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THIS FINANCING STATEMENT is presented to a filing officer for filing purwant to the Uniform Com rcial Code: 3. Maturity date lif any1:
t . Debtorlsl (Last Name First)Qand addressles?: 2. urr~P rt (i~`}~d add ~u U For Filing Officer (Date, Time, Number,
~R~fv~~~ti ~1~~/Y_ ~y~,( ~ ` ' and Fiting Ofiice) ~~y~~y
IV V-XXa ~ C I
/~/s?>a,-fo~~i~yii? ~Q `J S ,~Q 190 JAN 14 9' 29
//QJ K/~ ~ • ~U FfLEU I~NC FEG4itt;~D
r ST.tUC1E COUNFY.FIA.
ROGER POITRAS
4. This financing stateme covers the followir?g types and/or items of property: j CLERK CIRCUIT CO T
: F.CQf.O !'ERIFIED_~~k.el~~
Gds ~ a-~ C
rnvAc ~ s~.e~~3-~ i~i~3"r .
~ ~ V r"'~ 9~5771~~5~ 5. Assigneelsl of secured Party and
r ? / Address(es)
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~ 6. The secured party(sl, whose signaturelsl appears below, states that the stamps required by Chapter 1,
E Florida Statutes, if any, have been placed on the promissory instruments secured hereby, and will be
placed on arty addrtiortal and similar instrument that may be so secured.
This statement is filed without the debtor's signature to perfect a security interest in collateral. (Check ®if so1 ~
r a Already wbject to a security interest in another jurisdiction when it vwas brought into this state.
_ ? which is proceeds of the original collateral described above in which a security interest was perfected: i
Check ®if covered: ? Proceeds of Collateral are also covered. o Products of Collateral are also covered. No. of additional Sheets presented:
_ 1
Filed with:
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gy _ - By:
~ eture sl of Debtorlsl Signature(s) of Secured Pertyl~esl
STANDARD FORM -FORM UCC-1
tt Approved by the Secretary of State, State of Florida
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