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f THIS HNANCIHIG STATEMBiT is praerrbd b a fr'irrp ofFiasr for fdirp Orrrwgrl b Mre lirtiforrw Carrrrwciol Code: 9. µohwity dote 1if any:) '
1. Debbr(s) Mst Nunn fiMl ord addrsssies~ 2. Seoiwed llortp(~1 and addresslesl For Fair10 Officer (Onto. Trrn, Nluroba
and RUrq Offrw) 1
ROa~t & PA~`RICII AHDffiiSOH
Kr. 3 e0z 519 a o. Box s~ 432976
FP. PY~tCS, FI1. 33450 (205? S• g~,pRII?A 33450 ~
prr: pjERCP., ;
This Anancin0 sbtnwN acres the following tyP.e itMm1 of property: {
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2
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A3 Pffit 9CH~TL$ "A" ROU3SHOLD DOOD3 s. tisi~n.tsl d severed ~ ~?ddr.a(ee1
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.O~BOX 32A6S~ ~
6. tin second portjrfsl. whore siyna~hwelsi oppeos babes. stores thot the stan+ps nquiid by Ciwpb. 201. OS7 S. FEDERAL
fb.ida stat~ee, if bare been pbad on Mre prarrssory iMnarrrents sowed hneby, ord oral be PIERCE, FLORIDA 3345D
r; pbod on any additionol and siawlor irntn.w.rrt Mort Wray b. os :sawed.
This stoternerN is Bled witiwut the debbr's siprrokMe b perfe0 o sewily trrarest in coNoterol. (Undo ®if so)
? Already wbj~o ro o aeowity iraerest in onodrer jursfiic?ion rrl+an it was 6rouyirt irMo this store.
? Which h prodeds d the orpwrol oofloard desuibed obese in whidr o seaway ir»erest wos perfectd:
Check ®if covered: ? iroceeds d CoNoterol ore ofeo covered. ? ftioduos d Colbterol an des corsred. f+b. of Additionol Sheets preaeMed:
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Bled with:
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d d(Osbtorlsl ~ Sipnotyt+w ~~i ~~yhs1 }
~ STANDARD FORM -FORM UCC-1 SOGK~+ti1V~ PACE
MPra+d by ~drord (Dick) Slone. Sevebry o{'Sl~ote,-3tote of Florido
~ ~ ~ ~ ~ ~ ~ , ;.PNABETICAL oac. IoEwS tro. 1679 ,
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