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THIS FINANCING STATEMENT is presented to a fl:ng oifice. for filing pursuant to the Uniform Commercial Code: 3. Moturity da~e (ii anyi: r ,
t Debtorfs) (Last Name First) and addresslesl: 2. Secured Partylies) and address(es): For fili~g Office+ (Oate. Teme, Numb ,
Ci~b9I`$~ ~VBI~ SOCO ~I3B~1C~81 s92'1T1C68 and Filirg Officel. i
~yO~ A D9 C02$2~8 C01i1"E OP HO~OOfl~ F1,8~~ L1C• fILE~ AMD RECORpED ~
F'c. Piarce, Fla. 33450 2502 South F~c~eral ST.IUCl~ COUMTY FLA. ~
aoc~a ~~~t~?s ~
Ft• Pierc~e, Fla• 3345~ c~ERK c~RCws couRt
RE~AR:i YE~'~~EO
~ 4. This financing statement covers the tollowing types and/w itemf of property_ 9n `2 19 PM'~Y
All Houee2wl.d goods, F~rniture, applianaea and consumer ~N ,ri
~ goods no~ amed and located about t?h~e premiees at tbe
debtor~ s reaidence, or at ar~r other location to ~
~ vhich the goods m~y be moved. Q.•,r -
k • ~/~„()1_O / 5_ Assigneels) of Secured Party and
. Addreu(es)
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~ 6. The secured party(s), whoze signaturelsi appe~rs below, states [hat tfie s[arnps required by Chapte~ 1, j
~ _ Fbrida Scatutes, if any, have be~en piaced on che promiuory insuuments secured hereby, and wilt be
placed on ar?y addiuonal and s~mdar ~nstrument that may be so secured.
Thes statement is f~led nrithout the debtor's signature to perfect a security interest in collateral_ (Check ~ if w)
~ ? Already wbject to a secunty interest in another jurisdiction when it vras brought into this state_
? which is proceeds of the ori9+nai collaterel clescribed above in whech a security interest was perfected:
Check ~ if covered: O Procesds of Collateral are also covered. O Products oi Collateral a:e also covered. No. of additional Sheets presented:
Filed with:
~ avco ~rx~crs~ oF go~.yrrooD,
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BY:
S~gn~tu.otsl of Debtor(s) Sipnstunlsl 01 S~cur Party[i~s1
~ STANDARD FORM - FORM UCC-1 :
p h~ ~~,~,t ~ AOproved by the Secretary of State, State ot Ftorida
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