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~ THiS FINANCING STATEMB~R is p~esented b a f~la~y officsr (w filirq pwa~wnt b the Ueiform Comnerciol Cods: ~ 3. Motvriry dote (if ot?y:~ 12~{~0
~ ng Offioer {Dote. Time, Alurnb~r,
~ t. Debtor~s) Qau Norne Finf) ond oddress(es) 2. Secvrsd Portylias) md odd~esslesl Fa Fil~
e . • , and Fil' Offioe) .
Johnson, Denny `r). & Dona - _ ~ _ ~ - '"9
3u3~ Dickens - - . , ~
Ft. PiercQ, Fla. ? 3b50 ' ' . ;
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4 This firfa+ciny sfatemeM coven the folbwng fyp~s (or itans) ~ propertY~ .
y As listed on schedule "A" security list dated 12-19-7~
~ 5. Auiy~x~ls) of Secvred Party ond Addr~ss(~s)
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~ b. The teawed portylsl, wFwse si~oture(s) oPP~n b~bw, stotes thot the sromps required by Chopte~ 201.
~ FI«ido Stowles, if ony. hove been ploced on H~e promissory ~nstnwner?n secvred hercby, and will be
~ - ploced an onr odd~tionol aod sim~{ar irxtrurt~eM that moy bs os fetwed.
c,~ This slatsrnenl is fikd witlwuT the deblor's sqiwAxe b ptrfect o wcerify iMerest in colblerol. (Chetk ~ if so~
~ Alrcody wbject ~o o securiry interest i~ another jurisd'~ction w1+an it wos brought inro this stote.
~ Wh~ch is proa~ds of the a:yinol edlaterol descnbed obove in whict~ o secuity interest wos perfected:
Ch.ck if cwered: ? Pr«eeds of Cdbterat are olso carered_ ? Products of Cdloreral ore olw covcred. No. of Additionol Shee~s presented: ~
~ F i I!d wil~l:
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s) Oeb~als SignaRMeis) of S~cvred Po ~es)
~ STANDARD FORM - FORNI UCC-1
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~~',j;.~ Q{{'.:F~ - j\?p};966~iCaf App?wed by Riclwrd (D~clcl Stone. Secretary of Stote, Srote of Flaido
EXK. IDE/15 NO. 1A79
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