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1818
i i ! i ` . ~ iHIS FlNMKING STATEM8~1T is pwscea~d to o filig off3oa /or fliiq pu~nuorK to ~ Uni~ Commaciol Cod~: 3_ Mawriry dote (if ony:l 8~80 ~ ~ D~brorlsl ILas~ Naes Fint) a~d add~ssl~sl 2. S~cu~ _ ~~~in~-~'.,as) fa fitinp Offiaer (Da1e. ?ime. Nur~r, r Dawson, I~aauel & Claudia _ . ~a ~i~ or~.~ . r.;~ 3001 Juanita Av. ; T - . . - • T ; F~t _ ~ 3~450 ( ~ ~ ; . . _ ~ t Ft. Pieroe~ Fla. ~ ~.T: - - _ _ _~:~~1 .~J`i~l/ y. :~af_,.i~,l i 3 4. ihis finoncig ssat~nwM mra.s Nie ioflo~vwp h~P~+ (o. iN~ns) of propn~p: ? ~ As listed oa schedule "A" security list dated 8-?-75 ~ ~ s. ~?xiqn..ls) of s«w.a Po.yr ona Adai...l•sl ~ ~ ~ ~ . ~ 6. n+..eow.a pwtytsl, wl,o.e sgrwnK~el~) op~peo~s bdow, sfo+.s N,o+ Nie stompa rquiwd !w Clwpe~ 201. ~ Horido SlohAes. if anp. hone bsu~ ploted m ~he pra+niswrY irotrun~nls aeawed hn~, and will be ~ plooed- on an~r odditionol and i+imibr iewnMnw+t Ihot nw~r b~ oa aaw~d. ~ Thia tlotr~wrN is filsd witlwul the deblor's sgrroWre b p~rfect o s~awiy? inlaesf in tdloterol. (Ch~tlt ~ if so) O Alraodr a~bj~Ct w a s.arrity wa~.~u i~+ aaNw ju.ndo;on w1+~n ~r wos b.ouyhr ~rao dHS stste. ~ ? Whid~ is pronsds of Nie ariyinal aollo~ad davib~d abore in which o senxitp inNrest wos pe~feded: ~ ~ CJ»tlt ~ if aoverd: ? Procsds of CoNorerol oa otw awewd_ ? Products o( Co8o1e~o1 ae dso cweted. No. of Additiwwl SFieets pntcmed: ~ FMd widh + ~ ) ~ ~ ~c~ ~Ar~cE co~ ~ A ~ ~ ~i r~c~~ ~+Is) af s) ' R of , nYi~s+l STANDARD FORM - FORM UCC-1 Q~~ 4z'~~~~8~ - (1~ Filing CJfficer Copy - AlpFielietir.aE ~o,,.d b~, wd,a~' s~o~., s~~ory or ~e. s~a~~ or Fto.~do ' ~ ~ E7~C. IOEAS NO. 1679 ° r;~.~. ~ ~y~..-;~~ '_r - ~ r~~~~~r. ; - - . . ~ ~