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f ~ ~ . ~ ~ I ~ ~ I i` ! l ~ n115 flhlAr~cn~c srAtEMB~IT h p.,..N.d to o fi~:~p o(tiw /o. fi~irq ponw,. to tn. un~tonn tomn+.rcial cod.: a. INo~u.itp do+. (i~ o~w:) 1. O~btor(s) (Lost Na~r Fint) ond oddresslq) 2. S~cut~d Pbrtpli~s) and oddnsNes) For Filinp Offioa (OoM. Tinr. Niin~bt~. ~ ~itlti9T DBR'~~10 lt c- and Rlinq Offia~l T=+•f=l.'f' I.-_, •E ~ ftesa I,ee ~ Devine i- ' - ' , . , 44q94'7 ~ jt'K~sI'SaCI ~ • . - . , - • -•n~~ L T^xj^, e. ~ : L • ~~C 8) ~ ^~/0 ~ - . . : - 'r . , , Y - ' 1 A ~ 3 ~ ~'i. Yi...:;.~, i:.~:~~.~:~~ . n?is financinp slalwn«~r aor..: n~. forbwinp tyv.. (o. i~n~ of viop..+r: ~ ~s per 9e!?eduel rt" Household aooda ~ s. A~i~,..b) ~ s.M.a vb.h? a,a ~?dai...l.d , , r~ • , . ; _ - . . . ' j7 ~ ~ ~ , 1 ~ ? t......rr.,~ ~ ~ . ~ _ `I ,Y. - . ~ ~ ' ~ , ~ 6. TM s~cund ponrlsl, w1~as~ si¢~oRKNfI opPwrs b~lOw, stoMS Nw~ fhe stamps rp~,i~d bY ~PM* ~1, [1.' . ~ r _,.t,1 ~ FlOfldO .~tOW~lS. If ~IOYO bNf1 011 I~If ~Of~1rltOry MMtf{~I~tf l~C1M~ S • ! tiL~ j~~..~ t a _ ~ ~ . ~^Y. P~~d P I~~bp, and will 6~ ; ~ pberd on ony odditioewl and sinwlor w~strun~nl Mw~ a~op b~ os s~aw~d. _ ~ iF?Is sta~n is fild witha~ N~s debbr's siprwwre b pwk~d o~itp inMest in coNolaol. ~UNCIc ~ if soi ~ O Alnodr subj~ct w o s~arrity intuest in anoNw ju?id'iction w+rn ir ws brwqla imo this sto~e. ' s O WhKfi is prooNds o1 the aiQiral oollo~srd d~aib~d abwe in whid~ a sea.ity irwerest wos pa(~cwd: ~ ~ ~ Chsck ~ if oo~d: ? Irocwds d Co1loNrol a~ oho oore~d. ? hoducts of Collo~ol a~e dw corered. No. of /ldditiorwl Shea~s preaented: ~ ~ RMd wi~h: ~ ~ 4 ; - . i ? -d ..l~fL s w~ SipnohwNs) ei D~b~orls) ' ~ ( 4: . in) : x STANOARD FORM - FORM lKC-1 ~~t~ ~ a M' f ~ ' 1... Rd....d ifti.L\ 4..... C~r•w...v wi 4.Y t?~~ ni fLr"vM