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THIS FINANCING STATEMENT is preserved to a tiling officer for fill he Uniform Commercial Code:I 3. Maturity date (if any?: N
1 Deutorlsl (Last Name Firstl and addresslesl: 2.ASecuredea~(y~~prLaddt~lacl;. OF For Filing Officer (Date, Time, N tuber,
! CONCANNON QERILD J YIiV ~71Arii~li Srat (il'~ and Filing Office)
CONCANNBN, IRIS HOLLYWOOD, FL. INC •7QS~a3 qt9 27 ~F ~
334. NW HEATHER ST 2502 S FED HWY 4
FT PIERCE, FL.c 33450 Fll'.L AHD *FCO,tGLO
f PT ST LUCIE, FL s~ ~uciEE CCUNiY.FI A.
33452 FILE ;f{2412 ROGER POITRAS
CLERK CtRCUfT C
~ o- ThiSAfl.Ln~.'Ol~~Jtt~cbv~r~~d
l~w{? ~s~/nsA~'p~DENCE OR AT ANY ~f ~C~!,vI-R~F(~~/~_
PUCE TO WHICH THEY MAY BE 2~IOYED. ~`JQ6~3
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5. Assigneelsl of Secured Party and
Addressles)
6 The secured partylsl, whose signature(s) appears below, states that the stamps required by Chapter 1,
Florida Statutes, if any, have been placed on the promissory instruments secured hereby, and will be
placed on any addrtronal and srmrlar instrument that may be so secured.
This statement is filed without the debtor"s signature to perfect a security interest in collateral. (Chetik ®if so)
r.7 Already subject 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:
j Check ~ if covered: ? Proceeds of Collateral are also covered. O Products of Collateral are also covered. No. of additional Sheets presented:
F~ledwrth: - ST LUCIE C
- -------A FDUI~ZJQ.
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By ~ - _ ~Lc,~%- - -!7~_,~y - - - By: - - - - ~ - - - -
S~gnaturelsl of Uebtor S~g~urel of Secured Partyl~es!
STANDARD FORM -FORM UCC-1