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THIS STATEMENT is presented to a filing officer for filing pursuant to the Uniform Commercial Code: 3. Maturity date lif any): ~ ~
t. Debtor(s) (Last Nartw First) and address(es): 2. Secured Party(ias) and address(3s1: For Filing Officer (Date, Time, Number,
S~0 I~ ~~C~ ~ and Filing
r~crisets, RrcgeRn & caROL ~~oon, FL. I~Ci ~ ~ 'T ~11t= 39 ~
~o~ dva z5oz s Fan ffinr ,4~,p
FT PIBt~CB, FL. i
33450 FT PIBRCS, FL. 33450
4. This statenlaM refers to original Financing Statement bearing File No.- i pct ~L
Fi with Date Filed ._19
5. O Condnuatron. The original tinanpng statement between the foregoing Debtor artA Secured Party, bearing fiM number shown above, is still effective.
6. O Termination. Secured party no longer clairrlc a security interest under the financing statement bearing file number shown above. i
7_ O AsignrrtaM. The secured party's right under the financing statement bearing file number shown above to the property described in Item t f has
been assigned to the a~igrtee whose name and address appear in Item 11. 4
8. O Arrwtdment. Finanrtirg Staten+ant bearing file number shown above is amended as set forth in Item 11.
9. ~ Relaap. Secured Party releases the edlateral described in Item 11 from the financirg statement bearing file number shown above. 1
1 O. O Cheek if true. All documentary stamp taxes due and payable or to become due and payable pursuant to Chapter 201, F: S. have been paid.
. 11
fYo. of additional sheets presented;
eo~t ~~~37
Signature s) of D.btor(s necessary only i Item is
appliublai. Si~atu t) of red Pa.ryfies)
STANDARD FORM -FORM UCC-3