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~ THIS fINANCING STATEMENT is presented to a filing ofticer (or tiling pursuant to the Uniform Commercial Code: 3. Maturity date (if anyl:
g ,1. Debtorlsl (Last Name First! and addresslesl: 2. Secured Partylies) and address(es1= For Filirtg Offiter (Date, Time, Number, /
; _3. , ~O . - -='.t_.,_:',__ .r~'t . _ ;rc ~ A~ and FilingOfficel
, ~ ~ . .i' ^i~ ..ii:, I~L~ 0 A~~~ RECORDED' .
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~ 4. This f~~anc~ng statement covers the followmg types and/or items of property: ~
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6. The sewred pa.tylsl, rvhose signaturetsl appears below, s~aees that the stamps required by Chapter 1, ,
Floritla Statutes, if any, have been placed o~ the promissory instruments secured hereby, and wiH be
} placed on a~r additional and similar ~nst~ument that may be so secured. '
~ 7his statement is filed without the debtor's signature to perfect a security i~terest i~ colfateral. (Check ~ ii so)
z O Already wbjEtt to a SlCUrity interest in another juriSdiction when it vVas txought into this state.
s ? which is proceeds of the originat collateral described above in which a seturi[y interest was perfected:
- Check ~ it covered: ? Proceeds of Collateral are also covered. ~ Products of Collateral are also cove?ed. No. of add~tional Sheets presented:
~ Fi~edwith: G~,-'reii• ~:p. _ ..G. _
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F S~goaturelsl o~ Oebtor~s) Siqn r~ of S~cur~d Putyli~sl
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'a ST~N~ORp FORM ~RF}~1A UCC-
%•j Approved by the Secretary of Stale, State of Florida
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