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HomeMy WebLinkAbout0522 ~ ~ ~ ,,f I + ' 5415 FINANCItJG STATEMEN~ i~ pesrnled b a Fl.nq of4~ter fo~ f.1~ng prwont w the ilnifors Cawme~c:oS Code.~t6l3p ' 1 Mo*r~ti do4 :f ow~ _ - ~ -1-- De6to.'~; ta~t Nome fusl; cnd odd•~ss.ea: ' 2. Secv.~d ?o.lr':r~' ond oddrtss.ts: ~ ~v i•tr~ OK.w Oe~r. Tr~. NuwB~~. ~d F.L~p Offy Ha~aonds, James G. ; ~enersl Fiffinc;e Corp. i f~o A110 ftECORpEd~/ 1311 Pgrkland Blvd. ' P.O. Bcx 370 tT. ~p~~, fu ' ~~T~ ~OCER +'OIT~AS r t. Pierce, Fla. 33450 ; Ft. Pieroe, Fla. 3,I.50 i ~E~~ ~R! C~w~T ~ouRt ; , ; - - - _ ~J~lrt jl 9 S2 ~ ~ a T~is financ~nq ttatemeet cowrs t1~e Foiiow~.q rypes w:~rrni. o~ pop~.t~.------ , = A1t o~ •he c;,nsuner p~y1s no.r tocoted ~n o~ ebc~• +~+e y:r.ses cc-st.r~t.^~ e^e aelro~s' ~es~Ae-.ce r ~ the:r adE.rss a6o.e se~ f~.~i, or or ~r .,~1~~• ed~+~ss +o +?:~cF the s~ze ~a~ Ee ~ex.ed a~d r.~ p-cpe•~~ : t~s+ed b~lo. ~ S A~s.ynee i of Sea..ee ?a.+f~ o.d Add.e+s es 1he fo~lor~nq p.ope.tr- . i ~ ~ # ~~O d «.•N Dd i• i i~n. r..~ • oKN~t •r ~ ~o ^v a~i"~.i rp_ ~MO'~' 7:' {boc Sb~~.4~. ~ tw >re~ t u . . r~ I ~.~r. Y ?!1r i~fl v.+.e~ f W.•~O M~'~pf. Y.~ ~v. M:~iW Y~ O~I ~06'-f~? iM ~~-~i' ~1'~~~M"~ ^S ^c1 Y K fC.vlG ~ Th~s sMte.nent ~a (:led y+ithour tfk d.btor'a s:qno~vre eo pertM o se[w:t~r iw4res~ in collo~e.af. CM~k ~i A~reud~ wbjacr to o uc.rriry inMest in onotlwr jv.isdic?.on when ir res b~ouT.hf inlo tlws sbte- ~.h:ch is poceeds oi rhe orpinol cdbtr.ol desv~bed obo.~ in wA~ch o sew+~y i.r4resr ..as pe.{ec4d. C~ec? ~~f co.ered--- /.oceeds of Cdbkrol or~ olw cov~red. ~/rod..cts oi Colio~e.al on d~o co.efed. No. of odd~r.wo1 y~eeta ~esaweed F~fed ..itA: • ~i CaBD@1'31 F~IfBIIC@ ~02'p. ~ t ~ ~ , Sqwo/w~(sl ei O~bbrts~ s; eF Ses~..ed ?a?*~. ~es STAMOAR~ FORM - FORM JCC-1 ; , , . ~ `-.L _ . . ~o.o..+ a eca.vs ,o:a s.~.. s.~., ~ s..... s..4 .s ~.;ei. . - _ _ : - _