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TNiS FINAIICYW STATEMENT b pnserrfed hs a NWp officer for Htiry pvrwowt b Nre UrrNorar Corwnwrdel Code: a. MowrFgr dote (a onVT
' Debbr(s) host Norm FKat) and oddressies) 2. Secwed ?orry(ies) and oddreas(esl ~ For fdlnq Ctffica (Dore. tune. Nunrirer, and Frirg OH1ce)
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1~?/3/79 ROGERPOiTRP.S
Tkn Ir.onc.np rtorenten+ covers tM types i« rteatsl « popertp CLERK CfR.Ct,'i T CCU"
:J Consarmr goods row located n a oboes rM perrwNS consnhrnrrp tM debtor' .es:derrce at they oddrers aEove sec faM « of ~ '
onq otlrr odress b vhKk rlre scree nb! be removed and onp poperry Msred belo.-
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~ T ~ n r r.! ,i r' J - _ S Ass.prreejs) d s.cwed pent orrd Address(«)
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~e lr seared pt?(rl, ebu s~e(N ypees roe. cterea rter rr sregs rearrred b AMR Qpl . fMride SMMes. A ar. re.leee pecN r 11rs
p'wrsseryr wMtsasrs senrM rrs~, etd ei r ~lecer eve wr edfewd ad sslti wtlrtsrrrre r!rM are! r serxN.
skis ssasenrent ie hkd vnthgrt dre debwr's sgrwnrce b perfect a scarcity rrtNress M coNotwd. IClreck I~ a so)
? AMeody se6jecr a e senrr:ry errereat in anoN»r iwndretiorr v.lren it .vos brorr¢tt iMO Lisa sbN.
? vshith is poceeds d tM ay+rol coNatwd desubed above in v.A.cA • senrrrry ert«est vqs perfected.
Check ® it covered: ? ?roceeda d CoMotad en oleo covered. ? ?rcdects d CoUoterd ere oleo covered. No. d cddnrorrd Slrees? presented:
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s) d Oebt«Is) Sigrrehrre( ?arry(ies)
STANDARD FORM -FORM UCC-1 `J 11K~~
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