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Bo? 2JFl.•1 t.'J. Nov, '76 ~
~09314
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINAPiCING STATEMENT is presented to a filing ofticer for fitirg putsusnt to the Uni(orm Commercisl Code: 3.
1. Debtor(s) (Last Nsme First) and Addcess 2. Securod Psny and Address * For Filing Officer(Date, Time, Number,andFiling
~~:.UY, :~:,t~AL~I~v~ B:,Y :FICIAL F'I:Z.+ 7C3 i:0 Office)
i.~„ti :1UrtrH lsth Sf. llttl ~UPH F::D.:.~AI. iiWC
r'Jt: PI:~'.C~, r'L. 3345U FORT PI:33C?,, FL. 334c0
'1. This finenCingstetement covers thC following typeslor items) of prpperty: /Chtck bax ~vhich applies~
A!! oj rhe househuld jurnitun arut jurnishingx el~c~rica/ and gas appliancex rncludirg tel~~•lriun
~ set; phonoa+aphs and rtco~d player; iejrigtroto?;, rtc., and othrr ptrsanal propRrty now uwn~d
anJ focat~d a! th~ rcsidence oj thr Debtois at rh~ udd~ess gi?Yn abo?•e in Bo.r
D 5. Assignee(sl of Secured Party and Address(es)
I o. Check if true[]x The stamps required by Chapter 201, F.S. have been plsced on the promissory instruments
~ secured hereby, and will be placed on any additional and similar instrument that may be so secured~
~ Uc~cumrntary stanps attached to oriainal note and cance!!td
~ Th~s stateme~t is filed w+thout the Debtors signature ta perfect a security interest in collateral. (Check~xl if sol
? Already wbject to a security inte?est in another jurisdiction whe~ it was brought into this state.
F
? which is proceeds ot the original collateral described above in which a security interest wes perfected:
i
} Check[~if cwered: [x1 Proceeds of Collateral are also covered.[~Products of Collateral are also covered No. of additional Sheets presented:
~ led with: Cl ~k oJ the Circul?Court oj County, Florida
Secured Party *
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Debtor STANOARD FORM - F UCC-1 M~~~
~ * Type Jfel! and complete corpo?nt~ nam~
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