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THIS t3TATEMENT N pr•aantad to s fNlnB oNiw for fUinB purwatt to the Uniform CenwnwdN Coda: 3. Matwity data Iff arw): ,
~ . oabtortal (f-aa Name F~nt? and addratNaa) 2. Sacwed ?artylfasl std addraaalas) car tear Oraar iOrY, rrr. Mu.e.. •M cr.~ ore~.l
tonss ~ Cba=lie w. b , An9ti Id. Blasts Financ3e?i Services ~ .
ieza eacalyptne Ave. 2506 S• Fede:~ ~ -7 A! ~ 3t
Rt• Pierce, FL 33450 Ft• PiescO~ RL 33450
4. TI?b statement rafaa to oriplnal F InancirN itatamartt baariry File No ~~~_Q /~~~~jj
FiMdwiM eataFNad 19 ~~~a`~~~5~.
5. ? Continuation. TM aibinal flnanttny atatirn•nt between tfN forepirN pabtor and Secu?ad Party, bwrirM fiN number shown above, M .till effaetiva.
6. ? Termination. Secured parts no iorNar claims • sacwitr inta•a under tM flnancirp statamertt b•arin~ fqa nurnbar sl+own.bow. Ai
7. ? Asaipnment. TM asaxed party'. ri~tt urWa tM financirp statement b•r1nP tiN numbs shown above to tM Property d•ecribad in f1'[I~~iOnad
to tM as•I~nae vdtoea name and address appear in Item 11.
8. ? AmerrdmarK. Finarciry Statement baain8 f~a number sltorvn above h amended as eat fortl+ in Item 11. i
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9. ? wieese. Setwed Party relaesas the collateral daecriDW M INrn 11 from the tinaneNp stst•mant bWinB tiler Wombat fhown above.
1 O. ? Cftetdc It true. Ap dowmanwr stamp taxaa dw and perabN a to b•ewma dw and parable purwant to Chapter 201, F. S. have been paid. -
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No. of addttiond shwte presented: Y
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LC.. Wieser ieli Sf Cee InC•
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er• .1 of oebtorlsl In y onlr Item e b tpWicaa•l. ~r sf,inau!~l.) of Patyl
STANDARD FORM -FORM UCC-3 f~~~y? 'A~.~C
Approved br Se[rotaY . b~tat• Of F
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