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HomeMy WebLinkAbout0545 _ i ' i € - I ~ l ~ fli1S FlNANC~NG STAifMBdi is pees~+Nd a o filinp oH'~ iw filinp punwK b ~M Un:1a~w~ Canreeicid Cod~: 3. Moh~ritp dolt (if a~y:l ; S 1. O~btorls) (lost Narn~ Fint) and oddn~i~s) ~C7~~l~N~i for filinp and filirg Offioe) •~~r~ ~ RO~tT 9COTT & SANIRA ~L HOOV~t P.O. BOX 3265 ~ ~ • ' s ~27~ ~3t~ sr {ZOS~ s. FEDERAL fiVVY.) 4:33803 ~ F FT. PIffi~CB, FLA. 33~50 FT. PZERCE, FLORIDA 334SD ; n+is Bnonc~ep sw~«~r oors.s rh. toibwirw h~v« (a i~.n~+~ of p~op~«h: j qi 3 : A3 Pi+~t 9CHI~QJLS "A~ HOU3B~i0LD (300DB f ~ ~v"~~"~ca~a°.".y °"d "~1"`,~ ~ . BOX 3265 ~ c os7 s. FEDERAL HVVY.) ~ i a- n+. ..~.~..a ~.~,~s?. .~.a+~ ~ ,.~,~,.a br o~. soi. . PIERCE, FLORIDA 334SQ ~ ~ Florido StatWes, if orhr, hove b~~ ploced on 11y pnom~s~orl/ inqn~nwNS s~tund hereby, and will b ; ~ plood on ony odd~tionol ond si~niia ieutnmieer Nwt w~ap b~ os s~wid. ~ This stot~nwm is Bi~d w~N~ow M~e debbt's sipnowre b pufect o s~awilr intines? in cotbterol. (Q~lc ~ if so) ~ ~ ? AlroodY sublsd ro o Max~ty inteRSt in aaM~ jur:sdioian wlwn if wos brwqht imo iFws swte. ~ ? Which is p«~sds .of ~he orginol adla~srd describsd abw~ in whid~ o a~awihr interest wos pe~f~ct~d: ~ ~ Checfc ~ if cous~~d: Q V.ooeeds of Cdlaterol ore olso aoraed. Q Products d Collo~eeol ae alw eovsred. No. of Addit~a+al SF+ee?s presenhd: + ~ Fibd wid~. ~ ~ ~ ~ . ~ ~ ~ { ~ ~.~~~s _ n,*~-~ ~ a_ U-~-..~~. ^ y ~ s,,: ~ g, SiqnohwNs) d Debaisl ~sl . ~ STANDARD FORM - FORM U -1 ~ K PACE ~ by IGidwrd (Didc) Stone, S~crelary of Seofe, State o4 Ffw~do _ , ~ - ~.at~pHABETICAL . oc~c. ~oFws No. ie~9 ` .`~e`„~~ ~ a. - - ~ : ~>p