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~ THIS FtNANCING STATEMENT is presented to a fihng officer fo~ fiting pursuant to the Uniform Commercial Code: 3. Maturity date (if any1:
~ t btorls! (Last Name F~r3t) and addrezsles): 2. Secured Partyli antl addresslesl: . For Filiitg Officer tUate, Time, Number,
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_ ~~L~s / _ ~ and Filing Offite)
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~ 4. This finaacing statement covers the followin ty nd/or items of property: Sc~ 2 zl PM 1
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5. Assigneets) of Secuced Party and
c~'/~y~~ ~V"~ Address(es) ,
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6. The secured party(s), whose signature(s) appears below, states that the stamps required by Chapcer ZOI,
Fbrida Statutes, if any, have been placed o~ the promissory instruments secured hereby,a~d will be
place~ on amr add~tional and similar instrument that may be so sewred.
^i This statement is filed witAout [he debtor's signature to perfect a security interest in collateral_ (Check ~ if so)
? Already wbject to a security ~nterest in another jurisdiction when it was brought into this state.
' D which is proceeds of the original collateral described above in which a security inte~est was perfecttd:
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Checic ~ if cove P oceeds,of Cotl eral are also covered. 0 Products ot Collateral are also covered. No. of additional Sheett~resented:
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Filed with: ~
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ev:~~~.t,L~-~~~~s+ ~ -,~'/'!~T ~c..~~.c~ Y?-ct~e,~ By: , ,L~/'. ~
S~gnsturels~of Debtor(s) SFynsturels) of Secured Party~ies)
STANDARD FORM - FORM UCC-1
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~ R ~n~ P~ Approved by the Secretary o~ State, State of Florida
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