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~ THIS FINANCING STATEMENT is presented to a filing ofiicer for filing pursuant to the Unitorm Commercial Cocte: 3. Maturiry date (if any1: :
~ t Debtor(sl (Last Nart+e First! arxf addresslesl: 2. Secured Parrylies) ar?d addresslesl_ .~~~~lt For Filing Office~ (Date, Time, Number,
' and Filing Office) -
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~ a. This fina~c~i~g statement rnvers tAe following types a~d/or items of property: J~y I 9 I I 7 ~
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~ 5. Ass~gnee(sl of Secured Party a~d
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6 The secured partylsl, whose signaturefs) aPpears beiow, staces that the stamps required by Chapter t, _
~ F{orida Statutes; if a~y, have been" placed on the promissory instrumenu secu?ed hereby, and will be
~ placed on amr add~tional and sim~lar instrument that may be so sea~red.
~ Th;s statement ~s filed without the debtor's signature to pert_ect a security inte~est in cdlateral. (Check ~ if w) ~
~ ? Alreacly wbjeCt to a securify irtterett in another jurisditt~on when it was brought into this state.
~ ~ which is proteeds of the orig+na! cotlateral described above in which s security interest was perfected:
~ Check ~ if covered- ? Proceeds of Collateral are also covered. ~ Products of Collateral are also coirered. No. of additional SF?eets presented:
~ F~ledwith• . ~ .
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~ . S~g~ ur~(sl oi Oebcorlsl ~ S~gnaturelsl oi Secursd Pa?tyliesl `
~ ~ STAONRDK~.`iV RM - F~R~~CC-1 .
Approved by the Secretary of Stace, State of Florida
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