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THIS STATEMENT is vrrrettfed b e filitt~ eHior Ica filiw• prnranf b r?e Uniiwrt Co~r»rcial Gdea Motwih doN (i/ aer):
j 1 . Oeelrltl Ilacf Wore first) ewd eddrecsle+) I. Scarred ?orfylies) end oddrot.lesj ~~0~ fw filinv OMicw (doh, fiiu, Nr~lw, awd Filip dBgl
- SMITH Russell F. FLORIDA BANK AT FORT PIERCE
' P. O. BOX 3469 i~.E~O?::~~
108 North 18th Ct 501 ORANGE AVENUE ~ T ` ' '
Fort Pierce, Fl 33k50 FORT PIERCE. FLORIDA 33450
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1. T~i..Mfenenl rotor. N wi~ieol Fieoec:q S1oN.eM Mwie~ file Ne. 3.15302 '~J f • • ' t;
3 7 i _i
~ filed otM n v N Fled 19
3. ? CretitfreNoe. tNCweiM Tiw~ia/y Ala e~enl bN.reew tAe,IwepiN Debfw end Swwed Iorh, 6ewiny fib number .Aeon oboe, i..till a/hcN.e.
i 6..$ToredeoNoe. Swwed Oerh no Ise~er cbiwr • ucrrih inNrocl rwdw fM fewciq croN~enf Morino file er~Mr cAern oM.e.
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7. ? ANI~r.rM. The tecrred twrh's ri•bf redw the fineecie~ tfeNnent Meritt~ fiiN n+•bw c6e.n obove to tM txeperh d?rcrffNd yin Ife~ I1 Aet Mee asti~wrd
N tM auieoee .Ito.o roeN and eddrea eproer in INS 11.
8. ? AerwieeM. fieowcie~ Sfete~eef beoriM fib iwabw cbo~e eMve is ooended o. ref iwM i• INie I1.
9. ? ~+leefo. Scarred Iwh releewc 1be cslbNrol deKriM/ ie Ife~ I1 /row fM /irgetin~ .foteirenf Morie~ fib ne~Mr .Ao.e obeve.
~ 10.~ Gte~ 11 hM. All decr~enMry tfowo haet dw and pale6h er N Mce+o dw osd yerable prrtrent le ChopNr 701, f. S. Aa.e Men paid.
11.
85 Horsepo~rer Motor E<finrude Model N854g3, Serial 11 06157
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pefrre t • ror . nece.wry ewl~ it t1r~ ~ is p?IicebM . ~ hrrelrl of Secrrod erh(bsl
STANDARD FORM -FORM C-3
(1) Kling Officer Copy-Alphabetical Aver s. rcMere IDick) St«». s«nary el stab, ste?. ei fl.rlee ~