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THIS STATEMENT is presented b o flip offices fa. fifiwq pesseewf a M (fwifor~ Cooiwercid Code: Mdwifr doh Gf Dory):
1. Oebferb) (loss Neese Frst) and address(es) 2. Seowed f
aAr(-ors) owd eddress(es~~ hr five ON's (Osss. Tye, N..i.....e fiy Otto)
DMI GHT BLACKMELOER F I NANCEAMERI CA CORP ~ ~ i~: 33
P 0 BOX 615 P 0 BOX 2105 -
FT PIERCE, FL 33450 VERO BEACH, FL 32960 '~coNOEe
.COUMTY.FLA. ~
'P-OITRAS ;
~Iifiiilt~pRCUiT C T i
This stete~st refers to origiwd Reencie4 Stotaweq 6ear:p fie l1e. tl ~ 6 54 1 '~~!~';'rRfFlE:1
~I.a .i,tr ROGER PO I TRAS Da1e f~.a MARCH 9 1~ 79
s- ? CoeflnYOfioe. Tlw e.iyind fiwoecie~ stotewssrrt setreew ~tl,e fapoiw0 o.htor esd seenr.d fby, beoriwi fie aoe~ber slww. abase, is atil
6. ~ Tanaiwotiow. Secwed part' wo hrnyer cfouws a secwifr iwNnst nwir die Ciwawcip dals~eM beariwo Cda wwwbar ahovw abow_
7. ? Atsipntwanf. the severed pary's rqM awdw the fwawcieo date~wf beerip Cale nen+br ahewa sbew to ebe proprfr deacrr3ed Iw INw 11 has bas eniped~
to the assi~ree whore wore and .dd:a.e •np••r sA In. 11.
0. ? Awwrrdnrenf. F'weeeinp SsafeesrM 6earip fie der sheens above is awrwded os sN farfh w Items 11.
9. ? RaleoM. Secswed part' reMsw 1M mYderd deaaibed iw hear 11 frees Mre ~ dste~srN heavies/ fie winbw sho+rw above.
10.? Cirdt if b'w. AM loarwwwNrr- dawn twew des and poraMe w /a beosare dai end piTaW purwaef N Qepfse 701. F. S. haw bee pid.
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