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Bos 23L•/ Ed Jan. '67 ~23820 STATE OF FLORIDA i1NlFORM COMMERCIAL CODE _ FINANCING STATEMENT - FORM UCC - 1 TNIS FINANCING STATEMENj is a~s~n~ed to a filinp o(fice? fw (ilinq pu~s~ont to theUnifonn Comm~ciol Cods: ! 3• 1. D~bfor(s) (Lost Nom~F~rst)andAddr~ss 2• Sacured Perty ond Address* ForFilinp0(i~c~r(Dats,Tim~,N~mb~r,ondFilinp ! . Of(iu) :7o19@Z'~ ~08RD ~ ' :tL 5 BOX ?80 , . . . _ _ . . .'t. Pierce, FL 33450 ' • . . . . : f~;,.r~.~, . . _ l. This financiny stot~nt covMS rhe followinQ typ~s (or it~ms) ol a,o~.ry:(Cbrc4 bo~ uhr~h appl~esl ~A!! o/ (be bousebold gaods nou ourtndor bereajter arlffltiF(I rn n•pluc•em~ri( tfie~eo/ and nou or !~r?eu/le~ located at tbe Peblors' place of resrdFace at uddn•ss Rii~en ulwre rrr E3o1 l. I 5• Assiyne~(s)ofS~cur~dPortrmdAddr~ss(~s) ~ 4 6~ Ch~dc If trw ~ Ths :tomps r~qvir~d by Chapt~r~l, F.S hov~bc~n plac~d oo tb~ promis:ory instrum~nts; secur~d henby, or+d wil) b~ plocd on ony odditionol und similv instr~m~nt thot mor b~ so s~cured. ~ I)ocumentary stamps atlacbed ro orrg~na! ,~ole and cane-r!!ed + T h~ s stot~mMt is fil~d r.ithout th~ D~btors' siynotw~ to pNl~ct o s~curity inter~s~ in collatwal. (Chack L is so) Alr~ody subj~ct to a s~cwity inter~st in onothsr jurisdiction wh~n it wos bouqht inro ~hii sto~e. ; which is proc~eds of th~ oriyinol collotaral d~scribsd obovs in which o s~curity i~t~r~st was pKf~c~~d: ~ _C heck $ if cowred: IgProc~eds of Colloteral or~ also covered. CP~oduds o( ColloMrol w~ also cov~nd No. oi odditional She~tspresent~d: F~led witk Clc~k o( thP Ce~cui! Court o/ Coun(y, Florida' Secured Parfy~' r., , • ; ~.:__].~...'..l:L.l1.. ~...~;~k~~. t~: . . : , ~ • - 1 ' .1 ebto~ Tld ~ 7. . . . I~`+~' - ~ By ~.~.~L1.~-°---°--°----•--•__..___..--_-__-- Oebtor Manay~r STANDARD FORM - FORM UCC-1 TypF /ull and romplF[e corporate nume. ~ ~ ~ 0 *NO ~vN ~Dy ~ E `V~vp~F~~ Qp\t~~pVAt gT, ~~G(~ `~GV~t ~ Go~4 v~c~~f ~E~ J ~ ~O W ~ ~ ~ 3~382~ ~ ~ ~ t a~~2~7' ~a~ ~ ~ ~ - s~~' ~ _ .,a. ~ ~ r ~.,.1'_ ' . ~ '~~~ffi~~ . . _