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THIS FINANCING STATEMENT- is presented to a filing officer for filing purwant to the Uniform Commxcial Code: 3. Maturity date (if any): ~
1- Debtor(s) (Last Name First) and addresslesl: 2. Secured Partyliesl and address(esl: r Filing Officer (Date, Time, Number,
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~ ?~A 5~17~rr~ ~ ~ F,zEC RECORDED'
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4. This financing statement covers the following types and/or items of property:
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Address(es)
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6. The seaered pxtYlsl, whose signature(s) appears below, states that the stamps required by Chapter 1,
Fbrida Statutes, if any, have been placed on the promissory irxtruments secured hereby, and will be
placed on any additional and similx instrument that may be so secured.
This statement is tiled without the debtor's signature to perfect a security interest in cdtateral. (Check ®it sol
, Already wbjaa to a security interest in another jurisdiction when it ryas brought into this state. ~
O which is proceeds of the original collateral described above in which a security interest was perfected:
Check ®if covered: D Proceeds of Collateral are also covered. O Products of Colateral are also covered. No. of additional Sheets presented:
Filed with:
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By: BY:
S rats) o D tot Siyneture 1 t SecurW xty(iesl
STANDARD FORM -FORM UCC-1
s~~ Approved by the Secretary of State, State of Florida
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