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THIS FIMANCIPIG STATfMENi b pasawnaA to a fil' elFicar far filiw!] pwwsat a eha llwiFeraw Cew~a~arc:ol CoM: 7. Mot.M:y data tiF awry: 1^ t
1. D.bter(s) tlest Nwr Fist) awA eJdrass(«) 2. Satared ~ary(ias) end address(«) oHi.. t0.er, f:.., w.~?w...a ?~r., gttiul
Caesops Grove Service Iac. Sun Bank of St. Lucie Co.
P.0. Boa b13 P.0. Box 8 4'7 ~ ~ ZS ~ ~ 46
Ft. Pierce, Fl. 33450 Ft. Pierce, Fl. 33450 s~l~EDA ~ A~
87-729321
this Fiwaadq s?a?satawt ca.+n des faMawiy tryas (w itaar) aF ~rparf,: ~ CO
1 Ohio Scinetific Computer Ceatral Unit Model CO-2 Ser# 6699, RECMtRVfR1
Centroaic Printer Model 779 Ser# 23875
Hazeline Terminal Model 142Q, Ser# 601228 s. A.ti~e..ta) a Saorrad F+oAy .nd ~...i«)
_ ~ 4~~068~'
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? ~f tabiad N ~ y?cwity w»arast iw aweMtw jwisdct:ow whae it was bre~ght iwte this stoN.
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Cheek ®i1 awrN: ei C:x..~-'-d ors a<!e ee.arad. ~ hedeiM of Celleta.ol wa oFee eo•arad. No. of eddit:owol Shoats prasawtad:
t~l.d wnh: ~ Lucie COtmty
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tr. SiNwawata(s) ~ O~biar(s) ~y. • Siywawrat eF rortttias)
~ STANDARD FORM - iORM UCC-I 8 P4l~ ~ {
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~PPre.ed t7y Secretary of Seats 5`ate of Fig.• da