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t . ; ~ ~ ~ E THlS FINANCMIG STATEMBJT is prncol~d b a filinp oHice? ior BI'^? Pw~k b th~ lJnifa~n Conrr~ciol Gode: 3. MoArrity dm~ (if ornr:) 5 BO ~ 1. Debtorls) tlast None FirstJ ond udd~ess{~s) ~~LG t'71V~~~t'Vl.~. Fot filinp Offiar (Dote. Tiens. Numbs?. ~ : Keith, Carretta . a+d orf~ . ` 3302 A~ ~ P.O. BOX 3z65 = > Ft. , Pierce, r'la. ?~1~50 ~j2057 S. FEDERAL HwY•) t p~R~, FI,pRIDA 3345D , F ~~3 { Tr,is fx+a~cinp sta+a+nMr oor.+s ,h. rdbwiew Wv~s 1« i~ of prop.~tr: ~ ' ~ As listc3d on schedu?e "A" security list dated 5-~-75 s• An7pn..~s) of s.o~w.d Porh oe~d Addrpsl«i 6. The a~cv~rrd ponrls), wlaw sigrwwrNs) opp~on below, sla~s tho? ~he samps nQuitid M Owp~~ 201. Flwido Slo/vlts. if onp, hove ben ploced on th~ promistory i~tnMnsnb secwd henby, a~d will bt p~oced on ary additiorwl and wnilar i~nmNn? M~at nwp b~ oa ~+awd. ` TF~is stot«nMt is filsd witFwut the debbr's siq+whin b p~r(ed a wnwilr irM~rest ia tolloterol. (Clwclt ~ if so) ; ? N~aadY s~~d b o s~cwity im~nest in onoNwr jurisdiction whwn it wos bra~qht imo Nws s1ot~. 4 ~ Wh~ is poaeds of N~e agiral edbte?ol describd obwe in whicfi a seawity uaaest was perf~cNd: ~ Chedc ~ if oorersd: ? Vroc~eds d t.olla~erol an also covend. ? Pooduc~s of Cdlot~rol ore olw oorer~d. No. of Addit~awl Sf~ts pns~nhd: r filed with: " I ~ ~ ~ ~239 ~i3~5 ~ , r f ~ _ ~c~. :~~:~:•.cE .,ORP ~ - ~ sr: s~,. a..~ • , ~Ns) of Q~b~orlsl Siy~+ohxNs) ~ PonYl~es) r ~ STANOAR~ FORM - FORM UCG1 (1) Filing Officet^opy•Alphabsticsl ~t - APP~'a~ a~+dwrd IDick) S~a?e, Ssc?etary of Slvtt, Stote of FFw;da • EJ~EC IDEAS NO. 1679 1,~. . - _ - ~ .sa:z„j,.~.w.,.~~s-"'-~~~'"~ 7 - ~ ~ ~ y#;-.,~?~- .