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THIS STATEMENT is peeeeNd la a Wy e~itea fw fi"iq /aswae/ h M Uai~~ C.~fcil Ga/a ~ Mdwip d.l. 61 ss~k
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Herman Lee Kines General finance ~j
2704 Bennett drive 3018 So Fed Hwjc FItEO AND R!_CORb~EU~
Fort Pierce Fl 33x50 Fort Pierce Fl 33450 T. LUCIE CGUyTY; ~LA:~
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t This etaNweM »f... N .wiiMl F:N.s:, shr....l hawiq Fil. N. APR y AM 9 : Q~
Fi.d tee, St Iucie Co or. ~ June 11 1. 75 ~L
s. ® Cealiaeriea. Tb..riiiw.l fiaeacy slsleiaeal heHreaa M I.y.:i f]rtlw end faesad fraA/, beena~ file aaaha sb~al~, *(~'A~••
? T.r.:adi.w. seewed pay leyar cbiws • s.e.iF :dse.sl ..ie. the fi...eiy sleieweel b..:i fit s""'CE~AI~MIRCUIT COURT
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10 ? Chscb i tw. AU doewaeahry ahenp haea fee ea/ peyeh4 « le baeeaa dw es/ paTabls ~erswW to ChapNa 101, i. S. hate bean paid. ,
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STANDARD FORM -FORM UCC-3 r„
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~ :~InF18~tIC81 Approved by Riehord (Dick) Sron., Seeratory of S~o+e, > - -r c
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