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~ ?Hi5 fINAP1CING STATEMfIdT is ~C ( ;
presented b o filirg off~cc~ iw filinp pu~wom b tfie Un~form Comnerc~ol Code: 3. Matwiry dote (if or~r:~
~ I Oebto~(sl (laat Nane first) ond addross~es) Setured Pbrty~iaa) and addressles) Fw Filirg Offioer (Dofe, Time, Number, i
.~c? F ~Z.a~ ~E ~ or~~~
~ "'.iordan , :'i i - i?m ~t Georg'-a P.CI. BC~?i ? 2t ~ -
~~9 '.~:is*er~a Av, (~~~=7 4. Z~~:=~~i;RAT. HZj'Y.).
Pie.~ce, ~la. ?3l~~~i FF'. PI~RC ~~LORIT~_~ 334~0 -
~ ? This fiiwncinq stoumu?t cwers the followi^9 hP~s la ~ten+sl of propsny:
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~ ~s liste:i -:n :;c=~~d~~le "A" secu^iLy list dated ~-?9-?~ ~
~ ' s. Auigr~s) of S~c~wrd Ponp cnd Add~sqa) _
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~ 6. The secw~d portylsl. whote siyrwture(s) oPP~n b~bw. slotes Mwt the ~rod ~
Fla~~do Statvtes. if on have bea~ r~ bY ~P~ ~11•
~ Y. P~ on the promisapy instru~~enb secuted herebp. ond wiN be ~
~ pioted an a~y add~farwl ond siwnilar i~uTrvnent fhot may b~ Os secwed.
This swtemer?t is fikd witbou~ the debor's sqrwtune b perfect o s~cwiry im~rcs? in colbteral. (CI»dc e if so) _ ~
~ ; ~ Alrsody wbjeci ?o o secvrif~r inte~est in onOiher jurisdiction when it wos brouyht into this sb1e. -
~ ~ Wh~ch is prooeedt oi tl+e ai~inol cdbterol described abwe in whicfi o secwity intercst wos perfectsd: ~
~ Check 0 if eovered: ? P?oceeds of Cdfaeeral oro olso covered. ? Products of Colbterol are olw corercd_ No. of Additionol Si.eees pre~ented:
Fi1ld wif~le
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. BOaK PACE ~
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LxJ _ ~ ' .~E'~~i ,
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' sl 01 b~b~ortsl SiQnonNe(s~ of Ponytws)
~ STANDARD FORM - fORM UCC-1
j Filina Offic~r Copy - A1pha6eticaf -
Approred bp 1[Kfard lD~ck~ Star~e. Secretary of State, Stote of flor~da
~ EJ~C. IOfAS Hp. tb79
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