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STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
TNIS FINANCING STATEMENT is presented to a filing officer fa tiling purwant to the Uniform Cornmsrcial Cods: 3
1, Debtorls) (Lest Name First) and Addrost 2. Sscurod Party and Addreu * For Filing OfficerlDate,Tims, Nurnbar,andFiling
OHioel
ELMS, IN('US ~ SHIRLF:Y RFA'EFTCIAL FTA3~tiCE CO.
1008 NQRTH 39th ST. 1141 C(?TITN FEDERAL H~'Y.
E~`RT nIERCE, FI:. 33450 FORT ?'IERCE, FL. .33450
4, This financing statement covers the following typeslor items) of property: (Check box which appllesJ
wu of the howehold jurntnrnr and junrlshLg; electrical and ear applirnce; including television
aet; phonoarophs and reMnd Phytr; rcjr~emor; etr;, and other personal property now owned
and located at the nsWenee of the Debtors at tht addressaivrn above In Box 1.
ea Assignee(s) of Secured Party and Address(es)
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6. Check if trued The stamps roquired by Chapter 201, F.S. have been Placed on the prom'nsory instrumen
secured hereby, end will be placed on arty additional and similar instrument that may be so securod.
Documentary stamps attaehed to o?ialna! hoar and cance/kd
j This statement is fibd without the Dsbtod signaturo to perfect a security interest in collateroL (Check ~ if so)
Already subject to a security interest in another jurisdiction urban it was brought into this stela
which is prooseds of the original oollaural desctibef above in which a security interest was perfected:
Check[~if toverod• Proceeds of Collateral are ah~o covered.[]Produets of Collateral are also covered No. of additional Sheets prosented:
I Filed with: Clerk of the Cinwit Court of Coon ry, FlorWs
Seourod Party e
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..Debtor _ _ _ Manager
Sh ~ rl ey E' ~ ~ S STANDARD FORM F UCC-1
* Type Nu and complete corporate nam4
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