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THIS FINANCING STATEMENT is presented to a tiling officer for filing pursuant to the Uniform Commercial Code: 3. Maturity date (if any):
t Dr'dtor(sl (Last Name First) and address(esl: 2. Secured Partylies) and addr~ssfes): For Filing Officer (Date, N~~ `
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d This finan~cin~g statement covers the following types andJor items of property:
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T 1/ 5. Assignee(s) of Secured Party and
~hJ~Sr = ?J ~Rf~,iDRJ ~pc,?~? Si4i'"I~t! Ca~'''I Addresslesl
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g 6. The secured partylsl, whose signaturelsl 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 additional and similar instrument that may be so secured.
a This statement is filed without the debtors signature to perfect a security interest in collateral. (Check ®if sol
O Already wbject to a security interest in another jurisdiction when it was brought into this state.
O which is proceeds of the original collateral described above in which a security interest was perfected:
Check ®if covered: D Proceeds of Collateral are also covered. ~ Products of Collateral are also covered- No. of additional Sheets presented:
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Sigma ur s) btor(sl Signaturels) Secured Psrty(iesl
r STANpARD FOR. M -FORM UCC-1
p(,~y~j~ ~Jw[~~~ roved by the Secretary of State, State of Florida
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