? alr~odr sub~~U to o»cvN~~ ~nt~r~sr ~n onorh~. iv.~sd~cr:on ~h~~ a..m ~.wQAr ~mo r!++s stot~. ~h~ch ~s p•oc~~dt ol ih~ o.~pt~ol collot~rol d~~crcb~d oEo.~ ~n ..h~ch o a~curir~ ~n~~.~s~ +os De•f~ce~d ' -ecY ~~f m.~r~d: ? Pr«~~df ol CoUof~rol or~ oiso co•~nd ? Drodvcn of Collat~rof or~ olso co•~r~d No. e~ odd~f~o~o= Sneers crese~~ed ' - ~i~d ..~th: _ ~j _ - ' ` ~ j, i~ t j ~ (-l_'r~-v ~_-l~ ~,f,, L~ , ~ ~ , ~ ' ~ ~ ~ci ~Jr ' aY `~;~,t/' . :t~tii~. t" C~~"CE_~<.c~ i l ~ - ~.x,,~ Sqno~vr~i~i d O~bror(~) ~ Stp~or~r~.~; o Sec~rrd Fa.~~{~~s) ~ ~1 R STANDARO FORM - FORM UCC-1 6OOK~~ PA~E'12~ - - ~.~,~~a: ,t~ • . aoo~o.~d b~ iOM 4GMAS. iwr~~•. J c• c: ~ ~ ~ ~-'6 ~ : : . < ~ ~ . . . ` - - ~r.'~ . _ . _ _ ~ ,_:t~_