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~ r?i~s Flw?NCtNG STATEMB~T is p?eseoted w o filinq officer fo. 81iny pwwam to d~e Unifam Cam~eaiol Godr. 3. Mo~wity don Iif a~y:~
t. ~eb~or~s) (tast Nane Fint) a~d oddreulesl 2_ Sacvrod Punrlies) a+d oddnssles) ' fw FHinp Offioer (Ome. Time, Plumber. ~
~ ~'j_F FT„~1 ~,CB ona F~~g orf~o.~ ~
I.a~broae, Sadie ~:C? ; =Z~S i
806 Azalea Av. . 4 ~ • - , . 's ~ ~I~ P. ~_T. ?~~'y.) {
Ft. Pierce, Fla. 33li50 i. i`..._:~:~~, Z'L') ~I~~_1 ;~.s~n
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Th~s fina+cinp stot~erernt oovers the followi~p tYW+ Iw items) of propMY: .
As list~d on achedule "A" aecurity 1*st dated 9-3~-?5
S. Auipneels) of S~cw~d PoAy and Add~sa(~s) ~
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6. The ~u~d ponpls{, wF~oae s~yrwtwels) oppeon bebw, stotes Mwt the stomps rpuirod by U+opter 201,
fbrido SeoaAes, if ony. have bsa+ pload on th~ prom~ssory instnwneMS s~cvred herebp. ond will be
plooed on ony odJitiorwl aed similar i~tn~enent thot mor be os s~cvr~d.
This stolanent is filed wilFwut the deblw's si~raRwe to peried o s~tutitr interest in tdbterol. ~Check 0 if so)
~ Altiody xrbjsct ~o o ~ecw~fy interest in arwM+er 'ryrisdictian wl+~n it was brouyht into this stote_
? Whicfi is qowds oi tht orqinol aolloterof described obove in whid~ o secwity in~erest wos pe~fected:
Check ~ if co~ed: Proceeds d Cdlaterol on also cove~ed. ? Products of Cofloterot are alw covercd. No. of Additiawl SFroets presented: -
~illd wil~li
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~ Sqnw~,..Is! d oebats) Sprwn+re{:1 S~cw.d Ponyli~sl '
STANOARD FORM - FORM UCG 1
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(i! F!ir~g Off+cer Coc-y - AfphabeticaE ~pp.o„ed b~, R;dwrd ~D~ck~ S~w~e, 5ec.e~o~y oi srore, sror~ ot Fior+do
_ _ _ D(EC. IOEAS NO_ 1679
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