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~ THtS FiNANCING STATEMB~IT is p~e~enNd b o filinp oHKer (w filinq pursvom b the Unifpm Cortimerciol Code: 3. Mohwitr dol~ ~if onr:) ~
~ D~Morls) (lost Norns f~nt) and addiessles) 2. Secvrwd Pbrtylies) and addnssles~ For f~fieq Offiar (DoN. Time. Plun~, i
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Fo Tt Mary A • ~ ~ ~ ~ • ' ~j~
a Ka Y, P.~_~. I~ .C=~
~ 2~02 N. Federa, HWY t?~ ;?~,RAL 1T 4~~ 4
! Ft. Pierce, Fla. ? 3Li5~ ~i. ;3;,50 a~4~~
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~ ~ This finontiny stote+~wM owers the fdlowirp tYP~s (w items) of proparty:
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F 4a listed on schedule "A" security list dated 7-Z5-76
` S• I?ssqnee(s) of S~cvred Pwtr ond Add~ntw)
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? 6. The aacwd portylsl. wF~ose sqratwcW oppeon bebw. stores Mat M~e stompa requirod by UwpNr 201,
Fiorido Sbtules, if ony, iwve been ploced an rM pramisapy .nstrurnenN secwed hereby. ond will b~
; ploced an w?p ad~ditwrwl ond sim~br i~Wrvriw~t thot mor be oa-s~cwed.
This slntemerH is filed witFwut the debw's sgraNrc b pe?(ect a t~cwity intaresr in cdbterol. (CMt1c ~ if so1
_ (1 Alnodr wbj~ct ro a sscvriry i~terest in orart~ ~wi:diction wMn ir wos brouyht inro this sbM.
? Whith is procseds of the org~nal colb~rol descnbcd obw~ in which o secwity int~rest wos per/ec~ed:
; Chrck ~ if mve~ed: ? Pr«eeds o/ Cdla~erol ore alw covered_ ? Woduc~s of Cdb~erol oro alw cwered. No_ oi Additiaa) Shsets pnas~l~d:
~ Fifed wil~l:
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sqno+,aN.~ of oebt«t,) s) of s.ou~.a .~y1Ms) -
~ STANOARD FORM FORM UCC-
( ;~ali.r.~ r1.{S'rnr C~Gy -/~~P{td68tiCOE Approved bp R'idwrd (Oiclc) Sto~e. Secratory of Sbt~. Srote of Naido