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HomeMy WebLinkAbout0320 i ~ C ~ ' _ 1 ~ . . . . . _ . . . _ . - . _ . . ' . E TH15 HNANCMlG STAIEMB~1~ is p~wMd to a filinp off'wn ior Riinq punuorM b d» Uei~onn Conrmnciol God~: 3. MoMwity dmt (if ary:l 1,0~80 k 1. D~bbrls) Nome Fi~stl ond oddrsssl~s) 2. S~ow~d PeAp(ias) ord odd?~ssles) For Filinp OffioN (DaN. TinM. NumbM. ~ I~~Zl~ DOlb'~1~ . . and Rlinp Of/io~l 1205 N 2Tth. St. Apt 53 GLE ~FII~TANCE ' ~iQX 32C5 ~ Ft. Pierce, Fla. 3 3~5~ _ _ ; F ~'Y. ~ . e ~ - . ~'T)..?i.AL t~ _ - i:~_n~Ill.~ ~~=~50 ~ ~ ` , ~ nr. ~~onc~no s~o~r ao~.s nK ro+tow:w ~rv« t« ~e.ns1 of aoanr: ~ As listed on schadala "A" aecurity list dated 10-21-75 ~ s- Assip~+..~•t ~ s.cur.d ren~? ana Aeae~a(.d i E ~S • a s g 6. TFr ~s~cvnd pw~rlsl, whos~ ~.~s1 o~v~s n.a+ :~v. ~+a~+~~•a br c.n~.t zoi. . ~ Hwida S~oKrNS, if mY. Iww bsa~ ploced on rhe promisaory indt~s s~cw~d har~by, and will be ; ploc~d on w+p odcitionot and siawilor inst+ume~M tFwt aial? b~ os »curod. € This staMmuM is fiMd wifhaR the d~6~a?'s s~qrwR~s b p~rh~ c s~aitity "sMa~st in wlbterol. ~Ch~ck ~ if sol ~ O~df~ wbj~d ro a s~cvrie~r i~ in arwM+e? iurisdict~on wl+w~ ir wos bw~1+t inw ihis swts. ~ ? VYhid~ is procs~ds of tlw wi~inol aolbNw! dexrib~d abwt in whid~ o wnrritp in~aest wos p~cbd: ~ Check ~ if ~oovu+d: ? Procs~ds of Colla~erol are olw oorewd. ? Products of Cdlote~ol ors olso corer~d. No. of Addit~oral Sl+ee~s pr~sentd: ~ FiMd willh ' ~ ~ ' 0 R EA(iL8 8 (~RP ~ . ~4~~-~- 319 . ~ ~ sTnr~onRU roaN+ Fowu+ ucc- ~ ~ (1~ Filing 4Fficer Copy - Alphebsticet Avw~ M~•d ~a~r~ sw~.. Seaelory of 51a+a. ua~~ os f+o.;eo ~~f O~ D~C. IDE/~S Nd. 1679 - ~s~~~`~~~ > ' . . _ _ - - - - _ . ~ _ _ ~~`.;s. , ~ _