Loading...
HomeMy WebLinkAbout1611 I I ~ i E E i ~ ~ rl1~S fINANCIlIb STATfNtEttT :s p.~s~wNd ~e • fili/q efi'icar /w filag pw.roM b N~. 1lwif.rw Ca~..~wci.l C~M: whrrih Aa~M (i! Mfh ~ ~ O~Aroe(s) (l~st Nawr finq eed add~+ss(NI 2. S~cw~l Io~t~l~1 owd edd~~as(M) h" ~10M ~AVID ~*iD SALLIE k;AE r~X ~l 6C`~R-Tt-/ ~oEfN Ca2P GF ~tx~c F~~EO Aa~ H~CORDEO . % uN~ cC~orL _ StI.UCfc COUMIY fU• ~ 127 ?r1ATH S`!` /v.2~ ~A.UC{ - FOGER P~tTRAS • PIERCB,FT, 3~15~ tr CLEfcK C~~.CIf~? COUR ~ . ~(r7i t F ~~~A ~j3~so RF~('F.:~ Yk~!•Flf D ~ . n,is fiw~woiq s1~A~.wr esM.s ~M h11wiM *rw. ~hwat d r•M~r: ~ ~'t~! 1 ' ~5 1~'~~ ~ esw ~ ALL 4F THE HOUSCHOLD G()c)~, NOK OR !iEREAFTE~ LOCA'rED AT THE AEPT~4R"S RESIDENCE ADDRESS AB4YE. ~ ` s. 4..+w~(•) ~f s.awN Mr+r Aii+..(«) ~ ~ ~ ~ r; ~ 6. CMck ii hw~1(Z~ s~wwP~ ~ri~+d M CMMr 101, f.S. ho+~ M~n piec~ ew /M prowisN?~ iwsMMwwb wew+/ ~ Me~bp. wiN M d«~ ~n wp rNfliwl w1 siwilw 'wu~rv.~wf ~ wwr M w Ncv.d. ~i ~ Th:~ sMwwrM is fiNd ~ri~Aw~ Mr d~?Nr's si~w~hw~ 1s p~ri~st e wcwib iM~rNt in ull~twd. (CMck ~ i( w) ~ ? Ak~ady wrj~t N~ Msw~ryr iwMr~s1 iw MMA~r Wn~ddiow MMw i~ W~~ bre~qM iwN Ilwf ~hM. ~ ~ ~Y~MiA iY rOON~{ OI I~M MI~/I~I COII~IM~ MKt1Y~A ~Mr~ 111 WAiiI1 O NpN1Iy ~IINfNT MN ~Kh~: _ C~vck ~ it owr~d: [,1 froa~ds d ColtaNrd or+ dw cer~nd. Q h~s e1 CNM~ret an oko c~~r~e~d. !b. d~dd'itiwl Slrws I~w~wMd: Filtd ~rifh: ~ LI R'!'Y LnAN ~ ~ 6r: ~1~ - S~ywaw.~!.1 eI K(•1 ~ •1 d f~wr~ 1 ~ ' sa~~42 ~ iORM 2~3 FLA 12-6d ~ 21~•00-05 ~ ~ ~ - - s i~ ' _ -^s' ~ - . I d r~ ~,t ~ „ - . r.~ . +t..jr~"c`~.~-~~~.:.r ' "w " _ S ~ _ , . - . . .