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HomeMy WebLinkAbout0374 , : t , I j _ _ _ . _ _ - . . ~ TMIS fINANCIMG STAIEMENT is pr~s~M~d to a Blinp olfic~r fa Bli~q pwwonl ro tlr llwifors Co~wnw~cial Codr ~ ' 3. MoNr:lp dat~ (i1 anp?- ~ { 1. CeMor;a) (lost Noa» f'usf) ad odM~ul~s~ 2. S~iwed ?ory(i~s) owd eddrtai~s} ia filiwp OfFar (DoN. Tww~. N~rs~. awd fil'iwp Off:s} ~ ('~nc,r~ '':~f-!-+~rinl D. Tn.-;.,P (',o~n+^a~ ~+:.,a...-:, ~nr+~~ / , _ . . • l~~~~~~~~''~ 1~ cnQ ~Z,-~i S~-t'. P.O. ~~v Z7r' M itA. ~ VV _ ROCER P41T1l~S F!-, pl~, ~~nsn CIfFKCIRCIlITCOURT ~ F+-~ P:n,.-r-n Fl o, Z?Rr./1 ''~~::~CIE~ ~ t. TF~is fnonciep s~oMw~a~ cwirs dr ~dbvrinp y0ts tw itrw~s3 a P~~~ ~`T f' ~ - i ~ 4AM~Z ~ j~ All of th• coeswn~r yoods no~r locoied in or obout fh~ pr~mis~s coestitvtinp th~ d~bron' r~sidence W ~ ~ tMi+ adM~ss obo+~ s~~ Fo.th o* ot onr oth~r odd.~ss b~rhich rAe saa~ rpar b~ r~mo~~d md ~r o.oP...y i ~ list~d b~lo~.. ~ 3. Assiqn~(sl oF S~our~d Mrpr awd Address(~s) ~ ^.y~~ /Th~ folb~n9 ~oy~rtr: /LA C~r.~^ e-~ l•n~+r ~.~na.! _ 6. tr~ wcY~~d pvry:si. .AOw sy~L+~:J ~ew>s MM., w~. r~e~ w sro.a~ ~~nd O~na. 70i. fbda Swvtit ~1 a.r. M.e Ww~ j a«.e d. .k Qe....o., ....n.+.~h .~~.w b..s, ~w ..M e. dooa on o~. aaanad ar ..r1~ :n.Y,,..~. .w, a+o ,.<,..a_ ! TAis s~o~ewrM is faed wiMwf tAe deslors aiywotw~ b pe~fM a aecvrilr infrr~st in colloh~ol. (Check ~ ii w} Alreod~ wbj~d ~o o secwNy inNr~st in oiwM~r jwiadction v.h~n ir ~„~s 6raqhl iafo N»s sbfe. ~ v.hich is proweds of Mr or:p~nol cdb~ol d~w"bd abow in wi~ich a s~cwiryr ineerest ..w qrfed~d: ~ C1.~ct $ if cmer~d: ~ hou~ds ol CoiloNrel a~ alw ce~~d. ~?roducts of GoGohro) m~ olw co.er~d. No. of odd:t~onol Sl~~s pns~wted: ~ ~ s Fil~d ~r:tl~: { ~ ~ ~ , ~.~.r{,~, /Yannr~l F~ n ('nr'r±. ~ ~ ~ - 'r t _ _ _ / \r i .t. c.~.c.~ s:~,e ~ r~,N.,~~i ; STANDARD fORIN - FORM UCC-1 Fi~J!v , GFFiCER .COPY - ALPHABETICAL ,~„..d b, e~a~.a to~?~ s?«~., s.~reb~y o~ s~a~, s~a,. ~ ~~r~d~ ` _ _ ..~a~~ ~ . . :