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~ THIS FINANCING STATFMB~IT is peeserrled b o filing officer for filing pursuant b Mn Uniform Canrnerciol Code: 3. Malwify dan cif arty:)
1. De6brts) (Lost Kane first) and oddress~es) 2. Secured fbrtylias) and oddressles) for filing Officer (Dale. Time, Number,
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This firiaricirg ssotsrr.rr owes the fdbwirg type Ia items) of w'oPMr:
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5- Assgnetlsl of Secwed Pbrty and Address~M1
AS pg,~ SC iiEDULE "A" Ii O'JSr'~:OLD G OC®.S
E ~ 'I_r FINANCE
p. 13C?X 3265
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57 S. TE.)FR~1L
6. The secured portylsl. wfwee sgrwhwels) appears below. states chat the stamps rquired by Choper 201{{ ~ ' 7~
- fTorido Statutes, if any. hone been pboed on ttie promissory intrn.nenn secured hereby. oriel will br r j'Ti:E'~l:i , I'LORI1)A '-''T -
pboed on aqr odditiorai and sirrNlOr iratnierierit that nwy be os secured.
This sbleirieM is filed wiMiout the debtor's sigrwtiwe b perfect a security interest in colbterol. (Check ®if so) '
? Already subject b o security interest in oitoMier jirrisdetion when A was brought inb this stole. -
? VNfiidi is proceeds of the origira) edbterd described above in which o tecwity interest was perfMed:
Check ®if covered: ? f4oceeds d Cdbterol ore oho covered- ? Products d Cdbterol ore alto covered. No- of Additiorq) Sheets presented:
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Sigriotiwels) at Oebbrls) f~ortylies)
STANUAR FORM -FORM C-1 b p,~r•c ~z
Appoved by Ridiard JDick) Stone. Secretory of Scots. ~ of fb.ido
- - ; ~ ~ i PHABETSCgL E71EC- IOfAS NO. 167V ~
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