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7HIS FINANCING STAiEMBdT is preaented w a filin~ officer For filirq purwont b tAs Unifwm Camnerciai Cade: 3. Mahxity dote Iif onY:) ~~5~
~ t. Oebtor~sl (lost Nwne First) ond oddressles) 2. s ~ For Filioy Offioer (Do1e. Time. Nanber.
~ ~arter Jar.ies A. a~ Darlene
2~')7 Chesterfield J-- P'~:. B~~ ~ ~~r
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Yi ~rce~Fla. 331~7~ j~'~', I=.~ .~.L:i C)i~i~~~ 33~5 i~i~~
Tl,is finoncing stotement eaven M+e follow~^9 fYF~s (w itemsl of PropatY:
:~s listed ~n schedula "A" security list dated ~-13-75
5. Aui9neels) of Secured Party o~d Addnssl~sl
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~ d. The secwed partylsl, whws si~rat~mb) oppoon bebw, srotes thm the swmps required by Chopte~ 201,
Ftwido Statvtes. if ony. hove been pbced on the prom~ssory instn~rt+ents secwed hereby. ord will be
~ ploccd on ony odditioral ond sim~lor instn~nt lhat may b~ os s~cwed.
~ This sMtamcnt is fikd wi~hovr rMe debtw's ture b o ~nearest in collateroL (CFwck ~ if sol
sgno P~~fed Ma+rih ~ ~
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J Atreody subject +o a secvrity interost i~ awtFx~ jwisdiction whw~ ir was brou9ht into this stote. a
~ Which is procesds o1 the orgiral colbteral described obove in whicfi a fecurity interest was perieded: ~
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Check ~ if covered: ? Proceeds of Cdfoterol arc olso corcrcd. ? Products of Cdlaterol orc olw covered. No. of Additionol Shee?s presented:
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qy. i(X- L~~~'f~ dy:
SiqnotvrNs) of Oeb~orls) Si~napw~( of i~s)
STANDARD FORM - FORM UCC-1 1~
l l) Fi~irg Officer Copk- Allphabe~ic.a) /?~wed by tt- . ~ry~3i , of Florido ~
1.~ , E7(EC. IpEAT NO. 1679
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