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THIS STATEMEM is pre:eated to o titiwy oNicer ter Fling perswwt to TIN Uniferw Cowwerciol Code: MaMriry date lit owyl:
~ Debbrls) (lest Howe Fin1) owd addre:sles) Severed Forrylies) and oddnssletl 453'713 For Filiq Officer (Dole, Tiwe, Newber, ewd Filip OfRce)
anderson ~ Thomas Z.
t. ~ - I3ox 1 FLORIDA BANK AT FORT PIERCE ;~19 OCT 25 1W 9' 42
.'t .r ieY`Ce ~ e t~ cp P. O. BOX 3469
Fl 33 J 5010RANGEAVENUE FIIEDA!.('FECUttUtU
FORT PIERCE, FLORIDA 33450 ST.LUCtf COUNTY. Ft A.
ROGER POITRAS
CLERK CIRCWI CC~~t//Ri
~ 316081 RECCF.O YFF'f'~ ^ . ~ d`-~
TAis sfeMwewf refers b eri~inol Fiwowcin~ Sbtewewl beoritt~ iiM Ha.
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Clerk of Circuit .,ouz~t wept. th F 75 4631713
_ filed .ilb b Filed 19
5. (~~CewNwwwliew. TM oriyiwol finonciw~ sbtewewl Mt.eew the fMe~Oiq Debtor asd Severed Forty, beariq file nrwber shown oboe, is still effecli~e.
6. ~Terwsiwatiew. Severed parry no longer daiws o severity inbrest ender fbe fitwnvin/ stoNw_trnt beeriny fiN n.wber s?ewn oboe.
7. j] Aui*rwed. TM severed pomp's riwM ender the finowcirq stoMwewt bwriw~ file wewber sbewn ebow b the property described iw Itew 11 Aas beew ossiywed
b /be ossionae wbpe none ewd address oppeor iw Ibw t 1.
3. IJ Asrwiwew/. Fiwaaciq SbhwwN beoriq fib wewMr sbeww abee is eweeded es Nt forNr iw IMw 11.
9. j~ Rwlewse. Severed ?orty releoses the colblerel describad iw Ibw 11 frow tM lillenciny s/ate.ent Marini file newber sbeww abs•e.
19.~ C1e~ i/ /ree. All docewenbry dewp toaw dw owd payable er b becowe dw end payobb Derseont to Cbapbr 201, F. S. bo.e Mew poid.
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;timer 16 fte boat Ill:F~,t::.13.59o~r:7ub
1974 John$on 70 ~~il-' motorF w/certified trailer
,.rotor I~ 058?57 Trler ;,-~Aa002
Iw. d •ewwl shawls wwNe:
n F1 ida an:c Fort Pierce
3~~K~~c7 PAGE eJr7:e7 ~y:
'wnotere tl eJ Debto•Is) necessory owly if INw ~ is epplicobN . Si• • rrwd Fertyliesl
STANDARD FORM -FORM UCC-3
(1) Filirxa Ctfficet Cagy-Alphabetical Appro.ed br ticberd (Div!) Sten•, Sevretory e/ Stole, Stole of florido