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THIS FINANCING STATEMENT is presented to a filing officer for filing pursuant to the Uniform Commercial Code: 3. Maturity date (if aryl:
1. Debtorls) (Last Name First) and addresslesl: 2. Secured Party(ies) and addrassles): For Filing Office (Date,wTime, Number~,~/y
-,-•r~ -,•-•-r +r•. ;•-,-.-rrte~..-?~ and.Filing Office) 4431 i
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4. This financing statement covers the following types and/or items of property: Ct.ERK CIRCUIT C
~T .TT-•-.-... ,-...-.t. RECOROVERIFIEO
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5. Assignee(s) of Secured Party and
Addre~les)
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6. The secured parrylsl, whose signaturels) appears below, states that the stamps required by Chapter 1,
Florida Statutes, if any, have heart placed on the promissory instruments secured hereby, and will be
placed on any additional and similar instrument that may be so secured.
This statement is filed without the debtor's signature to perfect a s~uriry interest in cdlateral. (Check ~ if so?
~ Already wbject to a security interest in another jurisdiction when it was brottyltt into this state.
? which a proceeds of the original collateral described above in which a security interest vvas perfected:
Check ®if covered: ~ Proceeds of Cdlateral are also r:overed. O Products of Collateral are also covered. No. of additional Sheets presented:
By: fiy:
iynature(sl of tor(s1 ipnaturelsl of ured Patyltesl
STANDARD FORM -FORM UCC-1
. ~ Approved by the Secretary of State, State of Florida -
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