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~ Tt11S FINANCING STATEMENT is presented to a filing officer for filing purwant to the U' r" Code: 3. Maturity da;e (if any): ~
1. Debtorls) (Last Name First) a~d addresslesl: 2. Secuted Party(ias) and address( For Filing Otficer IDate, Time, Numbe?,
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~rxarr, ~zAaa~ z5oz s~an x~nr 19~9 MAY -7 aM i~ OZ
~ PO BO7f1.194 gp pIE~E, !L. 33450
FT PI6~E, FL. ~ ~ p
~ 4. This financing state vers che tollowing types and/w itertu of propercy:
~ ALL ~CO~TSI~6R HOII3~OLD GOOD~ LI3TSD A! RE3~ID~E OR AT ANY T
~ PI.A~CB TO ~iCH ?A62 MAY Ba NOVBD. ~coao vER~f~EO ~~5~
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~ 5. Assigneels) of Secured Party end
Adt)reules) . .
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~ 6. The secured pariy(sl, whose :ignacure(sl appean be~ow, states that the stamps required by Chapter 1,
Florida Statutes, if any, have been daced on the promiuory imtruments secured hereby, and will be
~ placed on any additio~al and similar ~nstrument that may be so seaired.
t This statement is filed without tbe debtor's signature to perfect a securiry interest in collateral. (Check ~ if so)
~ O Already wbject to a security interest in another jurisdiction when it was brought into this state.
~ O which is proceeds of the originat collateral described above in which a security interest vras perietted: '
~ Check ~ if covered: ? Procesds of Collateral are also covered. O Products of CoUateral are also cove?ed. No. of additional Sheets presented:
~ Filedwith: . ~ ~i~ ri~T ~v~•~~
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~ BY~ i nstu e(s) of De rtsl S~9~sh+relsl of Secured Psrtyliesl
~ STANDARD FORM - FO~ CC-1
U~~1(~p Approvecl by the Secretary of State, State of Florida
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