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! TM IS STATEMENT a prasawtad to o Ii:w4 officer f« f:l:w0 parsaaM N tly Uwilarai Cawrwarciol Coo: S, Mah:r:y shra (:f ew,):
~ 1 DrAdor(s) (lost Narwa First) awd oddross{ast 2. Soarro/ Mrt+s) awd oddnsa( _ tL RTir, OMser (Oar, rr, wv.rb., art r~ t)trr)
Alpat Grove Care Sua Bank of St. Lucie County
i~ Rt. 3, Box 466-n P. 0. Box s 1919 kA'(
[ Ft. Pierce, F1 33450 Ft. Pierce, F1 33450 Z9 ~ ~ j
f11E0 AEEN~~D RECOk0E0
p ST~oGER PaTRAS~
~ This atassiaawt roan » «i4iwal F-«,~,.;.. st.l~...,. r..,~,, r~. N.. 331423 OR Book 250 age 203~E~ ~~T Co
F;,~ ,,,;M, St. Lucie County o... n1d April 2, 10:43AM n 76 VER+F+'_'D._
s ? CeMiwuofion. Thar «giw•I fiwaweiw, staNrwaM botwaaw tha feroyoLy Dabt« ad Sacwod Fartr, MoriM fie rwwwb« shorty above, is aM/l~affaotivo.
f 4 Tortwiwofien. Sacwod early wo lewyar doiws a soovr:fr iwNrost awd« the f" "T4~Q
~wenc:wq stalaor.wl baariwo fie rwrwi6w sherw abew_ ~A!
7 Assgwwunl. 1'Ao soarrrod part{s riyM awdwr the fu~awc:rq srotww«N baer:w0 f:la ~ww~bsr shorty abava N tha oroponr doso~ad iw Itw 11 Iws baow
N lha asspwoo ~rhoso wawtia owl adrrws gp.ar iw Itaw~ 11.
6 ~ AwwradwrM. Fiwowcwq S/aNwwN bo«:w' fife ~wwwb« shorty aibow is a'wmdad os rM ferM M Itow~ 1 t. -
L ? Ralwta. Sonwod ?art, ralsasas Ih. aallatsrol i.«ribwd :w Itarw 11 hasty the f:nawc:wq aMSSwnrM baar:wy file rwrwbor shore aievo.
10. ? CMck if IrW. Ap docvwsaws«r atawp leap doe owd peroblo « m bacawo dw owd Varablo prrrs.vM a Chopt« 201, F. S. have boon po:d.
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t No. of odd'itiewd shaoh Orosaratd: .
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Sun Bank of St Luci Cunt
sr: ~~i~.*.Wt7 tACt R . V.
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Si/wahwa{sI aF f7isbtr{s) (wacosswr owl, :f Itow~ 1 is aopl:cabia). S:ywgNra;s) of ad ?ortr(:t»)
( STANDARD FORM -FORM UC 3
~ t P H.. Q ~ j ~ C A~ Mfwo~d br SacrNSry d Sots. Sur d Ft~nea _
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