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THlS EINANCtNti STATEMENT is proa.ntod ro o fit'aiy officer for fil;rq pursuont ro tho Unifonw Conww.rciol Cod.: 3. IMatvrity dot. iif ony?: /
D.btor',s) (lost Narno Fint) end oddress(.s) 2. Socwad Iortp(ios) and addr.ss( t« c;c.~ ONk.r IDe~.. Tw.., w.~l.w. o./ i.l:y OFli.l
Boatwright, f~arles J. and Blazer Financial Services, Inc
Ellen 2506 S. Federal Ifivy.
';301 fwe I Ft. Pierce, FL 33450 X19 1~4Y -8 ~ ~ 45
~t. Pierce, FL 33450
_ 1 p907 6 -1 ~T1~tOG~A ~PGITRA A
4. This finaneinp staNrweiN coves tho folbwieq typos (a item) 01 prdpartrc
. CLERK RtWIT
:'~11 appliances, furniture, household goods and chattels R[~VEtIlftfD
located in or about debtor's residence. s. As:ign..(.) of S.e,N.d rory and wddrss(s) ;
9:~i18
6. Tk. raw.d yoittdst..k....pw.rw.lrl aoo..n b.b.. s.~.r doe d. aaaR r.p.r.d a CkaptM 2t11, ekr4o SWM.s. J owl. b.e tMep
~ d'+c.d e. Ib yo.rorr wlr.o.i.s sse«.d Lwrbr. a.d a !A ptoc.d a oq addnowel od ..ub n/rrw..r e?oe nor be a aKw.d
This srot.rwont is fil.d wi!hwt tho debtor's si~rwtwo ro porfaq o s.cwilp inlerett in colbt.ret. (Cl+.ck ®if w1 _
Q Atroody sobjoct ro o sacvrit~ intarat in oneMor jwisdicfion whop N was bough into this stow.
~ ~ which is proce.dt d tM oriyinol colbtarol doscrib.d obtwo in whid+ o s.cwity inNro.t was p.rfocNd: '
Check ~jif cov.r.d: ~ hoc..ds e! CelloNrol oro olso cov.rad. ?redrets o< ColbNrol oro also covar.d. No. of addit:onat Sh.efs pr.sent.d:
Filed with: St . LI1Cle my
Blazer inan 'al Services, Inc.
dr` dTa ~ -
Sipwhnr?) of f).btorisi Signotwo(sJ of Secvrod rorty(ies)
t
STANDARD FORM -FORM UCC-1 o1ICE1~~
- r}~-•-1,-``~? '--~?pY-ALPFIASET{CE'al. ~?owo..awn~.s«r.twersua.s~a.aFro,F~.
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