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HomeMy WebLinkAbout1303 . TNiS FlNANCp~G STATEIWB~lf is p~ted b a filiny officer for filinq purwont b tht Unifonn Gon~rneKio) Code: ' 3. Maluriyr dolt (if ony:) 8~~ 1- O~blais) (lost Nome first) ard oddressles) 2. Sectwsd Po~i~sl and cddns~les) For Filinp Offics/ (vo1e. T'wn~. tiumba. Borkoirski, Robert & Patricia r: •;_';I_r I'"~: CE ~ ~ 306 s. 25tn.st, r~., ~ . Ft.Pierce, Fla. 331~50 . . . . ' ~ , . ~4~~ i ~ t' . ~ ..'4.)~ ~ i'. ! i:._.ti.i~ 1~.....~.~i ~_•1 .~;jy ~ n11{ flflOflCIf1D i10~lIIIM11 OWlfs f~l! ~~O'WYIQ ~Of ~Tp~ Of pfQQMi~: . As listed on schedule "A" security list dated 8-4-?5 s. ,I~siyn.ow o~ s.cvr.a v~? a+a Aaai.~.~ b. The ~etu~d portylsl, wl+ott siqnoMNs) oPP~~s b~bw, stot~s Mwf the sromps nquiwd bp Qwpl~er ?0~. Flosida StohAes. if ony, hove baen pbced on tiy promiswry ir+stn~rnenn s~nw~d hetsbr, ond witl h~ piooed on anp aAditiawl ond simibr instruir~t Mwt moy b~ os ftcyred. This stnNnKen is filsd withow ~lit deMor's sqnoeure b p~rkrt o~aKiryr ine~nest in cdbterol. (Ch~ck ~ if s~ ~ ? Alrwdr wbj~ct w a ~scuritp inte~est i~ anoM~ar jur~sd+ct~on wls~n it wos brouyhr into N+is stob. ? WhKh is proaeds of ~he o?ginol cdlme~ol described obove in which o sccwitp imetest was perhd~d: Check ~ if cwe+~d: ? Proatds of Cdbferol we olso oovered_ ? Wod~cts af Colloterol we dw oorered. No. of /lddit~awl Shaeb pnsenNd: Rbd wid~: ~ ~N~CiBi ` C ~ ~ ' ' ~ I~~~i~iQ//~~ ~Iv ~ ~Ll - _ a: ~ Si~fW~'N!~ Of 0lbtO~If~ ~ STANDARD FORM - FORM UCC-1 p,~~~~~ ' 1,1} F;lirg rJfticer Cop~ -,~Iphebetica{ App,or«t bp 16d,o,d ~p;dc) Sra,~. Seaero,y oi Seate. Sto+e cf Ho,;da ~ ' - EXEC. IOE/15 NO. 1079 ~ ~ x ; - _ _ , _ __,_r.--- - - _ ~ ~::va^~~.:w. ^-i~c'dw'~,'a"~.-'x.~ .r. ~ ~~:Y~ . ~b"'~• . ~ ~ ' `s