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~ Bor?IFL-1 Ed No?; '76
3~3~i233
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1 _
TttIS FINANCING.STATEMENT is presented to s filinp offiter fw filing puausnt to the Unitorm Comme~cial Code_ 3.
1. Debtwls) (Lsst Name First) ~nd Addross 2, S~a~rod Psrty and Add?ess * For Filing OHicerlDste/~, ~Time, Number,sndFitinp
- ~ ~ ~ J~~:~ ~ . ~ J~ ~ ..J "J . i~ • il. ~ ~ ~ ~ ' l.~ -1` . V~~~iQ~ '
, ~ ~ ~_i~.C.J :~y.:.it S llul ; _ ;..~t..__.. i r _ ~~~t~~~p ~~pp~p ~ .
. ; ; _ 3 3a ;J ~ , . ' . _ J + ~ ~UCIE QOUNT1r Fl~.
- - - ~ . • OCER POITRAS
~LEpK CIRCUlT COUR
^rr^^^. y:p~CIED~
4. This financinp statemsnt covers the fotlowiny typeslor it~ms) of propertY: (C7~eck box which applies~ ~7C~ I I o 3 PM ~T 1
~ AfI oj tAe~ sthold ju~niturc and itrrrtishiig; eleetrical ond aas applianca; inctudlry~ trl~?tisfon
~ seq~ phon phr end ~eco~d pbyent nj~geiutor~ rtc., urtd other personal propt~q• now owne+d
and locat at thr rcsidenct oj the DtDton at the aldress aiven oAuvt in Box f.
D 5~ Assigneels) of Secured Party snd Addressles)
6. Checlc if troe~ The startps required by Clwpter 201, F.S. have besn plated on the p~omissory instrumen _
sewred hereby, and will be placed on any additional md similar instrurnent that may be so secured.
Uocumentary stamps artechtd to oiisina! notr ~nd ancelhd.
This statement is iikd withoirt the Oebtors' si~naturo to perfact a sscurity intercst in ~Itateral. ICheck ~ if so1
? Alresdy subject to a seturity interest in another jurisdiction when it wes brought into this state
? wl?ich is prooeeds of the oriQi~sl oollate?al described above in which a sccurity interest was perfected:
Check~if covered: [xl Proceeds of Collsteral sre alsar toverod,(-]Products of Collateral are slw covercd No. of additional Sheets presented:
F+led with: C/trk oj the Circuit C t oj County, h7orida
`c~............... . ...........a... Secured Party * - - . . _ . - - , -
' , L ...................................i.a...~.......................
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~tOf STANDARD FORM - FORM UCC-1 Ma^~~
* Typt Jiel1 ond complefe rorporute nam~
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