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THIS FINANCING STATEMENT is presented to a fill
ng officer for filing purwant to the Uniform Commercial Code: 3. Maturity date lif any): ~
` t . Debtor(s) (Last Name First) and address(es1: 2. Securet~Partyliesl and addresslesl: or Filing Officer (Date, Time, Number, 3
I~taDsaiela~ A~?lph ~ ~d~y d1GO ir~laaie1 8e3el~Ces and Filing Office)
~ 1410 1N 5th Street flol~jl~ood, Fls Ino. F i :.E ~ !.N ~ RE C ORD E t)
a. ~ossohobes, lfla 33472 2302 S. lyderetl fluty ~ ' . ~ . E ~ C u TY. FLA.
!'t. Pierce, ~'J.a 33450 _ ~ <..; . , t_ ; l- ~ ~
file • 1789 4~0~
4. The financing statement covers the following types and/or items of property-
~ '79 APS 6 AM 9:54
All aonauaer household goods boated at thtlt dsbLors rsaldenos I~
or at ~ other looatiola to vhioh they say be iwved• ~ - ~ _ , . ~+1
y 5. Assig :o !'i'ttt~ anti ."`.1 i
Addre~les)
6
6. The secured party(s), whose signaturelsl appear below, states that the stamps required by Chapter 1, ~
Florida Statutes, if any, have been placed on the promissory irutruments secured hereby, and will be
placed on arty additional and similar instrument that may be so secured.
The statement is filed without the debtor s signaturo to perfect a security interest in collateral. (Check ®if sol
O Already subject to a security interest in another jurisdiction when it was brought into Nis stste.
O which is proceeds of the original collateral described above in which a security interest was perfected:
Check ®if covered: O Proceeds of Collateral are also covered. ~ Products of Collateral are also covered. No. of additional Sheets presented: E
Filed with:
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By: ~ ey: f
S~pneture(sl o Debtor(s) S' turefs) of Secu erty(iesl +
STANDARD FORM - FORM U -1 ~
Approved by the Secretary of State, State of Florida d
;l! FI~1HG ~FfiCFR Ct?PY-ALPHABETICAL 3~~v~ ~~t:~~5~
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