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Signed in duplicate delivered and effect ive this 27th,
day o f ~ July ~ 19 79 .
Lucat i~~ti of - :ollateral ~ ~riano S11oso~MyD. _ _
(if different from address _ V
of Debtor) ~`~~-d /~l.~
or
Port St. Lucie Medical Lab Address of Debtox
Port St. Lucie Medical Bldg. 675 Royal Palm Beach Blvd. -Suite 33
9507 S. U.S. 1 Suite 12 Royal Palm Beach, FL 33411
Port St. Lucie, FL 33452
FI ER SC EN1'TIFIC ~O
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!y
11 Dav .Lyle
eral Manager
Credit and Receivables
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