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~ 418459 '
Bor 2~L•J Ed May '~O ~
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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
~ F+1S FINANCING STATEMENT is presented to s tiliny office? for filinp purwant to the Uniform Commercial Code: 3.
Debtor(s) (Lsst Name First) e~d Address 2. Securod Puty uid Addrsss * For Fili~p OffioerlOste, Time, Number,sndFiliny
~oa~r~s CH.~tYL a. ~:r.:ric1~, r'I:JAi~~ ~ o+f~,
? ~11-A J~JL~ ~P:t:;Alz A~13. l~l ~J7P:i Fr.D.y.RAL 1k'Y -
r'~..r Pi~C~, : L. 33~5~ Fo:tT PI:1tCs, ~'L. 33~5~
a• T~ is fin~ncir?p ststement coven the tollowinp typeslw items) of proporty: (Check box whieh appUeaJ
AU oj the hveuehoJd jurnin.ro aM furntsht~ eleeMca! and aar appllance; tncludina tefevLSlon
~sr~ phono~aplu and ncord pt~yerr. iej?iaerotons tt4, and othe~ pt~mnul property now owned
o~ henafte~ acqutrcd !n npiacement d~enojo~d now o~ htnajltr ~ocated of the nsldcnce oj rht
Debtor~ et tht addnss ~iven above (n Box _
' 5~ Assig?eels) of Secured Party snd Addressles)
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neck if true[]x The stamps roquired by Chapter 201, F.S. hsve been p~aced on the promissory instrumen
secured hereby, and will be plsced o~ any additionef m~d similar instrument that rtisy be ao aearod.
~)~xumtntary stamFs artochrd to orig7naf nole and cnnttUtd.
s stacement is filed without the Debtors si9nature to periect a ssourity interest in collsteral. (Check Q if sol
` ~ Atready wbjat M a security interest in another jurisdiction when it wss brou~t into this ststa
~ ] which is proceeds of the oripir~sl coNatent describsd above in vrhich a sacurity interest wss perfxted: -
€ _ k~if covered: Proceeds ot Cotlateral are a7so covered.[]Products of Colbtersl ere also rnvered N0. of additionat SF?eea presented: _ -
~ -~~ed with: Ckrk oj tht Ctreu(t Covrt oj Countv, F7o~ida
6 Senired Psrty *
~ ~ ~"G~"~lG~~~4:.~~~Y ~::d ~I~IaI.:, cl:r9 ~.3_ :0................................................
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4 J~tOf STANDARD FORM - FO CG Msnsper
~ * Typt Ji~11 ana eompfett eorporot~ nania
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