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I ~ I ~ f ~ . i ~ ~ iHIS flNAHCIt1a STATEM@ff it ~nsM~d a• BIiN ei6t~r fK Iii; f N IM Ihif~ Ces~cid f.~d~: ' MoNri del~ it ~ F`~ ' + _ ~ t. O~s~ar(s) (ta:t tieN finll a~d ~w+st~s) 2. S~c~M ?«MltM) e~d addeesstn) tw firN Offiar (Oe~~, iir. N.~b«, rd ii y OIRa~! Ferguson, Elsie David ~ORIDA BANK AT FORT PIERCE ~~~EO ~"~"'ttCVROED '•~t. ~ BO= 917 p. O. BOX 3469 T tUC1E COUbt1' F~A. t. Pierce , Fla. 33450 501 ORANGE AYENUE Cl fiJ(~~ ~~~~jRAS F PORTPIERC~.FLORID~A33480 pFCt,q~ vLf.~FIEC ~OURT ~ t. Tbi. fi~.~dM swMM.t c~w.s 1~ hlh.iN hws iN.s1 ~t ww«b= ,~/7 ~l 1 , ~?Y~ ~ 9 49 A}~ ~5 . ~ 1975 RCA Color TV, i'o~el #GT ?08 S ; serial ~510582061 3191Q3 - ~ ? t ~ ; ~ 6. TM s~cw~d P«hlsl, rMef~ diN?+n(t} NO~~s l~le~, stw~s tiol tM stowVs ti0~rind h aaPt~r 201, fNrida SNIvNr. 319~Q3 ii e~r. Mr~ bw~ oNc~d e~ tM pe~iswry i~tln~h a~c~n~d bnby, eN ~rill M o~N M a~7 ed~KOnel end si~il~? ~ i~sin~/ I~M M7 b~ w rcrnl. ~ ~ TLis sbtwM is RIN ~ritAN1 IM dNl~r's slpo4n N~f~c1 • s~c~rih i~Nrssl f~ cdMt«ol_ (AKt Q if s~l ~ O Ak«~s s.?i«~ a e aw.ty i.~«.sr a..N~.r j.rt.e~~.w tr .e~ sr.~~ c.ee n„ ~au. Q~r~id is rercM6 ~f IM er{~iNi MloMel diwib~d ~e?~ a v?i~1 e wc~eifp i~Nnsf ~ras p~A~cMd. ~ Clyck Q i( cenM: ? Mcw/s ~f CeINNnI on ehe conrd. ? IreduM ~i GIIN~r~) mr ~Is~ c~~wM. Ne. ef eddiNMel SAwls ~u~ad: ~ F~~.?~: Clerk of the C rcu our , . uc e_ oun , . ierce, a. ~ , ~C ~ Florida Bank at Ft. Pierce Elsie Ferguson , ~ + 1~ a~ - ~ Sis.o4n1.) a r 8~~f~~ ~~+J,,, ~ David Ferguson ~ ~ STANDARD FORM - r~ ucc-i h... r- : c..". , L_ NMONd b? !"KI~MA IOk~I StOM. SKtko.Y OI StoN, S~oto 01 Fleride ~j~ F:: r,!1 . . . . .ri![~haLX~~~~ ~~v.