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THIS FINANCING STATEMENT is presented to a tiling officer for filing pursuant co the Uniform Commercial Code: 3. Maturity date (if any): '
t . Debtorlsl (last Name Firsts and addressles): 2. Secured Parrylias) and sddressles)' For Filing Officer (Date, Time, Number,
-iFtE~ D:~,OI c :',1?~0 FIIr ~CI:~.L ~~'~1CI~ OF and Filing Office) A C~/~ x!24
X03 'i 27 S': HOLLI;,TOOD, FL. I'~ ~V'Z~/V
1'r PIE''~'~'~~ ~'L. , ~ X502 s ~ -1919 AUG I 0 AN 1~ Q9
33~E.0 . FL. ~3~.SQ t O At~SI:EC F o
4. This financing statement covers the following types and/or items of property: R0 P~
CLERK CfRCUIT
::LL CO?i~''w~ HOC',i:~:'_C'LD s00~S T~ISTLD !:'P ;SID'S"
^E 0 ~ ':T RECORD VERIFIEp
PL-~CE TO YL?ICs? T;~y ~~i~t7 FsE 2~0'>?D.
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5. Assgngels) of Secured Party and
Addrossles) -
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6. Ths secured partylsl, whose sigrtaturols) appears below, states that the stamps required by hapter
Fbrids Statutes, if any, have been placed on the promissory instruments secured hereby, and will be
placed on any additional and similar instrument that may be so secured. 1
This st+tertrnt is filed without the debtor's signature to perfect a security interest in collateral. (Check ®it so1
D Already subject to s security interest in another jurisdiction when it rws brought into this state.
? which a proceeds of the original collateral described shove in which a security interest eras perfected:
Check ®if covered: D Proceeds of Collateral are also covered. D Products of Collateral are also covered. No. of additions) Sheets presented: }
Filed with:
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gy: ey: -
' S~gnaur.(s) of O.btorls) Signatun(s of ur artylies) i
STANDARD FORM -FORM UCC-1
~ ~ Approved by the Seaetsry of State, State of Florida
(1) 1<IUN6 OFf1CER COPY--AL°HABEi1CAl 3~