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. ~ ~ ~ ~ ~ I E - ~ _ . _ . . . - ~ - - i ~ n+~s Fa~uwu~ sr~r~u?~r is prefe~tMd b O filieg oH'wK (or Pil~ punt~onR b ire UI?ifonw Con~lneetid Codl: s. ~:+r aa. w o~t 9 61 ~ I. o.bforis! (t~ost trom. f~.s+) ond odd.es+ksl 2. ssan.d Pbrtylysl ~d addr~ntes) For r.linp ottio~. Ipde. ri.i.. Mwba. ~ T. < 1;-~_ ~-,,r•~ • , ad fitn~ OR7ai Rathburh, Jamea dc Linda ' ` ~ 3209 S. 7th. St. - : . - , ~ ~ Ft. Pierce, Fla. 331t5~ • ` , - - _ _ - j 1. ~ji .L.l.~ ! ~'1: :1 .,?'l.ii~ H 4. Thiq financinp s1mM~MM COrlri lht fOlbwrq 1yp~s ~O? it~nM) 01 PAP«hh ~ z Aa liated on achedsle "A" securtty list dated 9-2~?b s. Msi~w(s{ d Src,Md fanp vd ~ n ~ ~ ~ 6. TM t~cu~d po.t~rfsl, wlw~ ~gnaw-ds) aPP'ors b~iow, staNS Aw+ dw sta~nPs tiqu~d b~r Qwpw~ 201. ? Flwdo S~andes. ~f aW. have bKr. plaoad on 11» prom~s~o~l? ~~+~s ~1~, and wiN bt ~ ploc~d on onY odditioral ond :wn~br instnwMnt Nwt ewp b~ os s~ow~d. ~ This qatane/M is fi{rc widw~R :n~ debbi s siprwrw~t b p~f~Q o~~ouriyr wMa~sr in ooYoNnul. (CMdc ~ if sol ~ ~ N~+OdY a+bi~d •o u:;,.a+.itq ieM~e~ in aia~lNr jus"sdiction wl~n ie «a b~arp~+t :,w this stulr. ~ ~ ? Mlhicfi is proad~ d M~s wiqirol eolblaol d~uribrd obw~ in wbid~ o s~aRil~r inlp~est w~es paf~ct~d: ~ ChKk ~ if oorend: ? Prots~ds d ColbNrol an olto cww~d_ ? Plrodyc~s of CAlto~w~+l are olso ow~e~d !b_ of Md~tioewl Siw~s Pw~~ ti - ~ ~ Fil~d widn ~ ~ f ! ~.L ~ ~ -~~--~`~°~--~cx ~5g ~ 8~~ F~~ ~ ~ ~ . ' ' ~ . ~ - ; , SiqnohwNs) d Abais) S~olwela) ol ~+d 11eeMi~1 ~ ~ ~ STAN~ARO fORM - FORM lKC-1 ~