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T HIS F INANCING STATEMENT is presented to a filing officer for filing pursuant to the Uniform Commercial Code: 3. Maturity date Gf any}:
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DebtorGl (Last Name First) and addressles}: 2.AV(,Vr~i~Pll:r~nt~.~f~jc~G~s 0~. For Filing Officer (Date, Time, Number,
V(,ZJ and Filing Office) 4"79394
HOLLY':i00D~ FL. INC
';:KITED, ?•;ALT'.Z.F'IId 2>O2 S FED Ii4lY I$~0 ~IlIR i 3 P!1 2~ 30
X712 ,•;OKA'::Y. AVE PIERCE, FL. 33~+~G
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-i rn~s financing statement covers the following types andlor items of property: T CCUAT
'.i~L COiiali;•s:? tiOiiSE~iOLD GOODS LIS~D ti~ ?>T:tiID~~ICr'. OR i r:?:Y ~11EMf1E0
:'LF~CL `s0 aiiICii THr;Y I':r1Y BL ::OVER. ~ 4'79394
5. Assgneels) of Secured Party and
Address(es)
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~ The secured partylsl, whose signaturels) 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
W placed on arty addrtronal and similar instrument that may be so se~~ured.
i nos statement is fled without the debtor's signature to perfect a security interest m collateral. (Check ®if so)
Already subject to a security rnterest in another jurisdicucn when it was brought into this state.
.which is proceeds of the original collateral described above in which a security interest was perfected -
^,er.k ~ if covered: C_l Proceeds of Collateral are also covered. ? Products of Collateral are also covered. No. of additional Sheets presented
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~'edwrth: _____"__ST LUCIB COUPITY___C_7j-10-~0
AVCOrI ' ~CIAL SE :VICES
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Slgn urets/i Debto Isl ~ Sig aturelsl of Secured PartyheS)
/ ANDARD FORM - FQF~M UCC-1
f ~ ~ t!- l _ ~ ~ / //~J_ Approved by the Secretary of State, State of Florida
• ~ 327 P~~f i18.3
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