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I This FINANCING STATEMENT is prw~Nd b a fiinp otf'~ for fitinp purawM M ths UirFww~ Coarse~tia) Cods. , 3 Manuit~ due (if an~): r ~
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1 Debcorls) ilix Name Firx) '~a~~°~~ 2 Sauccd Part~(ies) aad addras(es) Fw filiy OfFiw (M», iiM, I4~Mr. M/ filiy
and addresla) :~tJ)C)
~ c~~r ~~nx n~~ c~aitn~~ or ~rsoa, 336 22
~ 1212 J Iene 608 Oolo~acb ~ve. ri~EO ~?no KECOROE~
~ ~ ST.lUC1E COUNIY FIA. ~
Ft. Pieroe~ Fla. 33450 31u~, ~a• 33~I4 ROCEp 70~TRA5
~ " CIERK CtRCU1T COUI~T~(A
~ RECORO YER1FiE0~+~--i
~ 4 71~:s imaana xuammc m.m c6e followios ~TPr+ (or ~[ems) P~~r~ ~ ~
~ l 2 z6 PH 76
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~ Any and all houeeYiald goods loaated at or about the above debtor~a rei~d~ence as lfsted on the.
` original ahattel
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ASSIGNEE OF SECURED PAR7Y Tb~s shtemcnt is filcd without tbe debtor's signatun to pcrfect a secnrit~ interest ia coll~teral
A I (check ~ ~f so) (Use ooy in Indiana and Ncw/ York)
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w ~ undct a secwit~ agreement signed b~ debtor authorizing xcurcd part~ to (ile H16 Sf1[tQ1tOI, or
~ ~ alccad~ subject to a securit~ intecest in anotLer jur~sd~ction wLen it ~ru brouRht into this statq or
~ r6icb is rocecds of the toUoviu dexribed ori inal collatcra! w~ic6 wu
~ ~ ~ x e v«t««a:
~ _ - _ F'i~ da ~c Stampa atfYiaced to__original ~t~--=-_-__
~ (.i~r~k ~~f covcred: Procce.is of Collatcnl are also corered (w6olcsale) ? Producu of Collateral ue also covercd p~.cstock, crops) TSo. of additionnl shmts prexntcd:
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~ F:Icd ~rtb: o ~ Counl~ ~ ~ Scrcta[~ of State
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~ ~'ou'~av~'u"'iiv O~a ~.~.^.8:a'-~ ~t'v• :
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~ ~y~ - - - ~ - - - - - - - • BY=-~-..LL1Xl'l-d-.-~
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~ ~ Sis atu l (ies) Sisuuurc7s) o( Dcbtor(s)
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5 STANDARD FORM - UtiiFORbi COY![EYCIAL COD6 - FORM UCGI E f s I~r~~ 9~
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