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( THIS STATEMENT is presented b o filing officer for filmy pwsuowf ro the Uniform Conunercid Code: ~ Mofuriy daM (if any): ~ ~ e
~ Oebror,s: '.lost Nome first; and addresa;es; t Secwed ?artpties) and oddress?ts) ~ Foe Flirg Officer (Doh, Tune. Number, and F.laq OHio.)
Ford, Jsade Bell ~ ~ ~ ~~s n T-r- F. G /',NC RECORDED.
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Ft Pierce, FL 33~u0 - . _ ~ -t C i E L ~ U r: , Y. FLA.
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4. This statement refer b arigind finarlcirlg StaMrwerlt bewrlg file Ne. 3.65.3 ~ '78 dFR y dM 9
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_ Fii.d wfr, 3t. I,ucis Conat~? _caa F~f.d 6/x/76 ly
S X Confinuatiow. original firlarlcirlg sroteaen! befweon the Forgoing oebtor and Secwed ?artir. beorirq fib naenbe? shown : 1
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6 ierminofian. Seawed pony no bnger dailns o seewiyr interest under Mle financing srotemenf beorirlg file mrmber shown ~ p r } p j :
7. Assigrlaent. The secured port's right under the financing statement bearing fife number shown above ro the properfp deslllbM! 1J1'1?eM 11`h6~bein ~Ds~lyY~e"d
ro tM ossigrlee whose norsle alld address appears in Ilea 11.
8. -1 Amendment. financing Sroterrlent beaing fib number shown above is amended m sN FoAh in Item 1 L
9 Rdeo». Secured Iortp releo»s tM cdloterd described in Item 11 from tM financirly srotement bearing file number shown obese. ~
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I t 0 Chedt H trw. All docvaenfory stamp tares des and payable o? ro became due and polroble pwsumf ro Chopfe+ 201, F. S. hare been paid.
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_ _ _ No, of addHlond f11ee1s presented,
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Signotun;sl of Debtor(si (necessary only if Ilea Fl is opplicobb;. Signahrre(si of Second ?ar S
r STANDARD FORM -FORM UCC-3 '
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Approved b7 TOM ADAMS, Secrefa•y c r
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