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THIS FINANCING STATEMENT is presented to a filing officer for filing pursuant to the Uniform Commercial Code: 3. Maturity date (if anyl:
1. Debtorlsl (Last Name First) and addresslesl: 2. Secured Partyliesl and addresslesl: ~ Fo fling Officisr (Gate Time, Number,
, ~ r' S n~ n~ ` ~~t~ fling Office) R
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L. ~ ~ ~t 3 s R06CIEERCQU~IRAST
4. This financing statement co s the following types and/or items of property: p.EN< C1R~t
/ T,c. ~Pt-~ a ~eF~ 2 - I hw~ rf ~n ~ R-RoQ R~rnao ~~alFl~c_
s ~v,,-+~ ST9a~s ~ ~ ~2~~,~ ~EVFS7-•rrs 4~~ i
_ro nn 5. Assigneels) of Secured Party and
~ N ~i- ISO y 1 ~ 'T /yI ~j ~,~~SS _ / 1,/ N ~ Addresslesl
~ 6. The secured party(sl, whose signaturelsl appears below, states that the stamps required by Chapter 201,
Florida Statutes, if any, have been placed on the promissory instruments secured hereby, and will be
placed on any additwnal and similar instrument that may be so secured.
This statement is filed without the debtoi s signature to perfect a security interest in collateral. (Check ®if So)
~ Already wbject to a security rnterest 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: O Proceeds of Collateral are also coveted. O Products of Collateral a!e also covered. No. of additional Sheets presented:
Filed with:
r
13y: _ By.
S~ynsturelsl of DeDtorlsl Syrtetureisl of Secured Pertylissl
STANDARD FORM -FORM UCC-1 `
Approved by the Seuetary of State, State of Florida
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