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1 . , , . 1 }F f • - • - _ - ~ - • l . i - f E . _ _ . . _ _ " - - - - - - - . _ _ _ _ _ - - _ ~ ! TH1S flNANCMKs STATEMBVi is pnsNNd b a filie~ oN'~u? for fNiq punuak b IM Unila~n Cann~~dol Cod~ 3. Mohriyr do» tif a~nl 8~0 i 1• D~blorlsl Mst NaM Firq) and odd~as{~ 2 S~an~d i~s) a+d addns~sy for Fili~g OfRoN (DnM. Tinr. Ni~eb~r. . ~.:'1GL ~:~?A ~,CL ' • . ~ ~~w o~ ~ Good~rin~ ~raeetii~e P.`?. I~~.~ i ~~Ci7 ' ~ ~ 190~t Av P ~~'::j~R~+,7. In~: r Ft. PfeTCe~ Fla. 3345~ IYi. F'ii.:::'~~~ ~t'i.Ci{IL~1a • ~i JO This Bnoncinp stolNnwk aovws N~ folbw4g /yp~s tor iNnwl of propMfn . Aa li ated on eahednle "A" security liat dated 8-19-75 ~ s. ~..w ~ s«~.a pah? ~a ~ ~ ~ a. n» ..an.a pa~tybl. wha. si~noR~Ns) oPP~, b.b,.?. .taNS +ho1 +1,. .wa+p. nquiwd br Chap1.. 401, } Fio.ido Sb~,NS, if anp. lwv~ bMn plond m Mr O~o~nisson? ~e~s s~ow~d I~+M. a+d w71 b~ ~ P~~~ ~~1? odditianol and siinilor in~tnwwK ~hd wiop b~ as s~cw~l. ~ This stolwew~t is fiMd wiNiouf 1M d~blor's apno~IMe b pubt! a nouriy? ~a1 in coNole+ol. (Qwtk ~ if soJ $ O N~odr uib~ct w a s~curihr inw~st in awM»r j~wisfiioion ~r1wn i1 was baipla Nwo MNS atoM. ~ ? Whicfi is poowds of Nw orginol aolio~erd daa~d abw~ h whid~ o Maxiyr ~r~rst wos qri~c~ ~ ~ ~ Cixtk ~ if oorKd: Procwds of Co11aANd ae aho ao~r~d. ~ ? ah ?/loduc~s d Colbl«ol ore da owrtid. No. of Mdtionol Sh~s p~awM~d: ~ Rl~d widu ~ s~ ~ ~ S~J~T.r~ ~ ~ F~tANCK C ~ ' . _ L. ~ ar ! s~,: ' ~ . StpnowrNs) d D~bialslr oi Savrrd /brrylwa) . - STANDARD FORM - •i (t~ Filing Offieer C.~py -JAiplia~f~ bq I~d~oed IDfd~! sw~r. s~o.w.y oF swm, sroe• of Ft~do f:~,> 3 oac. ~o~s no. i~q ..,V . : x - . . - ~ ~ _ p. ~ x~ ~ ' -