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THIS FINANCINIi STATEfIiENT is presented to a filir?g officer for filing pursuant to the Uniform Commercial Code: 3. Maturity date lif -any):
1. Debtorlsl (Lest Name First) and address(es): 2. Secured Partylies) and addresslesl: For Filing Officer (Date, Time, Number,
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s~~i~w$ and Filing Office)
W~ J..... ::etl,~rcroD, FL. I.~
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4. This financing statement Wears the following types and/or items of property: a I~~s f'Y1~1 f
~ COINIT
JZT.. CO.~~,,L".'.~::::0?J~:OLI? 1C'OOS :
i~`'':~.:.D .:~SZ~; 0 T RECOaQ vEttlFrEO
5. Assgneelsl of Segued Party and
. 4s~sz Addressles)
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6. TM severed partylsl, whose signaturels) appear below, states that the camps required by Chapter - j
Florida Statutes, it any, haw been placed on the promissory inxtruments secured hereby. and will be
planxd on any additional end similar instrument that may be so severed.
This statement is filed without the debtor's signature to perfect a security interest in Wllsteral. (Check ®if sol
O Already subject to a security interest in another jurisdiction when it wee brouatt into this state.
C7 which is proceeds of the ori(pnal nblbural descrebed above in which a security interest was perfected:
Check ®if covered: O Proceeds of Collateral sn abo covered. C] Produce of Cdlateral are also Wwred. No. of additional Sheets presented: -
Filed with: $'S L~I$ 1'i..~.::
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, 5ienature(sl of tor(sl BY. Sienaturels) of Secured PartY(~esl
' STANDARD FORM FORM UCC-1
''J Approved by the Senxetsry of State, State of Florida
(11 FILIN6 OFFICER COPY---l1LPHA8ETICAL $~JQK314 PAGE~40