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This STATEMENT is presented to a fling officer for tYig ptuwartt to tEs Uwitotw Corttaeteid Code. For Filing OtficerlDate, Time, Number,
and Filing Otfict)
Debtorls) (Last Name Fint) and address(es) > farty(ies) ewd address(es) .
R.F.B. $ Associates
Robert $ Donna Ballard, Ind. ~ ~RST NATipNAL BANK OF OAK LAWN X45'7'33
2425 South U. S. Irt l W30 Swtr Ck~n At?~na -
t:ort Pierce Fla ~ ~ ~ 80154
and Mc~onald's Carr Out 4/20/
1. Phis fmandng statement corers typo items} of properq:
S@@ Attached $CII@dlll@ hL Documentar st ps require~Fby ~~ap~A~l~v~ ,
2. (if collateral is crops) The above describes e,ops ar. yro..iay «are to be yro.n? on~la . statutes , have been placed on the
(Describe Real Estate)
promissory ins uments secured hereby, and ill
be placed on a additional and similar
instruments th
3. (I[ applicable) The above goods are to become fixtures oa I The above timber is staodiaq on _ I I The shore minerals « the like (indudinq oil and gas,)
«aocounts eriU be fmanoed at the wellhead or mind?ead o[ the well a mine located on j (Strtlu what is iruppticabk) (Describe Rsal Estate)
and this fioaadnq statement is to bt fled in the real estate records. (If the debtor does not love an interest of record)
The name of a record ormer is
4. ~Prnducts of Collateral are also covered.
e Bala i ~
_~dditiooal aMets presented. d/b . F. B. IA
_~Filed with Recorder's Olfiee of .Cll. ~le County. By•
Florida Don Blat ~i ,p u~~N ally $
(i) FILING OFFICER COPY - ALPAHBETICAL d/b a R. F. B. $ A~~~~C~.pCJCES
•Aputun of DNtor Nepire~ i. Wet Cass:
SSgaltere of Stcured Party 'r Csses Covered By UCC 49402 f!1
i
{ TANDARD FORM-UNIFORM COMME RQALCODE-FORM IiCC•2-REV. 3-75 ]Air/orr~ oj~wseri~ sbreernrt b ayapoaed 6y tle .4rrerery oj~t.tt.
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