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~ . . . ~ . . ; ' 1 _ . . ' ~ . ii~' ~ - . ti> ' ~ ~ l - . TM~S HNANCIfIG fTAiENtElII i~ pn,wwd a e fd«p aN'.ar !er ii~p pws„o.~ a Nr U.i/or~ Cm..ri,ol Cod.: x~.riy dou (h e~r): Y 1. Drbwls) (teM Ns.M ?'vsH awd .ddr~ss(~s) 2- S~c.nd ~~np(i~a) a~d eddr~as(M) ~+y ara. tow, r~.. H..e....r r~ ox'.~f Nilsoa~~ T6a~as i Gsil Blas~s Pfa~a~ncial S~svics~s, in . i ~ p ~,,y / 833 Str~aslet Ave ZSA6 S l~d~salt Hi~hway R rCt~R~tsf ~ t Pt St Laci~ ~ Rl 33452 Ft l3+erce ~ Rl 33~5~ ~ ~ CIERR CutpqT C _ ~ rcAri~EO~,~~ Thi. P.,.,,aw, ,NM~«. cs..., h+b~.+~Y gF.. c.. i....) d,.aO..t,: - ~V 8~~~ All honsebOld ~ooda at and around th! abave addslfs: ' - s. w..~..c,~ ~ s.~...e e.a ~aa....c..i a. n.,.p..+ oa~,~.l. .I~O.. n.......c4.~,.~.. w.. ~.a.-.e r. chw la. ~bna. 9...... ~ v,. M.. a.. - ~en/ a~ i~ powor> ~rrs ~cwd 1w~. rd .,i b/bc~d a s~r ~di~ori ~s +~i~r Mn~rr ia er be an ~ecwd. i6w sfohww~ is iid ~rdMrt 1M ~EN/s siqw~hw+ 1o P~ehd • Hariy irN~pt in tolloNrd. (CM~k ~ if s~) ; t7 ~+~f wbi~ ~r • rweiy iwt~rwt iw wellwr j~wi~ieNow ~h~n H rr f?ou~Ai iwlr Mis s1aN. ? rAid? it F+repds ef 1M ~riqiwd c~M~brd Mw~d ~ iw ~rhKn e s~airiy ia~rwt r+aa p~d~cNd: - - cMef e ii c.....a: ~ Vs«..a. .f c.NeN.d ebe soc..d. p r..auct. oi Glb...d e.. d,e co.+..i. W.. of oddi~iond swq p~wus: - fiMd wiMes ~ - • , _ . ~ z . „ _ ~ .,j ' ~ s:...~.N,~ .r ~ . si.~.w.~.~~ timc~..~ ~ STANDARD fi~RM - ~ORM lJC4-1 ~ ~ - (1) Filing Officer COpy - Alplf~bet~1 /1~ia~owr er wsus.~.p Nsu.. stw. or F~..a.