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THIS fiNANCING STATEMBdT is prssented to a filinp officer fw filirp pursuant tp the Uni(pm Comnerciol Code. 3_ µ,olwiry daN lif any:)
Debtw(s) ILost Nane Fint) ond oddresslesl ~AVLG Z"'tVl:i'~~ssles) For f~ling Offioer IpaM. T'rae. Nui~. :
g • and Flinp Offias) .
~ Johnson, 'nlillie & Annie I'•n• ~
1~09 N. lfith. ~t. (2i 5 i r~z..r;i~T ~j~'.~.
~ Pierce ~'_a ~~1c5p Fi. P==->:~~, ~;_:,i:Il~.r~ 334SQ
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1. 1}llf flflOfKlfl~ f101lfIMl11 ODVlff iht ~~OWIfl~ fyqf ~Qf 11lt11S~ OF pf'Oplf~: '
`.s iisted on schedule "A" securi ~y list dated ~-1-?5 ~
~ s. /?ssiynsetsl of S~nirsd Purty «d Addnss~ '
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6. The secwed poAy(sl. nrhose siynolvrelsl oppson bebw, stotes that N+e sbmq requird by Chop~ei ?Ol, t
~ Flo?ido Sto+~les. if ony. hove been ploted on My promissory iratrtwns~ri seaxed henby. ord will be a
~ Placed on any oddit~onol a~d similar instrurnent tMot moy be os se~wed. ~
~ This :tatement is filed without the debbr's siyrwture b perfect a s~evrity intuest in colloterol. (Chsd~ ~ if so1 ~
~ ? Already wbjeet ro o secv~ty inte~est in onothe? jurisdic+ion wh~n it was brovqht into this sb1e.
~ ? Which is p~ooee~is of the wiyenal colloterol described obove in whicf~ o secwity intercst wos pe~fed~d:
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Chedc ~ if cove~ed: ? Proceeds oi Cdbterot ore also covered. ? Products ot Cdloterol ore olw covered. No. of Additionol Shee~s p~e~ented: ~
Filed wi1h: '
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STANDARD FORM - FORM UCC-1 40(M
{ I) Filir~q Officer Copy - Aiphabetiea~ ~
_ Mw~d by wd+o~d 1~1 S~o~+e, Seaerory of Sroro, Srore ot F~;do
. . " ExEC. IDE/1S NO. 1679
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