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STATE OF FLORIDA eacncu noe )
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1 REV. 7-71 Keetss r.rrs a srsr2ss, trc. Z
tiny films YSte fp f * p )OI 2frt. T4LLAYL iiL C, rtA,
=mt erttr the 0!tce N $etrKSp o1 State ptrsLrent to tM UaFaw CanmeriW Coee lust k eperoeat et' SKreUry or Stste. State et ibripe_
~ NSTR' LCTION~:
1. PLEASE TYPE this fors. FoW atir elLrrg perforotion t« artiliry.
Rerove Secured Pary and Debts cgies and seed other 3 cgiss wAh itealeared cefbon prer M the filing officer. Encbse liliry feed 55.00.
3. IF tht space Prmrided for ethr iteLa(s) oa the corm is inadeptote the item(s) shoLdd fat continued aT Ltdditiono) sheets, preFerably s^. S" or A": 10"- Only one copy of
sudr odditionol sheets need be peseated b the filing office. with the first three cgies of the financing stgfeaLent. Long scl+edLrles of colFdcrd, irrdentYres, etc.,
•r•f be onarr sizePoPertlrMisconreaientfor the secwed pent'. Indicote the rw•tber of oddnionel sheets atoched. Enclose filing fee of 52.00 For cock oddirionol sheer.
4. !F collewrol is crops a goods sbicb en a w to becore liwws, giw the feel desuiption of tfrt reel estate •rd nae of record owner ar resod lesser.
5- tilren a corer a! the secrity egwesewt is user es • finking stostseet Ft is rerprtsted that it be eeeoyenired b • corPletsJ lrut unsigned set of these
tars. M odditiano) ftt el 63.00 is repited.
6. Please sign this krs with a bell pint pre. Sigeruws rust bs Ipible m el,bebtticel ad rrurericel copies. - •
7. {f filing with Clerk of CFtcuit Court ceewlt (hglsr ?f, F. S., a< local dark fa ,r•!•r fete.
TM~S FINANCING STATEMENT is N • fil' effieer far f' ~ . pwsu•M a Nre Yaiferw Cewtreerci•f C+in 3. Mehriy dote (if ant): ~ i
' t. Oebttr(s) Q•rt Name irwst) •rrd •ddrees(es) Staved I•Atr(iM) ewd address{et' iw tia:.e OMiaer itl.r., T.r, W.rir, s+rt ta.e otriar)
and FT. a? i Tom,
P. O. Boos 977
2500 N. Federal Higley J~ Beach, Flpsida 33457
Pies, Flpriaa 33450 455Q5
s. t1s fiaoncieg streewrerM corers Mre felfov.irp bpee (or iserrr) d Property:
As mDre particv]rarly described in F~chibit "A" which is .
attached here~bo and ~ a part hereof.
S. Assignee(:) of Secured ?erty and Address(es)
< b. TV toted ptryls)'..hor sgsrt~eld Leas bslsv, ear thr dr fwrr weriwd kr Cho/hr IOt Fbnde Storws, i any. how 6eee
pieced • 1M •ewisay ~t/rtrr~at rseaed Ferebp, ad A 1e pkrced a asy eddt~oed aed tireier retre•w riot L.oy br o reared.
This stoteere•r.l Trilheuf thj,jertels sfgwatve N peAM • seawih ireerest fw colfoterd. (Cheek ®if •w)
~ Alreed>• L~itd+M?r~t~tt?ihr JMrrNf fw •weslser jwfrdictiw wfssw F rrs• brought iwto drh sNN. I
Q whidt.A.~ ~rH,~•,rll,T,t,r eer.t.r.f described •beve In rrriar a «aritr iet.r«t woe perfected[
CMc4 cif ,O eb• eererei. ? frredtrcb of Ce1leNrd w ohs arered. No. ai edd'MiaeN Shwts presenlN: , K~~~'"-'+r ~ ~
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-..:.tw.LC Sigrteeure(s) (s1 6Q(M SigweNrt(y et s.crrltd , ,
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STANDARD FORM FORM UC.G-1 ~ ,r
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(1) Fi1in0 C1lfeeet topy - t.aphabetitLtl App.ered ky Secrererr of Stet. ftor.de