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ng officer for filing purwant to the Uniform Commercial Code: 3. Maturity date (if any1:
THIS FINANCING STATEMENT is presented to a fill ~
1. Debtorlsl (last Name First) and addresslesl: 2. Secured Partyliesl and address(esl: For Filing Officer (Date, Time, Number,
~ ~ ~ ~r~l0~ ~ and Filing Uffice)
21x3 ~dta iw• H011JMOOd, 1?1~a I>n~a• 4.31516 ,~r;e ~~coR~En .
litres, !ls 33~iS0 2~Q 8. Viral Sq ~ ~ - - - ' u T Y. r ~ • .
rt. rise., na 3~ ~ 431516
4. This financing statement covers the following types and/or items of property:
'79 [2 QM !C~ ~ i 3
Lll Coaawr ~tioyd aad appliaw~ l~oeatad at ~ dsbtors
srdtl~oe or at aq ertir~r looat3oa to vhiah t~ aeT b~ lewd _
5. Assig Ise ~otS9311Nd:Party a~+d . -
Address(es)
a 6. The secured partylsl, whose signaturels) appears below. states that the stamps required by Chapter 1,
d Florida Statutes, if any, have been placed on the promissory instrumenu secured hereby, and will be
placed on any additional and similar instrument that may be so secured.
This statement is filed without the debtor's signature to perfect a security interest in rmllaterAl. (Check ®if sol
O Already wbject to a security interest in another jurisdiction when it wes brought into ~11ilr~f~te. -
O which is proceeds of the original collateral described above in which a security interesi was perfected:
a Check ®if covered: O Prousds of Collateral are also covered. ? Products of Collateral are also covered. No. of additional Sheets presented:
Filed with: s
a
limos Ii~anniil 9t,r>ria~a
fay `
ignaturatsl of Oebtorls Siyr,atures Partxl
~ STANDARD FORM -FORM UCC-1 BOCK ~A~f
Approved by the Secretary of State, State of Florida
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F#.i',!:, r~Fr~~P r:4FY--ALPHABETICAL ~
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