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HomeMy WebLinkAbout0318 ; j ; - , . 1, - I ; ~ . } ; i ~ . : s , i . i . ' I ' • . { . . _ . . . _ _ . . . . . _ . . - - • - . - ' ' ' . • ' _ - ' - - rMiS fIKANCIf~Ki STATEMEtiT is pr.s~n»d eo a f:l;ny offinr fo. f:liep pvrwow~ a Mr {lwiforn, Cowwraol Coda - 3_ Maa.iti da~ (H owrl~ / t. D~bbr(s) (loN Nowr F'us~T end addrsas(~s) Z. S~cw~d Mfli~sl ~nd edd?p~(N) f« riy Olt:ew lo~. rr. ~..i«, w~ f~Cy ONio~I O~iA OOISHVi P1~90NAL l~IFT PJ.AN II~C. 1I29 AYSa~e D P.O. ffi 35~7 Fl~EO ANU REC0.4QE~ Ft. Pie2'oe~ Flo. 712 5outh ~th S#,2~set? a06E CPOiNR~II~ t~ 33~J0 Ft. Piel'Ce j'i~.Fl.a. CIERK CIttC1i1T CfiiuitT ~ ~ . 3~~ RECORQ YER~FiEp ; : < Th;s (inanciw~ s~el~w~wf cov~?e 1M follorrin! ry/P~a jw i1r~s) ef oropwqe . ~ S~~ ~LL ~ I~R~$ FtTIt~RTtT~, FDUS~D (~OQI~ A~ OT8~8 P~SONiL PR+OE'~Si'Y. - ` 3~3050 ~ ~ ~ - i ~ _ - i ~ a. CMck if eew C iM sra~wv+ ~.qw..d Sr CMW~. 2~1, f3. Mn bww Ploc~d ow ~h. porw~uory insrn,~w.nes a.~w.d 328U50 ~ _ Mr~bp, and wiN b~ pfond ew awy eddiliawl and sirsder inqrvwnM Nw~ esar b~ w s~cund. ' ~ !~,is sbtww~f b fiiw vithoul tM d~6~w's siqnalw~ 1e paf~cf o s~arriy inNr~s~ in eollw~rd. (CMc? ~ if w1 ~ ~ ~ Alnody srbj~el le a s~cw:tr inMr~s~ in or~o~A~r jwisdiaan wM~ it was brouahl ie~e this s~o»• ~ wluch is ~on~ds o/ Ma eriyiwol coltawroi d~w~b~d obo.~ iw whid~ o s~cwi/r inNrial was p~rf~cwd: C~~~k ~ if ce.~K~d: ? hocMds ef Cdba+d an oNo cownd. ??+odvas oI Collohra: an alw cow~~d. No. eF oddhione! SM~ts p~s~nhd: ~ i F~~.a w~: er ~ . .ua _ a-'C~.-~,~[i~~-~ Paraonil aa c. ~ 6r: S.ynotir~iort¢~ l - ~r= of -~d lin) ~ nAN~AR~ FORM ~ ~ORM UCC-~ ~ ~ F . _ ~ ~ : . A~mwd bp Taw Adoiws. Swmarr of S<crc. S~~!. ai F!or<da ~ ~ `.~w+' r 3~"~~'~~~~~-'~w` : - - - . . _