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. ~ ; . , _ i I - - ~ _ - _ . . - THIS RWINCING STAifMB~ti is pwsrM~d to o fikeg otfic~nn 1a Rlinp punuoir a the Uniionn Camn~rcid God~: 3. ~ ~ 1. D~bbrlsl flosf Nan~ Fas1) ond addw~ ' 2. S~cund ~~l? dole ae~r=) Pbryrl~s) and oddnssl~s) For filinp Offion (OaM. Tinr, Nun~, Mieeler, Leon & Ray E~GLE F~I~T.:~.i~TCE. d+a Fi~ or~~o.1 Rt 3 Boa 41t2 A P. ^~:~X 32F~ Ft. pierce, Fla. 331~50 ~2~3:, , S. r3ERAT_ NZz'Y.~~ F~c. ~i~.r.~,~, ~LO~~:~ t~o 313625 n~i. +inoncinp ~aMn~«~r eo~... 1h. iaMa~i~w rrv« a• ~1 0~ wop..+~ As listed on achedule "A" aecurity list dated 7-25-?5 5- ~?wOrMels) of S~nw~d Rxqr Adde~a(~ b. The s~arr~d porrylsl, wFwse siyr.owrs(s) app~ors bdor?, s~a~a M~at the sbmps nquitid b'f~ Clwpw? 201, Horido 5lowrbs, if ~ny, lare bNr~ pbad an M» prvnis~ary irw~unNnts sstv~Md l~ereby. and will b~ pload an any addtionoi ond si~wilor imtn~MM N~ot mo~? b~ os s~an~d. This stot~eew+r is Flsd wiNarl Mr drbor's sipna~e te? priw o s~arrihr i~r~st in oolb~erol. (CMd~ ~ if w) O N~~Y wbi«+ a a s~cw•rp inl~w~st in o~oM~. jMri~iaion wd+«~ i1 woa brarqht iMO this .w~s. ? Wh~ ia poads of tM oriqiwl coNo~ad dnaiMd cbw~ in whicb a. secwiry irw~est wvs p~cNd+ CF»c!~ ~ if oo~nd: ? ProcsMlt af CoNp~n+ol ae olw eorw~d_ ?/roducts of Co1loNrol we dso oova+d. No. of Additiaal 51~IS prae+N~d: RMd wiTh: ~ BAC~S FIi~:ANCB C~RP ~-~4'.--~ `t/~~u~_ MCf 6~ ~ r ~ . SiqnaiwMa d D~brorlsl o ~ ~~1~1 ~„Yli~sl STAN~ARD FORM - fORM tKC• 1 ( I) Fiiing (~ff~eer Copy - AfphabeticaE /?~,wed by ~d Ip;c~l sb„~. 5«.~+a,v o~ s~we. $ror. of ~to~;d, ~ D~C. IOE/5 NO. 1679 .f''`"'~~'-°~r ~.~'~=`7P: -%s ~ . y`K-,,. . . , ..~~z . ..~;T~ . ~ a~~~ _ ~ . ~ ~