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THIS STATEMENT "s vr•.•eh•~ » e filiw' affiar fa fili.y parsreM » tAe Uw)faw Cowewairiel Cain i_ Ma»riy deN Crf .wr):
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P.r ii.a OMs iDab. 11r, ti~Mr, ri Iie OM'wl ~ i
t. D~b1er(s) (lest Nava f~'irsh) enr o/drass(w~ 2. Seowad f~eAr(ws) and aidws(ae) i
xightlinger, ormal A. 1~ ~ of St.Iucie Co. ~ MAR 26 PM 2~ ST
Del,eo angle Ave.
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bird Ave. Ft.Pi,Pxce,FLorida 33450
Ft.Pieroe, Florida 33450 iILEOA~~C++1~1E1GT~E`A.
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Thi. ..f«. » «;,~el F'wwdw~ staawnM hee*iq Ole Ne. O.R. Book 315 Page 635 ~ECS~~ vER~fIED____.~
~ F;,,,a st.Luc3.ae comity l~ ~ - 480946
S ? Coelintwliee. Th. aiEiad fiwwciwq stelswaat h.r..en tha rorayeinE oahta ..r s.r...i f~ertr, variM fiM wweh.r share ebeoa, n shill affadi~ra.
e ffi Tertwinalion. Sacwai pear ne IanEar deieu a saawiy intsrast cedar the fiiwrcino tMSwwM baeriq fiM rwwber sheww abaw- .
E 7. ? Assgnmenf. The sacvrad poAr's rigiM aadw Iha finaeciwy stotarwant b[eri/p fila nawdwr slwrrw chow » tlrs prapaAr dssv~bad iw INw 11 hos Haws essipni
» 16e ess:~nae v.hesa s~ewa ewd oddrer app~er iw Itaw 11.
J AreandwrM. T'ieencip S»lawaid baeriwy fiM nrwbar show abew is awawdsd es rN forth in Itaw 11. f
D ? Releose. Secwed pear ralsesas the cellotael iastribad iw INw I1 Frew Iha finawciwo staitewnM haori,q fiM iwwhe? aho~rw ebore.
10. ? Check if hw. All dorrwwntar stowp tesss dw ewi petreWa a » bscewa dw owd perebb prsasnl » Choptar 201. F. S- hew bane poid-
i 11.
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fi~reMe(s) a1 DeMarb) feeoKSerr anlt a Itaw • K epplicabb). si •~7.~6 t'I' s1L]Hlt -
STANDARD FORM - F -
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