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j 7HIS FINANCING STATEMBJT is prcsee+~ed ro a filirg officer (w filinp punuom tc ~he Uni{orm Cpnnerc;al Code: 3. Nbturity doM (if ony:) ~~gQ
'I ~ Debta(s) llou Norne Fint) ond odd~essles) 2. Secvrod Porty(;es) ond oddress~es) Fw Filirg Offieer ~Da1~e. Time. Nurnber,
; ",er.tson, 'ntillie A. E:1;;T,'; :'s••••~~37 ~d~t~orr~K.~ :
' ~~12 Car~rer St. r--~• ~ ::i . _ .
; Pierce, ~~~50 : --'`'-".~T, '
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~ This fina+cing staternent oovers the followin9 ~yp~s Iw irems) of proparty:
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~ ~ls l:sted on sched~i'._e "A" securi t.y ~ist dated l~-17-75 i
i S. Aui~rw~s) of Seeu~rsd Pbrtp ond Adde~si(w)
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6. The secwsd Portyls), whese sqwturc(s) appeon bebw. states thot the sromps requirod by Q+opAer 201, ~
Flaido 5lotuhs, if ~ hove been ~
Y. ploced on the promissory ir?strumenn secvred I,ercby, ond will be
placed an anr odditionol ond simibr insrruinam lhot moy be os sacwed. Y
This stotama~t is fikd without the debbr's sigrqtune to per{ee,y a ~scwiry interest in collaterol. (Cf~eclc e if ao)
~ ? Already wbjec~ ro o secvri~y iotercst ~R onoN~er jvr;sdanon wl,an it wos b~o~yhr inW rhii sbte. ~
; ? Which a proceeds of the wg;rw! colbterol descnbed obo,ro in wh;ch o secvrity interest wos per/ccled: j
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Check ~ if covered: ? Proceeds of Colbteral are olso covered. ? Products ef Cdloterol ore olso covercd. No. of Add~tiwql Sheets presented:
Filed wi1h:
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r.A'iLE :'Z':ni~IC~ C~~:P
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! Sgratwe(~) Debrafi)
i SignaN?e1~1 f ~ss)
` STANDARD fORM - FORM UCC-1 dO~x PRGE~~ ~
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! ( f~ Fiiing C?f{;ct~r Co} y- Aip~tebetiea{ App~o„ed by aidwrd (D;ck) Ston~, SK.erory of srote, stotc of flw~da
fJ~C. IDEAS NO_ 1679
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