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TMrS 5lATEMENT if preurted fe o fling officer for fihnp pursuant to the Uniform Cammerciol Code: ' Matwiry dote of ony!~
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D.rbtan si ' last None firft and address es . 2. Secwed Parry[,iesi and oddress~e ~14~ for filing Officer ;Dab, Tims. Number, and FiLnq Office:
~ ~ EAGLE FIIZANC~ -
, Marion R & Cam Killer Jr
902 Ilvenue M 1059 S. FEDERAL HIGHWAY 316585
fit. tierce, Fla. 33450 FT, PIERCE. FLOA~A 33450
1919 KAY 1 ! P!1 3 t
_ - RR RED ~4C~A A.
a This statement refers fo anginal frnanc nq Statement bearing fib No..3~~~"~ - _ _
f;,~ w,~, _ St. _ Lucis County September 11 75
- --i _ - -Dote Filed - - -----19-- ~r~rNf
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~ S = Canfinuotion, the original finorscing statement behveen tM foregoing Debtor and Secured Parry, blaring file number sh~'R~~efh -
6. Tera.irwtion. Secured parry no longer claims o security interest wider the financing statement bearing file number shown above. ,
7. Assignment. The secured parry's right under she financing statement bearing file number shown Dhow b the property described in item 11 hot been assigned
b the assignee whose none and oddre» appears :n Item 11.
8 Amendment. financing $lotemenf bearing file number shown oboes is amended as set forth in Item 11. 44414
q. [.lease. Secwed Party releases the collateral described in Item I1 from the financing statement bearing file number shown abate.
.0 Check if true. Atl documentary stamp taees due ord payable or to become drre and payable pwsuant b Chophr 201, f. S. hove been paid.
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I1. Delete: t-5 c. French ~rov-incial-bedroom-"sui-tefT~ pc.- ~r~ca-a~n~~e -
set/ t Eurica vacuum cleaner/ t 131ack vinyl recliner/~t orange Convert~-
bed.
~aa: t brown fur Chaise Lounge/ t gold-checked rocker recliner/ 7-pc.
Tressel leg dinette set/ t-3 pc. ILa11an Provincial bedroom suite/ 1-2 pc.
Capt ian' a bed bedroom suite/ 1 Ho giver vacuum cleaned, addit:arfal flf.as psenhd:
` FA(~LE pIP1ANCS ' e'~'
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- Signatvn' Oebtor(s~ ~necessory onlP if hem 8 if nppl:coble; Srgnot • s) o ed ?orfpii~--Q_~~-;~ - - -
STANDARD FORM -FORM UCC-3 ~OC~ t °~C. ~ ~nJ ~ .
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~ App+oved by TOM ADAMS. 5«re+or, S.:~. c
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