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i ~ ~ ~ TNtS STATEMEM i~ pr~s«+Nd b a 4ili~q offiu? for filiny pwuwnl t~ Nr Uw:fw+~ Co~uc:ai Cod~: l. Ma~wity do~~ (if onr): ~ 1 D~l~«Is! (ltiM Wwn~ i:r~~) and oddraa(n~ t. Sownd ?aA1(i~al a~d oddrNals) fv fii ONor 'Drti. T~r. Ii~wi~r. ~N fiM OMisi ~ l~athanson, Dr. Sid L. ~y p R~E ~ 1021 South 8th Street Fl~ ~K ~~~~o~E ~C~t~~~~ F~~ Fort Pierce, Florida 33450 P. Booc 970 Fo"`~ ~ry~Ta~s . ~ : -_t ~r:~=: F°'' A°~a° g 1~'4 ~ ~ ` 1. This s~oNnNwf n~~n b w:qiwel F~inewcbN Stalw~wN s...;~, 315?62 J;~: 1~ 2 zo PH t 1~ Fil~d wilA Lucie lr0unty DoM FMd ~u~ 1~ 5~ Continvotion. iM orig:nd Finonc«q stol~~nt bM~~ Nr forpoirq D~M« and S~cvnd ?eAr, bwrinq fil~ 'w~r shown obov~, is atill ~F(~ctiv~. ~ 6?Q~}C~Rninafion. S~cv~d porty no lo~qw cloin+s a s~cv~iy inM.~st vndK tlr finoncinq Not~n~nt bwrieq Fil• narw6M ahown abov~. ~ 7? AuiqmMnt. Tfr t~cvnd port]r's ri~At urd~r Nr finw+cinq sfoNnrnt bwrirq !~b ~u/nb~r sfwrrn abon to Nr poP~rty A~~cribd in Itww 11 hes b~w~ es~»d b tA~ auqr~ .rlws~ narw~ ond eddr~+a oPWo~ iw hww 11. . ~ t~ Am~ndwrnt. i'.na~cinq S~aN~w~wt b~orisq i"iM nYw~b~? sho.rn obo~e is o~d~d as :~t fwtA in g~l~, o~ R~Iwse. S~cvnd ?aAt ~~Iwsw Nr colkw~rol d~wib~d ie 11~e 11 fraw Ar F:nancwq s~at~wwM bwriep fil~ rwn+b~r sAo.rn abow. ~ ~ ~o.? CMdc if tn+e. AG doa.wrwro.y sto~wp b~~a dv~ ond Po1~~ w ro Mcan~ dw wd Por~~ W~i~^t le ClwptK 201. F. S. Aor~ bwn Paid. ' ~ ~t. ~ Goods as described in Official Record Booic 243 Page 608 ~ r+e. of ad~ihawl .h..~. v....m.e: ~ BOOK PAGE n, i President a,,: s;~ow,,.(.1 .f p~b~e.(s) lMO.?sorr e~ly if lean { is opplicoW~1. ~~d Iortpt:~sl STANDARD FORM - FORM UCC-3 ~'t:ol APP~oved bY R~ch~rd (D~tkl Stone. Sec.e+a~; : ' _:..`.u , . . c_ ~_,L~'% - ~"'~.~,t x~~ ~,~r'i, ~ ~ ~z~ "