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• ) y~~t r Bor 24F1.-i Ed. Nov~76
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STATE OF FLORIOA
UNIFORM COMMERCIAI CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FiNAtVCING STATEMENT is p?esented to a tiling otficer for filing putsuant to the Unitorm Commercial Code: 3.
t. Debtw(s) (Lsst Nsme Fim) snd Address 2. Seuired Party and Addreas * Fw Filing OfticerfDate, Time, Number,andFiling
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~ _ - - ST.IUCIE COUNTY FLA.
ROCER POITAAS
CtERK CIe~GU1T COURT
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This financing rietement covers the following types(or itert?sI of property: ~Cl~eck box N~hich appli~s/ +~N ~w~
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Q Ad oj tht housrhoW jurnitu~~ and jurnishinax tftctrica! und aas appliance; incluJirg tclerisiort IS~~~~
xt; phonogiapht a~ ntord play[r~t ?ej~igt?utorx elc., and other pe~sonal prope?ty now• owned J
and locattd ut thr rcsidentt oj rhr aDton at the a/d~ett gi~~n above in Box _
~ D ~ Assigneels) of Secured Party and Addressles)
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~ Check if true[x~ The starr~s requited by Chapter 20i, F,S. have been placed on the promissory instruments
secured ~ereby, and will be placed on any additional and similar instrument that m8y be so secured.
j n~cumentary stamps attachtd to original nott and eaneedtd
Tn is stecement is filed without the debtor;' signature to pe~-fxt a sccurity interest in co:lateral. (Check ~,f so)
~ ? Atready subject to a security interest in another jurisdiciion when it was brought into this state.
' ? whith ii proceeds of the origirwl Collateral destribed above in which a security interest was perfetted:
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t CheckC~if covered: Proceeds of Collateral are alw covered.[]Producu of Collateral are also covered. No. of additional Sheets presented:
fi i led weih: Cft~k oj the Circuit Court oJ County, FTorido
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~ Secured Party *
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E ~t~ STANDARD FORM - FORM UCC-1 Manager
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