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- 3~232 ~r 21FL•1•6d. Nov '76 ~
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. STATE OF FLORIDA
UNiFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - i
TNIS FIMANCING STATEMENT is prssentsd to s filinp officer for filirtg purwant to the Uniform Comrtxrcisl Code: 3.
1. Oebtorls) (Lsst Nsme Fint) snd Addre~ 2. Ssa~rod party and qddress * For Filing ONicerlOste, Time, Number,andFilinp
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4. This financiny sistemsnt oovers the followitq hpeslOr items) of property: /Chtck bos which applitsl YC~ I f n 3 PM ^
A[I oj the household jurnlturc ond jurnishins~ eJectrics! ard aas applia»ct; lncludi?g tele~•ision
~ir,' stUC phonoarophs and ~reo?d pJaytr.x rejrlatroto?; etc., and other pt?,~oraf property now owntd
u and lotnted at tht ns~dence oj ~h~ DeAton at the aldrets givt~ aDovt in Box 1.
D 5~ Assigneels) of Secured Party ~?d Addtesslesl
s. cn~ ~i mx(] rne:w„~.~~;~a br cn~:~. za~, F.S. Aave been placed on tAe promissory instrument
sewred hereby, snd will be placad on sny additionsl md similar instrument that may be so secured.
Documentary stamps attached to oriairwl no?e ond catice/!rd
This sqtert~?t is fited without the Oebton' siynature to perfect a ssw?ity enterest in coltateral. (Check ~ if so)
U Alresdy subject to s security interast in arwther jurisdiction when it was brOught into this state, •
which is Proceeds of the ori9inal collsteral described above in which a sECUrity interest was perfected:
Check~if covered: '~-'x1 Procecds of Coltsteral 8re also coverod.[]products of Collateral are also cavered. No. of additionsl Sheea prese~ted:
F e led mth: Clrik oj the CircuFt Court oj , ' t Counry, F7orida
' Secured Party #
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Debtor
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~t~ ANDARD FORM FORM UCC-1 ~
* Typt Jfull und comptett corpo~a namr,
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