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~ ' 384'7s9 21FL-1 Ed Nox '76
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FiNANCING STATEMENT is p~tW to a filinp offipr for fflinp pu~w~t to th~ Unitom~ Commatial Code: 3
1. O~bto?(a~ (Last Narrr First) and Addrht 2 5~wrsd Party aed Addtest * Fo? Filiop OfficKlpstq, Time. Nurt~.andFiliny
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~._+.J~, ~ri~~I,~~Ii,c kl..~~iF:;;t ~sl:~F1CIAL rI:J~~~; ..J ~r Fn ~I~ o~-~os~
5~~ :so~trri btn sr.~.;~r u~i a Ji'i~ r~~~;-;ar, .-~~;r
rt-.iI~L•IJ~ r L. 33u5o Fr : I.~,, ~ti. 33u70 ~
4. This fa?ancing sbtermnt oo~ars tAe followinp typafar items) of property: (Chect box w~Jc1~ ~pp~les)
Aq of tht bousrhoJd Jurnitwr ~nd j~onishf~ dcehinf snd aa* ~PPlishtaG lne4dt+~ television
a xp~ PAoa~~,.~ a,.d,eco„a prre.;,,rf,~e.oro.; era, and orher personN property wow owned
and foe~t ~t tbt ~esidenct oj the Debtort ~t tAt ddrcss Sir~en ~boae L~ Box
? 5~ Assignee(s1 of Secured Party and Addre~les)
C~ Cb~dc if true~ The stamps nqui~ed Dy Chapiaf 201, F.S haae been plsced on the pomisson? ir?strur~en -
secured herebl~, and will be M~oed on anY sdditionsl and similsr insuument that may 6e ao sewred. _
Documcntay stanps ~tached ro oN,tind nox ~wd cenceJkd
Thix statement is fi{sd without the Debton' signature to penc~t s srwrity inte~st in oollsteral, tChedc ~ if so)
? Afready subjact to ~ sswriiy i+~ter~st in anoU~sr jurisdittion wl~en it wss brouyht into this state.
? which is procaeds of the oriyinsl oollatersl daer~bed abore in which s saurity eoterest w~ss perfected:
Check 'Lx~f oov~rsd: x[] Procseds of CoNatersl sre aJso cwrnbd.[]Products of Colbtersl are aiso oo~ered N0. ot additional Sheets presented:
Fikd with: C/trk oj tha Cinuit Cowrt oj Carnry, Floride
Seuired Party *
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~tOf STANDARD FORM - FORM UCCfI •
1[ ~ ADEg 7YP~ 1~U ond canprete corporate na~na
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CE1l ?01 RAS
CLERR CIiiCUIT COURT
;-cr~F~ ~ERIFIED
Nov 16 2-~ a PH'11
334'7~9 . _
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