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t iN15 STATEMENT is p~fMNd N a fil:w~ ~cK /~r Rl:y prnwwl N N» 11~~Ior~ Css~rtiN CeM: MoMihr ~eM (N a~~): . ~ ~ 1~ D~ANr1~1 (lmt ?b~~ Firse~ o~d ~...~~~~22 2. S~c~rsd /~rh(i~s) a~d e/dnssln? fw iiliy ONic~r (OW. Tfa~. Nr~~r. M/ HRy OtRo~} :.ar:ier, Di~ne Fl.ORIDA BANK AT FORT PIERCE ~E o et ~ 1~ ~ ' 00~ I~ebraska Avern:e P.o.80X3469 t E~ 501 ORANtiE AVENUE «R ~iREU~ Ft. Pierce, L'lorida FORTPIERCf,FLORIDA33450 RE~r;k~yE~<<I~._ • a. ilis sqM~wt nt~n a eri~ieol F;~wcGN 51sNw~w1 6~oriM FiM Mv ! ~ ? ? `cj.P~ ~ 3~~ ~~T6 F~,.~.isC?erk of ST. I,~ucie C~f;~ie I.:av ~ 20tr. 7 S. ? CMff~iw~. TIH erife~el 6wewci~N sbteMwt bM.wa Nw (MM«M D~bfw aM S~drtd hrfy. bwriw~ }iM ~~~wr sU~~~ aM», is ~MII ~(fK6w'~~!/~-'Z~ 6. ~iN~etlM. S~tnN yorf~ we le~/~r c~ei~s e a~crrilp iwhr~sf ~~d1r fM fi~sciM slshMwl bwriw~ fiN ~rwb~r sM.r~ ~?~ti. v 7. ~ AMiMrrr. TM s~crnd vs~fy's ri~?f ~wd~r M~ FsoeciM ~MN~1 MmiM Fie ~o~Mt s~o.~ ab~~~ N N~ ww~n7 dncribN i~ IN~ 11 Mr Y~ ~fsi~M/ N M~ ss~I~wN r~sH uoN owd eddr~ss oop~~r i~ IN~ I1. e. ? Mwiw~d. fiwawciq SqN~~ut ~«iM file w~b~r ~br~ eM~~ is e~~wi~ es sN f~r1M i~ Ib 1 L . . 9. ~ 61M~~. S~cvrN I~f~r r~4ars ~M ceUONreI d~uri~N i~ IN~ 11 fn~ tM R~mciM ~IeNw~t bNrl~/ 1iN ~~~b~r slw~ ~bw~. 10~ CMdt N bM. All Mc~MSlery sfo~P Nus dw NA popolM K N lKeN ~t popebl~ qr(~wM N u.w« ~o?, f. s. e.,,. s... o«e. ~i. u.. .t.sxn..a .r..~. w.+.~~w. d4axGJ0 PACE ~ ;'lorida Ba at Fort Pierce ~r: • t '~wof~n s• ~1 ~n~tery Mlr it IN~ is ~rylice?M . fN1w~1 1~~~/N /«~f~iM1 • STANDARD FORM - FORM UC~-3