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~ THIS FINANCING STATEMENT is presented to a filing officer for filing pursuant to the Unitorm Commercial Code: 3. Maturity date Iif any):
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~ 1. Debtor(s) (Last Name First) and address(es)= 2. Secured Party(icsl arxi addresslesl: ~l~ (j~ For Filin9 Ofiicer (Date, Time, Number,
~ T,. and Filin9 Otfic~
p~scell, ~ii les ~ „rbil uvco` ~ z~ancF~l Ser~rlce~ of r1L ~c
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~ 10~3 io_ tu~a,, and S~- _.oll ~ood lorida Inc. . C~j~~~ ~ ~ ,
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Ft. P; erce, ~ l~. P.O. __os lt311 R~ p~4v OOUAT
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~ ~'t. Pierce, FI~. ERrlfD~- ~
4. This financing statement covers the following types and/or items of property: PM ,'S
PJ.l ho?is~hold ~oais~ furniture, ~~iFli3rces ar.a cor.~~.z^..er ~oo~s 31~;v,i7p •
~ of Ave=^,{ kir-: ~rd 3escrip±ion na~.a otmed ~n~ locate~? ahout ~
tY:e ~r~:~.i^es ~t the ~Attor~? '_'G'31C~C'riC~' oM to a~~* other loc~tio
~ ;O •r1~L~:?? tfl~'~ ~'lf be^?OZ'c;a ~ 5. Address(eslof Setured Party and ~
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~ 6. The seared party(sl, whose signaturels) appears below, states that the stamps ~equired by Chapte. t, ~
~ Florida Statutes, if any, have been placed on the promissory irxtruments secured hereby, and will be
~ placed on any additional and simifar ~nstrument that may be so secured.
~ This statement is filed wdthout the debtor's signature to perfect a secu?ity interest in cdlateral. (Chxk ~ i4 so)
fl~ O Already wbject to a security interest in another jurisdiction when it was brought into this state.
O whieh is proceeds of the origi~at collateral described above in which a sccurity interest was perfected:
Check ~ if covered: 0 Proceeds of Collateral are also covered, O Products of Collateral are also covered. No. of additional Sheets presented:
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~ Filed with:
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y: a By:
Siyn~tur~~s) of pebtor(s) S~ynsture(s1 of SecurW Psrtylias) "
~ ST~?I~D~~~RM - ~UCC-1
~ BOOK P~ ~ Approved by the Secretary of State, State of Florida -
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