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~ THIS FINANCING STATEMENT ~s presenced [o a fiGng off~cer for filing pursuanc to the Uniform Commercial Code: 3_ Maturity date if any :
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x t. Debtor(s) (~azt N First) and address 1: Secured Partylies) and addressles For Fi1i~g Officer IDate, Time, Number,
~ ~ and Filing Office)
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~ 4. This iinancing statement covers the following types and/or items of property: AU,~'i '~J ~1~{ 1 11
~ ~A 1?~us~.~~d ~~as 1:~~.a ~~i~aE~~. o 4i3i'71
~ 3~ a~~ Esy~~e. ad,d ~~ss
~ ~~J ~p , 5_ Au~g~ee(s) of Secured Party a~d
~ Addressles)
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6. The seared partylsl, whose signaturcls) aPPears bo~ow, staas chac thestamps req~ired by ChaPter 201,
~ Florida Statut2s, if any, have been P~aced o~ the promissory instruments secured hereby, a~d will be
placed on any additional and sim~lar instrument that may be so secured.
This statement is tiled without the debtor's signa[ure to perfect a security in[erest i~ collateral. (CAeck ~ ii so)
? Already wbject to a security interest in another jurisdiction when it was brought into this state.
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? ~~nhich is proceeds of the original cotlateral desc~ibed above in which a security interest was perfected:
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~ Check ~ ii covered: ? Proceeds of Collateral are also cove~ed• O Products of Collatera! are also covered. No. of additiona~ heets presenied:
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~ Filed with:
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S~ynsture( Iof Dsbto~ls) Sp~amr of S~cur~d Partv(~es)
STA ARD FORM - F RM UCC-1
0/~ ~ Approved bY the $ecreta~Y ot State. State of Florida
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