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~ r+IS FIN/1fYCifVCa STATEMIEfJT is presented to . filiry officer for filing purwant to the Uniform Commercial Cod.: 3. Maturity date (if .ny1:
~t Debtor(s) (Last Nuns First) and address(es) 2. SecurW PertYlies) snd eddress(~s~~~ Fp F,wy Ofhcsr I(Me, T~w~e. Nwr~eer. aM Fr.ey Ofl~c~l `
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tlarga~cet Davis Personal Thrift an, _ ~ l;'J Za ~t 15
2406 s. 37th st. P.o. Box 3847
i't. Pierce, Fla. 33450 Ft. Pierce, Fla. 33450 Si
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Crw+~T~iJit.
RUGE~i POITRAS
CiERK tlf.CZNT
4 T t+is finsncing statement covers tM fdlowing types (or items) of propuri: (hy VE piF~E
and all of debtor's personal property, household goods
and furniture
5. Assigr+ee(si of Sacred Duty and Address(es)
3 46"7114
6 ine ~ecvrd prtrlsl, wnou syrWSHrI roots than, stags test dr stsnws rspued to Jew 201. Fwdr Statutes. a^1I, tren
fiend on Ur wenresertr retrumw+h secured naretM. tad .w ee o4cee on aM aAd~torW aM a.reyur ~natrunwN ttat may b a secira0
This staterrrnt is filed without the debtor's sigryture to perfect • secwity Intpest in collateral. (CAeck®if so)
? Already wbjacc to • securiri interest in anothu jurisdiction wMn it was brought into this state.
? which is proceeds of tM original eollatuN described above in which a security interest wss perfected.
-Cne;.k ®if cavMed: ?Proceads O} Colbteral are also covered. ?Products of Collateral are also twvued. Na of additional Sheets presented:
Filed with: Clerk of CiZ'11cit COUtt-$~ Iaicie_~n >,n
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gy: W' 9Y:
Signatur s) of Oebtorls) Signature(s) of Secured Partylieel
STANDARD FORM -FORM UCC y1 cY_~_
BQOK
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