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TNIS FINANCING STATEMEN~ ~s presented to a idhng u~f~cer /or fJing pursuant to the Un+~orm Commerciat Caie~ 3. Matunty date Gi any)'~
1 Debtor~s! (Last Name Firstl and add~esslesl: Secured PartyGes) and ads)r~sslesl: ~ Y Fo. Fihng Off~cer iDate, T~me, PJumbe~,~~
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4 Th~s financing statement cnvers the follow~ng tYpef and/or uersu of property: 4 ~R ! 9~ ~M ~ 1
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- '~~~p~y 5.~ g !sl of Secured Party and
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fi The secured party(sl, ti+rhoSe signaturelsl appears be~ow, states that the stamps requ~red by ChaDte~ 2 1,
Florida Stawte~, it any, have been placed on ihe p?omissory ~~struments secured heretry, a:~d vr~11 be
p~aced on atry add~twnat and s~mAar ~nst~ument that may be so secured. ~ _
Th~s statement is filed without the debco~'s signacure to yerfect a secunry mterest m callate~al. ICheck ~ if sol
Already subyeCt to a secur~tY mterest in anot~er ~urisdichon when ~t was brought into this statE.
J which is proceeds o1 the ong~nal collateral described above m which a secunty interest was perfected: _
Check ~ if covered: ? Proceeds of Cotlaterat are also covered. L7 Products 4i Co~~aterat a~e a;so covered. No. ot add~trona~ Sheets presenred:
F~led -
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•turalsl orlsl Signatur s) of Sec~rocf Psr
~ Q~ STANDARD FORM - FORM UCC-1
~ Approved by Ihe Secretary of State, State ot Florida
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