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THIS STA1FJi1fM is yreseeNd N e filly eHiasr fa filly prrsrowt N 1ba IJeiiere Gs•~erciel Cade: Meferift OeN lit wy(s ~ _
t. Debtor(s) (lase Now Firstl aed eddnssles) 2. Secrred ~sxftlies) esd oddressl Fe. filly Officer (DeN, Tina, Nrrbrr, oed fi6M OFRa)
r alm f llav id FLORIDA BANK AT FORT PIERCE `u - ; ti Fri.
~~b Anita :itreet P. 0.80X3469 k~~c . ,c
5010RANGE AVENUE Clip r 4. , . .O;1Ri l '
ort i~ierce f Florida 335 FORTPIERCErFLORID~A33450 RECnI= - •~t+~11
387b17 Dec 19 9 3i x"'79
1. TAis s1eN~eet raters N Ori~iMl fiweeciy SNMneet beeriy fiM Ma. ~
F;,~ Clem of Circuit Cou~~r~ 12-15 1. 7?
S ? GMterrdiew. Tla erieiwal (ieaecief rteNewet behreew tba ferofaiM OebNr ead Secrred tent, beoriy fiN ember sbe.e abeva, is still tfbc6.e.
5. j~ Teneiea/iee. S«Med psrtt M lever cb:ns o seceriry ietenst seder the fieaeciy sNNieeet beoriq 6N ember aHore ebe+e.
7. Q AssiOreed. TM severed perft's ri~bt ceder Ibe fieewciy sNNneet Merit' fiN ember rla.e obese N the OreVer?t descriMd ie Items 11 liar bete assi~eed
N fbe Nsl~wM s.Mese eagle Md eddnss epOeer ie INet 11. ~
P. ? Aereieref. fieaeciy SNNseel beoriy fiN ember above ebete is enaeded as sel forth ie INn I1. !
9. ? fteMeae. Secrred fern reloeses 1be celNlerel described ie INn 11 Iron the fieeeciy slehe~ewt beoriy fiN ¦r~ber sbe~e abets. i
10~ Ohecb if hae. All decreawNry sNiesr Naea dw aed oetabla er N becena /re sad ~obN grrsraM N Qepter 201, f. S. ba.e baew void. ~
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