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THK STATEMENT is pttscMd le • (i'ie~ dices Iw Biy pwsceel Ic rtc Ueitatt Ccwwtsciel Cale: 3. Mdwip /eit 61 eelr! H ~
1. Dcllttlsl a..u Neule Fisp ed e/icesMsl - 2. Secctcl Pethriesl ed dicsofesl FQf~01F'cc't~°c~T"'c~Nc.b"~°'dl~t>R`r .
SMITH, ERNEST LEE b ESTELLE GENERAL FINANCE T10 .
104 HILTON DRIVE ~ 3018 S. FEDERAL HIGHWAY ~ Z8 ~ r
FT. PIERCE, FL. 33450 FT. PIERCE FL 33450
t. This sMMerel olcse Ic w'el FieeeeN fldtwtel bwiei FiM Nc.
Fig ST LUC i E COUNTY pelt F~ AUGUST 13TH T~ 74
S ? Cawtinwdiee. Tbt aripieel fweneini sNkn»sl betereee Yte Itw/eis~ Oebla ee/ Stcwtl f^ssy. beerw~ fie eemttu sbesre ebwe, is :tiE a disc.
b- ? Terwinetiow. Secenl part' so lea's ckiws a secwi~ wMtsl ceder the fiseeewy sltNwtsl bt~is0 lie combo sbtwe chest. 4
T. ? Assynmenl. The secwed pwt)r's riy61 undo Ibe lwrenciny stdernent beawM lilt sernbtr sbews a?wt le M popsy desu~beti is Resll Ms bees assysed
to Ibe sssiEnce whose seine esd eidress epees w Mm 11.
? Arwerdswel fincncary Stoler!rewl besinp lie awsber sbewe e?we is corded os sN IsrMt i Mw 11.
8~ ieksse. Secwed f'at' tekeses the coRoNrd /esaibd w flNw 11 bow the FwaocinE sMlemest bewiep fit asseber sbewe these.
t 0. ? Check i trec. AA documeMw~ stomp loos fee std pt~obk a le btettae fee end pgebM pwsetnt le Cbepfa 201. F. S. base btee paid. _ _
11.
Nw r d/iieacl sbctb ptsceMk
fipelwlsl el IHblw41. We sett i iNw~`is eppl~:tilcl Sipelwtbl ci Sccwtl M~itsf r
STANDARD FORM -FORM UCC-3
F;~~..,. _ ;1 Approved by Richord (Dick) Stono, $ecrcto.y of Srare ~ r
(1) _ ItJhabetical _ - _