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( THIS FINANCING STATEMENT is presented to a fling officer (or filing pursuant to the Uniform Commercial Code: 3. Maturity date (if amyl:
? f)ebtorlsl (Last Name First) and addresslesl: 2. Secured PartyGes{ and address) For Filing Officer (Date, Time, Number,
$?3LLIV_RI.t, HAROLD & DOROTHY 'l'ICO t''l:iG.i~CIP.T~ 5:;~8IC~S and Filing Office)
15° VI??~iL~ l.y~ ?_502 F'_:'J~1L
Pr;~c~ FL.a. 3: +50 ?I~c~, FLA. 33450 X979 J'i 19 P.'. I~ 08
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o Arc F.corc~u
Sf. LUCIE COvNTY. Fl A.
~ 4 This financing statement covers the following types and/or ate of property: ROGER POITRAS
C!.ERK C(RCU(T CCURJ~~
44~
x:11. CO'."iS'L::L'T' ..^:O:l r'Z?OZ^ ..:0^O^.S ~1:~t {.ul 1± T'~32t';@riCC 461
O1.' a!:~' p1.ctCC ±1.n ~r M;i}r mOtrCa 5. Assigneelsl of Secured Party and
Address(es?
6. The secured party(sl, whose signaturels{ appears below, states that the stamps required by Chapter 1,
Florida Statutes, if any, have been placed on the promissory instruments secured hereby, and will be
~ placed on any additional and similar instrument that n?ay be so secured-
Tnis statement is ailed without the debtor's signature to perfect a security interest in cdfaterel. (Check ®if so?
Already wbjeM to a security interest in another jurisdiction when it was brayht into this state.
which is proceeds of the original collateral described above in which a security interest was perfected:
Check ®if covered: ? Proceeds of Collateral are also covered. ~ Products of Collateral are also covered. No. of additional Sheets presented:
~ F~ledwith:
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BY ~ ~LL3d~2'+1f'"'~ BY:
a S~ynawrafsl of Qebtorls) aturelal of Secur Psrtyl~esl'
'f ANDARD FORM -FORM UCC-1
r Approved by the Secretary of State, State of Florida
F!!l?,G ~1FfiCFR ~??Y--4LPNAQETICAI ;;,lp~ 3~ ~a~,, /,Q~
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