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Bo~ 21L-1 Ed May '70
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STATE OF FLORI~A '
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is pross+tted to a filinp off'~cer for filinp putwant to the Unifom~ Commertial Cods: 3.
t. Debtorls) (Lsst Nstns First) and Addrssc 2~' irod Pa?ty and Addtas * For Filinp OHicerl~ts, Time, Nurt?ber.sndFilinp
l~"II~Y, L.B. B~EAIEF'ICIAL FIhAI~CF: CO ~'~1 .
nG BCX 4114 _ ~ 1141 South Fecieral HNy
F'CFT ~rIFPCE, FI. 3.'450 Fort Pierce, Fl. 33450 ~
a. Th is financi~g statement coven tlw folbwirg typalor itemsl of propaty: (Check.bo: wihfeh ~pptles)
AU oJ the howchold jurnJturc und Jiernlsl~tr~ eitcMca/ ond gos appllonce; incJudiig teJtvtaton
Q xp~ phonogr~aplu and ncord ployt~ irjrldtroto~ eta, and otHer personal propc~ry now ownrd
o~ henafte~ acqufnd tn rrplocement thertojand now or henojter Joeated at the raidence oj th~
Deblon a~ the addnsr ~iven aDovt irr Box l.
Camner Top for 1979 Jeep P/U Truck ~ ~ Au~~~:1 ot se«,rea ~.~+a naa~(es?
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G. Cneck if true[~x The stan~s rsquired by Chapter 201, F.S. hsvs been plececf on the promisswy irutrurtien
secured hereby, and will be placed an any additional arx! similsr insvument thet m~y be so sewrsd
:~cumentary swmpt ettached to orlglnd noae and cvnctlJod
l n is statement is filed without the Dsbtors' signature to perfect a security interest in oollaterel (Check ?x 'rf so)
i ? Alresdy wbject to a security intenst in another ju?isdiction when it wss brouqht into this ststa
~ which is proceeds of the original coltatersl d~scribed above in which a~earrity intsrat w~ss perfsctsd:
; :'heck x if carered: Q Procae~s of Collatenl are sisar covsred.[~Products of Coll~ieral are also oovered N0. of sdditio~al Sheets praented:
~ F~~r;with: C7c tke ttcourtoj connry,Pfor(da
&ecured Psrty *
~ \ BF~r:.1~'ICIAL I~ INi,P:C~.. C('.........................................
l~ebtor .
, . BY ~~A%(l~Z:~U. :Y.:................................ , `
~tOf STANDARD FORM - FORM UCG1 Manager
* 7~pe Jirq on~i complere corpornte narnt
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