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THIS FINANCING STATEMENT is presented to a filing officer for filing purwant to the Uniform Commercial Code: 3. Maturity date lif amyl:
1 Debtorls) (Last Name First) and addresslesl: 2. Setured Partyliesl and addresslesl: For Filirg Officer (Date, Time, Number,
O$Q S _ 1 • Filing Otfite)
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4. Trrh~s financing statement covers the following types and/or items of propsrry: ~ ~ ~ ~
TQ m ~ ~ 1'DOrrY1 Scu fe A
~a 2 ~y recl~nEr. 4496.39 . .
f Q MYJ 5. Assignaels) of Secured Party and
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-The secured partylsl, whose siynaturels! appears below, states chat the stamps rsqu"ued by Chapter 1,
a Florida Statutes, if any, have been placed On the promissory ir?struments secured hereby, and will be
~ Dlaced on any additional and similar irutrument that may be so scarred.
's Tn~s statement is filed without the debtor's signature to perfect a security interest in collateral. (Chock ®ii sol
Already wbject to a security interest in another jurisdiction when it was brought into this state.
~7 which is proceeds of the original collateral described above in which a security interest was perfected:
Check ®if covered: ? Proceeds of Collateral are ako covered. O Products f Collateral are also covered. No. of additional Sheets presented:
F;Ied with: ~ V(,/L?1
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By:
Signature of SerttB~~ g~aturelsl ot~ieri