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~ TNIS FINANCING STATEMENT is presented to a filing of(icer for filing pursuant to the Uniform Commercial Code: 3. Maturity date (if anyl:
t. Debtorls) (Last Name First) and addresslesl= 2. Secured Partylies) and addressj~~~ For Filing Officer (Date, Time, Numbe~,
~Ul~ :RDi~:~~ F.~;2ish R. ~';sl' dc~ J. 4 and Fili~g Oifice!
1000 S W?_? 4ve Lot 5~ :1•~~o FLnanci~l. 3ervices of 1919 .Jj~L 1 Z ~i ii~ 46
~ro ~each, FL 329bQ ?io3lyuoo~, Fi~., In~.
~ ;=2991 ?_502 3. ~ede~al. tt:rf FH.EO ENC k`_C~ttutt7
~ ST.IU~tE CDI.lHTY.fIA. _
~ e ° 0 ROGER POITRAS
~ 4. This financing statement covers the following types and/or items of property: CLERK CIRCUIT CLG~ T
fiEC^"D :f''.:fiE~~Jf.L.,et~-_
'11 hot.sehol3 ~~ods pl~e3e::~1J o~,^3ad aad .ep~ ~t, t~:e ~~~re
3~t~ss or t8 1rii' adc~r~ss t~ uhich t:~~? . ~a;,• ~~~o~r~~. ~ ~5~~i
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; 5. Auignee(s) of Secured Party and
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~ 6. The secured partylsl, whose signaturels) appean below, states ?ha[ the stamps required by Chapte~ 1,
~ Florida Statutes, if any, have been placed on the promissory i~struments secured hereby, and wri11 be
~ d~d on any addrtanal and s~m~lar instrument that may be so secured_
This staterttent is filed without the debtor's signature to perfect a SeCUrity interest in collateral. (Check ~ ii so)
~ O Already wbject to a security interest in anothe~ jurisdiction when it was brought into this state_
~ l7 which is proceeds of the original colla[eral described above in which a security incerest was perfetted:
Check ~ it covered: O Proceeds of Collateral are also covered_ ~ Products of Collateral are also covered. No. of aclditional Sheets presented:
~ --Filed with:
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BY: ~ ~J BY:
? S~gn iels) o Oebtorlsl S~9~aturelsl of Secu.ed Partyliesl
STANDARD FORM - FORM ~C-1
~ ~+;r nc; ir~ p ~~v _~t c r (}R 1 APP~oved by the Secreta.y of State, State of Florida
} f ! . .r. . ~t~, . NABETI,,AL 6[1~K~1~ F~Gf~\JlJC.7