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TtifS FINANCING STATEMENT is presented to a filing otficer for filing pursuant to the Uniform Commercial Code: 3. Maturity date (if any?:
i nebtorfsl (last Name First) and addresslesl:~ 2. 1~ For Filing Officer {Date, Time, Number,
~~11VA~AL OF and Filing Office) /
~ MOORE, DAVIB ~ HOLLYWOOD, FL. INC L~~'7~19
909 NE 17 AVE 2502 s FED HWY 33+50 '9T9 ~~C't 27 1,`i ~ I= 28
Y'~}CYZIC~ FT PIERCE, FL.
mBEE, FL FILEf~ ST.
LUC EhCOI:
T
Y Fl A.
s 33+72 ROGER POITRAS
4 This financing statement covers the following types and/or items of property: CLERK CIRCUIT COURj~ A
rt~:,RA vF~tlrirr. - Q
ALL CONSUMER aOUSEHOLD GOODS LISTED AT RESIDENCE OR AT ANY 46'72"79
PLACE TO WHICH THEY MA? 8E MOVED.
5. Assignee(s) of Secured Party and
s Addresslesl
s
3
g 6. The secured partylsl, whose signaturels) appears below, states that the stamps required by Chapter 2 1, _
S Florida Statutes, if any, have been placed on the promissory instruments secured hereby, and will be
placed on arty additional and similar instrument that may be so secured.
1 Th;z statement is filed without the debtor's signature to perfect a security interest in collateral. (Check ®if so)
~ Already wbject to a security interest in another jurisdiction when it was brought into this state.
which is proceeds of the original collateral described above in which a security interest was perfected: -
xk Check ®if covered: ? Proceeds of Collateral are also covered. ? Products of Collateral are also covered. No. of additional Sheets presented:
Fled with:
_ _ AVCO
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Bv - ey:
S~gnaturels of D tor(sl Signatu of Seturad Psrtyl '
STANDARD FORM - FORM U -1
Approved by the Secretary of State, State of Florida
_ r, a ~~~x 320 PaGE 2~1