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n~~S Flt~utrCiNG sTA1EM~B~rT ~s pna..a.d w o f~lirg offKS. to. flinp punuoro a~?. un~iorn+ Co~ool Code: 3. 1wo~w~ry doa t~ an~n) 8~80
D~blals! Non~ fint) a+d oddnssial 2. ~s) Fw F'd«g Offiar iDcb. Trne, NlumbK,
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Le~ris, Richard & Janet r~!~. iia)i,.'. 3~~5
2 02 N. 17th. St . 3:` ;'z{ ~.T, Ifi~'Y. )
Ft. Pierce, Fla. 33450 FT. I~~i..i::..i:~ ~LCi~TLA 3JK~.O
This f'rnanc'~n~ saMnrw mvs.s Nr followinp tYP~ (or i+ams) of p~op«hr: ~
As listed on schedule "A" securit; list dated 8-25-?5
. s. A~Siyrwls) of s«,~.a Pbr+p Add~afwl
6. 1M secvnd parryld, whwe siprwh~els) aP~P~ors bdow, stoNS Ma~ ~hs stpmps rpui~d bY C]wPle? 201.
~ Hwido StohA~s, if any. Iwre b~~ plocsd on Ny pramistory inst~vMnts ~a+ed Mnbp, and will be
~ pload on on~r adfiitiorwl and sinwlw iianuewK 1hm moy b~ as s~oured. ;
This sbl~nwrM is Rld withaK the dsblor's sipiwlun b p~rfecf o a~aKilp inl~nst a~ aolb/ero1. lCMd~ ~ if so) '
? I11nalY s~~F+j~ct w o ssarritp int~st in arwM~ jurisdiction wMn if wos braqht into this stole.
p Whicfi a proowdi of tM agiwl oollotwol dacri6~d obwe in which a s~awitp ir~st wos p~rf~d~d: '
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Ched~ ~ ii c+or+rd: ? Procs~ds of Collolerol ort abo oove~sd. ? Produ~cts of Colbterof we d~o cover+d. No. of Addit~orwl 51»e~s preaen~d:
Rl~d wifih " ~
' BIIGLS FIttANCB 07RP
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d D~b~ortsl ~ 3~Ns! +sl
STANUARD FORM - fORM tKC-1
( i~ Fifing C~ficer CapV • Alpheb~iea~ App.oved by R'~d~ord IDidd Sar». Sec..to.y ~f 51a+e. store of Horida -
- _ ~ } , E~C. IDEAS NO. 1679
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