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THIS FINANCING STATEMENT is presented to a filing offices for filing purwant to the Uniform Com~nxrcisl Cade: 3. Maturity date (if any):
t . Debtorlsl tLast Name First) and addressles?: 2. Secured Partylies) and addressl For Filing Officer (Date, Time. Number,
~ ~ ,f00 OZ and Filing Office)
?Afa y ~ FiLEO AND RECOROEO,
ll~ 3~, 0 ~ ~ LJCt£ COUNTY. FLA.
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4. This financing statement covers the following types artd/w items of property: •
sll oatnaiarr bontt~old ~ood~ and appli,aeo~s iooatd at t~ '79 FEB S ~ 10 • 03 -
dob~or~a r~tdd~so or at +~0? otnLrr loot?t1.t4o to v~ioh t~ ~T Ca~~ i=
b~ ¦Ond~ R r; F ~ c'0
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6. The secured partylsl, whose sigrtaturelsl .appears below, states that the stamps required by Chapter
Florida Statutes, if any, have been placed on the promissory instruments secured hereby, and will bs
placed on arty additional and similar instrument that may be so secured.
This statement is filed without the debtor's signature to perfect a security interest in collateral. (Check ®if so?
s is
f ? Already subject to a ssasrity interest in another jurisdiction when it was brought into this state.
O which is proceeds of the original Colateral described above in which a security interest was perfected: i
Check ®if covered: ? Proceeds of Collateral are also covered. O Produce of Collateral are also covered. No. of additional Sheets presented:
Filed with:
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By- S~anature{s) of O orlsl Spnatura of Secured Partylies)
STANDARD FORM - FO UCC-1 j
Approved by the Secretary of Stets, State of Florida _
(t~ FIl.!hG C~fFl~ER CQPY--AlPHABETICAI ~ B ,,;•c ,,,Z~V
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