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HomeMy WebLinkAbout0642 TMIS STA~EMENT is pr~s~nl~d Ie a filiwq off'~wr tor filiwp pwsroA t~ iM tMifeew~ Cww~waciel Ced~: 3. MaMrriryr doN (if aw~): I. D~Mar(~1 llaN Nww~ First) ond oddr~ss(~s) 2. S~cvhd ~~rf~(wa) s~d add.~ss(w) h. fi'i.~ OMiew torr. T.r, w.r.. wr f+w~ ONisl Self, Lamar and Margaret ~K Fi~EO ~MU x~co~EO 306 No, 20th St. P~ 0. =T~ROCEq ~oiTR~S«~ Fort Pierce, Florfda 33450 CLER~I C~~.CUIT COU 35G515 ~ P~ ~a ~ R~CCAr Yf.F~~~E~ . . n,~. .w~.~m ro«;~ r.~Ms s~~.M 6..,:~a w.. 3 2 2 69 7 ~ ~~1~ b , f~~.d St L~,r_ie,s':ni~nt~ o.a Fi.a nPr_ j„j »_Z.S__ a~a)~ S,~ Continuotion. TM wipind i'r~sw~inq stohw~nt swvraw~ :n. :ay~.~ i~eb~e~ wd S~cw~d fvtr. 6~orirp fib nw+~ shorn obsv~, is still ~FfMiw. 6$~ T~rminafion. S~cvr~d pat~ no lonq~r tlaiws s s~twitY intM~st wdw tM finawcinp stotrnrwl b~srino fil~ wwwbw ~horrw abev~. - 7`; Aasiqnment. T1r s«w~d port~'s dqM virlM tlr i'v~encinq sra~«w~nt b~a?inq kli nwnb~r diewe alw,r~ ?s Nr propNtr d~w~d in Uw~ 11 hes b~w~ es~:yi~d b ~M sasiq.~ .rlws~ nawr and oddrNS epp~or 'pi IMrw 11. ~ 6~_'• Aen~ndwrnf. f]wenciq S~uhw~nt bwr~rq Iib nve~r sAown obore is dn~e~~d ot sN fpfh in Ihin I1. ! 4 J RlIwM. S~tw~d ?art~ oboNt 11» tollaNrol d~str:b~d iw INrw 11 frww N» finowc~wp staMa~M 1»erinq fi(~ Mrn~r showa abow. ~ 10. ~ C1wck if tru~. Al) docvrw~ntory s~ow~p bses dw ad peyable a b b~caw~ dir~ ond peroW~ pwsraer? b G~op1~r 201. F. S. hor~ 6~w~ poid. f f { { ~ Goods as described in Official Record Book 246 Page I78 ~ No. oF odditiend slwls p~Nn1~d: &t~~:r ~U~ PAi: ~39 W~ iam .,Hu , es ent ar: siN.iw.!•f sf D.w«I.) l~.c..so.r onty ~f u«w ~ ia applicabl~)- gnowr S~cvr~d ?utytinl STANDARD FORM - FORM UCC-3 ~:;;r~ C'`- e! Ccpy - A'~:hobeNtAl APO~oved br Rrchard (O.ck) Stor~e. Secret+rY of Stste. S~are of ftor~da I ~ !