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' _ Bor 24FLJ Bd. Nov. '76 ~ /
4'71818 '
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
THIS FINANCING STATEMENT is presented to a filing offk-•r for filing pursuant to the Uniform Commercial Code: 3.
t. Debtorlsl (Last Name First) end Address 2. Severed Psrty and Addtsss * For Filing OfficerlDate, Time, Number,and Filing
Office)
''~"TiE'!'YA? ~MTTH BFNF.FICTlIb FINANCE C(`.
~1~1 N. 13th St. 1111 So. Fed. Ht~ly.
Dicrce, 33~~~n F±, .crce~ ~~j Kn
4. This financing statement covers the following typeslor items) of property: (Check box which applies)
Ap of the household jurnttun and jurnishirg; electrical and aas appfance; inctudirg television
Y?' art; phono~aphs and record player; njrgerotor; etc., and other peraono/ property now owned
and located at the ns&ience of the 1?ebtors at the addnsssivrn above in Box
5~ Assrgneefsl of Secured Party and Addressles)
6. Check if true0 The stamps roquired by Chapter 201, F.S. have been placed on the promissory instrumen
severed hereby, and will be placed on any additional and similar instrument that may be so secured
~ Documentary stamps atbched to orlalnd notcard cancellett
This statement is filed without the Debtors' signature to perfect a severity interest in collsteraL (Check(-x1 if sol
Already subject to a severity interost in another jurisdiction when it was brought into this stets.
? which is proceeds of the original collateral desa~sd above in which a security interest was perfected:
Check[}if covered: []x Proceeds of Collateral are also ooverod.[~Products of Collateral ere also covered No. of additional Sheets presented:
't Filed with: Clerk of the CJrruit Court of - County, Florida '
Severed Party a j
~ 1..l j3r~?T .FT~T.: T.. FTr....CT.. ~
Debtor
fay
Debtor STANDARD FORM -FORM UCC-1 Manager
* Type full and complete corporate Hama
1980 JAN -8 AN 9~ 5 I
ST
LIE
COl1NTY FLA.
ROGER POITRAS
CLERK CIRCUIT CO T
RECCR~ t'EP.!~IER.
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4'71818
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