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HomeMy WebLinkAbout0074 r . ~ . ! 'I ~ - { I . ~ ~ _ . _...F ~ TMIS STATEMENT k prw~nqd to ~ fi11M oHICK fp ritln~ purw~nt tio iM UnNonn CanrtwdM Code: 3. M~twity d~t~ (N ~ny): 1. D~tOf(f~ ~ LMt N~f~N f i~ftl M~d ~OO~~MIM~ 2. S~CW~d P~?tyI1M~ M~d Wd~~M~M~ F~r Fiy OI1~at (O~Et. Tw. Nw~M. f+~q ' Nobl~, Jos~p6 r~~P~aline Blasss Riomcial S~zvic~a. • '4i~i~a~ 3 ~ 3507 Mra N ZSO6 S F~sal Hi9bwa?y ~ Ft Pi~cc~ Rl 33450 Pt Piesc~~ F1 33430 ~ ~ ~ ~ ~~~~r~ ~ ~ ~ TAhstat~rrNnt tN~rt W OrlWnal fin~ntlMfiiwmnt bwino Fq~ No ~iLLS~ ~-Za9~_~-1dS8 ~ ~V ~ f F St I~cit Catat v n~~ F iNd J1t171 1 Z ~ q?4 5. ~ Conti~uatiOn. 'TI+~ a1~inM iltincirp stat~rn~nt WtwMn tM fapolrq Dbtor r~d ~cur~d P~rty, b»riel~iN nu~nWr sAOwn ~DOw. N~tNi Mf~eti 6. ? T~rmf~atfon. S~eu~~d orty no Ion~ dNrrK a wcwFty iM~r~ unda tl+~ finr~ekp suwnrm bw1r~ fN~ nun~r d~own ~eov+. ~ ~ 7. ? AaslonrM~;t. TM Mcund pr~~/s +i~t und~r tM Ilrync?M Wt«n~nt bwin~ fN~ nurt~ fAOwn ~bov~ Lu t!» p?oOwtY dweriD~O in lum 11 fw arlyrwd to tM ~iOnM wAON rwn~ pW WdrM~ ~pV~r t~ lam 11. S f 8. ? AmMdm~M. Flrw~ciM Stat~rtw~t 4rrrln~ tN~ nurt~b~r fAown abor~ N M~f~d M s~t fo~tA in ltwn 11. i g. ? qMNN. g~c~rW ?pt~ nlwM tM collatwM dNerlO~d in Itan 11 from tM f1~~ncin~ st~i~rtrnt Warino til~ numba ~hown ~ovr. j ~ ~ ~ p 10. Q UfKk _ff t~u~. AN docunrne~rll st~re~P WcM dw an0 P~Y~bI~ o~ to b~eoen~ dw ~nd MY~b1~ Oww~nt w CAapcv 20/, F. S. h~w b~~ pMd- I ~ Si. ~ i ~ L D 6 'r ~ t ~ ' No. of WditbnM d+Mts w~wntrd: ' ~ia~r Rin~e,cial SQrvic~s~ Iac. ' , . ; . ~ ~ ~C'i~.l~ ~ . ~ i.~___ ev• s+rNt~..l o~ owtorl.t In.c«.arr oror ~t ~t.m s is.nw?c.ni.1_ er~ s ~ w ~.rtYlw) ~ ' STANDARD FORM - FORM UCC-3 f~,~~~ 74 " I Approwd er s~u~wY ot sq'~., s~n. oe P+o.+a• (II fu;CI7 ~4~iC~f Cc,r,y . Ajp~libetlq~ ! . . . . _ ~ ~ v 7 - ~ „ F ~ ~ v'^'~.~- ~ ~ . ~ '"3~",'Yi ~ . .v a ~~~'`~.~tr '~'r..p_-.rr'~`~~~x ' E~"..,.? ~ z~~ wil~+a#'i~