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j ! . - ( . ~ , i f ~ ' . ~ ~ ~ ~ - t F 7N15 i1NANCINCa STATEMENT is pesemed 1o a(iti~y officer fw (itinq p~rsrant ro 1M Unifonn Co~rrnKCiol Cod~: (3. µor~~~~r dafe ~f an~ - ~ s r« ~.~..q otrKa oo+.. r,~.... K..~e... ~ ~.,,,.9 a~K.: ~ De~?or~s~ ~losf Nom~ First) and oddress:tst 2. Setu~~d ?aAY(i~s) aed oddr~ss'tesl B ~ ~~s, M ~ cH~?~~ o F~o~o~ NRCw?~r 4S0'799 : i ~,~?xv,~~~ uNE ~u~ c~rr uri~ '9~9 10 ~L; 33 ~ PT. ST. LUCIE P. O. BOX Z691 FLORIDA WEST PALM BEACH, FL. 33405 t?icc~ ~.tic ~t~aK~;u • St.li1C;C CCJNTY.iIA. : i~,,, ~;,b„~;,p .fo~.,.,.m ~o~~.s the Folbwinq ;a ~ P.~...,.: ROGER PGITR4S P I VE l I V 1 NC ROOM SET s COUCH, LOVESEAT, CNA I R, ~}Ci:Ei2, ~~ERK CIRCUi: Gt3fe~e~ OTTGA'At7, COFFEE TABLE F`~~ ~~"~''~r''~~~"~' /f ~ 5. At~:gnee.s: ol Seturecl ?o~t~ ond Address es ~ ~ 45U'799 g - - - - ~r 6. TAe +~cs~d i~~r~il. .Mw vqwwe!+~ appeo,~ 6rb. Odei r+o~ rAe ven+as rew~eJ br ChoVa. 7Ui. Flo.~do iw,ae+. ! wr. ~rn. F,een ` C V4c~d ow ifr V~owisorr ws~wwar~ :ec~.ad ~eof. r~d ~i be i~ad c.~ awy ~dd~aal o:d sJor wet.~mert rAa nwr be w secwed 1__ s. ~ ---TAif atofem~nf is iiled w~tbw~t tM debtw's siqno~vrt Io perF~c1 o security int~r~st in colloa.d. lCMck ~ if so; j Alr~odY svbjKt lo a s~curity :nleresl in orwthM 'ry.itd:ct:on whtn if wos Movghl inb this staH. ~ wA~al. :s p~oc~eds of IM w~yinol collohrol dex.ibed obove in ..A~ch o securily intpest was p~.(e~t~d: ' ~ Ctied ~ if co.ered: _,?.u~~ds oI Collaterol w~ olw cov~red. C?rod~.cb of Cdlot~rol ore also tove~ed. No. o( oddiriwwl Skeets p~sM~ed: . Fifcd with: . ~ < _ FLORIDA AIRCRAFT FED. CREOtT UNION ~ ~ ~ : 6r: gr= : S~q~otu.e s, of D~bto. s S~gn e;s; of Secur~d ~o.rr ; g~312 E 967 ` ~,~~•_P~ ,,Q.K,~ STANDARD FORM FORM UCC-1 I Appro.~d br S.c~a ~ . ,E . . - . . • ~ - f! ~ . . . . . _ . . ~ _ a:~u; . _ _ . . • ' - - -