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HomeMy WebLinkAbout2942 ~ , - i ~ - ~ f ~ r ~ - _ - - - . TH1S FINANCMIG STATEJIABrT is prs~errNd b a filirg officsr ior filinp pur~uonl to IM Uniionn Coerrnencid Code: 3_ Motwiiy do» pf a~ry:) 8~0 ~ 1. Osbw(s) (lost Nwns fint) ond addresslesl 2. Seciwd Port~r~i~s) ~d odd~nssles) For FilinQ OffioK (0ate. Tin~. Nu~eib~?, ~ T'. .T w' and FI' F:`~_~-I.~: . -.~_~_tiCE , Mwoa~o.t Larkins, T~FL1Iie A4ae ._,~Z 9U4 Av I ~ - . T . I-'~T:'Y.) Ft. pieres, Fla. 3345~ I `:-~~%::x:;.r~ 3~-~50 ~ a. n,is finorKwip swlnn«+f oo~re~s th. rdbwirg trp« (or nuns) of vnop..+p: ~ As listed on schedule "A" security list dated 8-15-75 ~ s. Aatyrwls) of S~c,w~d Parf~r and AddnwW ~ " ~t ~ 6. Th. s~awrd por+ylsl, wFw~e siprwn,r~Is) oPPan ~w. s+oqs Nar Mw sbmvs nquirad bfr Ciwp/sr 201. ~ flwido SbkAes, if oiryr. hove ben ploud on tM promissoty i~urruments acurd Mnbp, ard will b~ pbt~d on ony odditionol ond sMnibr instrvrNnt Nwt enor b~ w s~a~sd. ~ This sto~ma+M is fiMd witfwvt the dsbl~or"s sgrwkin b pKfeo o s~ilr irn~rest in tollolerol. (Urclt ~ if w) ? AIr~OdY i~~bj~Cf b o s~cwify intNesf in ono/hw jurifditfion' ~rl+~n it waf bra~yht inb 1l~is sfolt. ~ ? Whid~ is prow~ds o~ 1M o?qinol oollatetd destribd abwt in which o wcwity iraerest wos per(~cNd: ~ Check ~ if cw~red: ? Procs~ds of Cdloterol ors olso oovered_ ? Produces of Collo~erol ore olso co~rsd. No_ of Additiaal Si+eels prasnNd: ~ Fil~d widK } i ~ s~2 ~~94~ ' . ~ a,,. ~ .4 ~'~1~ ~-2- ~ a,,: -~~r~i ~ ~ s~.~.~ o~ o.e+«t~ s~.~~ o~ STANDARD fORM - fORM UCC-1 (i) Filing Ufficer Go~y .,Al~ha~}ica~ Av~p.oved bp IKci~ord (oackl Swo.. S~ae~ory oi S~o+e, stwe oF Fbnda - ~ n p~C- IOE/~i NO. l A79 ' - - - ~ - r ~ y.;; _ . w3~~'' ,~''~~~i.'a yir~ ~ ~x ~ z,» - . . . ' ~ ~ M ^K'~ . .~''3/"~~ e ~?~~'~`^S.. . ~ ~~~'~."g _ _