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j ritiS FINANCING STATEMB~li is presented w o filirg offKer fo. filirq punuom b~he Uniform Conrnerdol Code: 3. Mahxiry dote Gf a+r-) Z]„~$~ 3
~ 1 Debtorls) (lost Nome Fint) and addresslas) 4. Setwed P~wty~its) and oddrasslesl For filirg Offiaer (DoN. TyrN. Numba, K
~ . ` ~ F- T'7~.- ..a • •~-.r• 011d Filillfy OFfiO~) ^
t Carroll, Ro~ald J. l~ Moaa F~,•-_ ,.ty fp• rcy i. q
1053 S. j7th.St. . ~ - . ~ - . . a_. ; T..;.-~-.) 8 sy r ,
~ Ft. Pieros~ Fla~ 33450 ~ . . : . _ : . _ " ; ' ~ . ~ : . - r ~4f ' - ! =
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~ As listed on schedule "A" security list dated 11-18-75 ~
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~ 321845
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6. The secwed portylsl. wl+ae siyrwtwels) oppsan bebw. stmss Mwt the stomps nquired dy Chop~er 201, 5
~ Flwido Sto~u~es. if ony, hove been ploced on rM promia~ory instrurnents secwed hereby. ond wdl be ~
s pbced on o~+y odditionol ond similw instnwna~t thot moy bt ot setwed. -
7'n~s swtern~nt is fi{ed witlaw ~he deMa's :iq~wtwe b p~efect a wcwity imerest in colloteral. (CFMCIc ~ if so)
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AlreoJy subject ro a secw~tp interest in anoil~ jurad7ction wF+sn if wos brought into Mis sto~e. ;
~ ? Whid~ K proa~eds d the wiqinol cdlomd descr~6ed ubwe in which o secwity interest was perfected: • g
~ Check ~ i( oovered: ? Proceeds of Cdloteral ore olso aovend. ? Producri of Collaterof ore olso covered. No. of Addit~onol Slxets presented:
& F,kd with:
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B ! ~ BCGK/GLft7 PAGE WGJ ~ _ ;
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~ SgrwturNsl of Oeb~orls) s) of S~cvred AYliss ~
~ STANDARO FORM - fORM UCC-1
~ 1 F i i i r, t~ Cft i c e r C o^ v. f~.5 G ~ a b9~ IGa~ Approred by Richard IO~ck) S~a?c. _~cretory of S?ate, &we of Flo?ido '
i' ~ 7 EJ(EC. IDEAS NO. 1674
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