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HomeMy WebLinkAbout0944 j ; _ , ~ i i r ~ ~ , ~ . _ ~ - ~ ~ ~ . _ _ _ . E THtS fIP1AtrCIMG STATfMBdT is p~swNd b a filinp offipe+ for filinp punuaM b ~he Unibnn Conrnu~ial C.od~: 3. IIAohKihr doN (K 8 8 4 1. O~borlsl MM Narw~ ~rst) and add~sslM) 2. S~cui~d Pbrlylys) and cddrw~a) fw Filag Oliiwr IOuM. Twr. Nwnb~?. ClaatOa, I.arr~r & Si.ll~ J. F r, t ; < T-- - .1,~.~ °^d ~•w o~o~ ~ - ; 6Tol, sa~erna Ra, r-~ , ~~~7 : - .,~-n AT ~T~~~" ~ Ft. Pieroe, Fla. 3345~ I; i ~~\~j'~T , -AS34 ~ ` 8.• I~luatL.j.~.~ L~~ ~VLll~~i j~ ?J t~V vi ~ f f ~}II{ ~IIOIICIf10 lIOMMIk ~Y'Mf 1~M ^^'....~`I~ 1yP~ ~0/ ~ Of 01'~Mlyt f Aa listed oa acheduls "1" sscurity liat dated 8-31-76 ' { t s. ~usi~..W of s.cv~.a nm+~? ana ~ 1 6. Th~ s~aAd porhrlsl. wFaM aipewhwNt~ aPP~ors bdow. sfous Ilwt 11» san+p nquiAd bp O+oP~'~? 201. ~ flaida Srol~Aes, if a~M. l~we 6w~ plond m d» pran:s~ory i~b s~cw~d Iw~b~r, ond will be ; ploo~d an aipr addtionol and ti~ilor in~Munwnf M~ot ~nop b~ as s~and. i~ This sb~M h Rird wilhaM dr drblor's ~ipno~n b p~rf~0 o Nairiqr i~M~sf in cdloMd. (Ch~c# ~ if wl L ~ O µ~dY xi6~ct w o anvriqr inlrest in anoNwr jur'sdct~a+ wlwn ie ~ros brvuyla inb d~is ; ~ ? lkhid~ it powds of th~ oripial mlbNrd d~saibd obar~ in whid+ o~witp irMwest wos p~nc~t~ C1wdt ~ if cow~d: ? ProcMds of Cqlla~al oR oho oovetid. ? Produos of Cdlo~nol ore dw oo~nd. No. of Additional SIw1s p~s~eN~d: ' RMd wiAk ~ HC C ~t ~ ; / P. / PAGE - et aa«t~ ~ o~ s«~+d ~~.a STANDARD fORM - FORM l1CC-1 :R (I~ FJing QFfiser Copy • AIpF?ati~tical ~.o»a e,, ~+o.a ro~t sa~+.. s«~.,ory ~r sro~.. s~~. ~ ao.~ao ~ - ~~p~p ~ EXEC. IDE/1S NO. 16~9 ._y,~ _