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THIS FINANCING STATEMENT is presented to a filing officer fw filing purwant to the Uniform Commercial Code= 3. Maturity date (if any1:
t Debtor(s) )Last Na First) and addresslesl: 2. Secured
P~~ 1 and addresslesl: 1c 1 For Filing Officer (Gate. Time. Number,
, A ~ A r f~~ .XIV and Filing Office) ~?'r'~~Q
er ~ ~-~~1 ~ ~ ~ ~ ~ ~ ~ba is ~ is
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,~T ~ $piC ?.(oG, C_~Dtut4RA1 1~~ 2~C1~, ~ F~;o t~+o~ o
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4_ This financing statement covers the following types and/w items of property: ( ~ Cl,~T
~Jol~,~ E'69/ 4'2559
~ 5. Assignee(s) of Secured Party and
~i~fC" Address(es)
5. The secured partylsl, whose signature(s) appean 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 ar?y addrtwnal 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 sol
CJ Already wbject to a security interest in another jurisdiction when it was brought into this state.
which is proceeds of the original collateral described above in which a security interest was perfected:
Check ®if covered: O Proceeds of Collateral are also covered. O Products of Collateral are also covered. No. of additional Sheets presented:
- ~ -
Filed with:
v CC) ~JIJ''
ignaturels) of Oebtorls) Signature acured Pa.tyliesl
STAN RD FORM -FORM UCC-1
M Approved by the Secretary of State, State of Florida