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THIS STATEMENT is prnented to a fiGnq officer for f;hrq punuont ro tiN Uniform Comrweniol Cod.: Mowrib dot. I;f ony): ~1Q4oZ59C~
? Debtw(t) (lost llerrre Eirstj Dori oddrns(es) 7. ? t )and oddness of td~we ON:nr ~pess. tc.w. /rte«. +r il:.o oNwsl
~~ucx, EDwaRD ~'~`o ~f~r~clnL sE`R~r~cES of ~
?20 Sw I.UCERO DR HOLLYWOOD, FL. IN
PT ST LUCIE, FL 2502 S FED HWY 815'73. APR - ~ PN 1~ 03
33(+52 F'r PIERCE, FL. 331+50 ~u a ~~qE t o~
- ib6f R !'OI7~A3
~ cu~ua covR
a Tti;s sMtcrrrent refers to aiginol Finonciny Srotement btor:wp fib No. 47~Cpr1C)
Filed wiM Oote fled 01 l~L~GG~OLJ 19 .
S Conlinvolion.~ T!+e orip;no) f;rtowcinq stotawent between the foregoing 04bta and Secured ?arty, bcorinq lile number slwwn obo», is s y~ )(jeyr~~ r
S Terninofion. Secwed pertly no !Dryer cloims o secwi?y interest wrier ?M linoruiny sbrement beor;nq fife number shown obove. 4iVj1
? Assipnt»enl. TIN scarred port] s riyM under tM finonciny statement beoriny fib number shown obore to ?tN property deu•:bed in I?em I1 has been ossiyned
ro rM ofsignee whose ndunc Dori address oppwr in I/em i 1.
3 Amendment. f;noncinq StoNmcn/ beOriry file number fhown abate is omeeded of see forth in Ilan I1.
~ Rekoft. Secured Iorty reposes tM colloterol defcribed ;n Item 11 tram the linoncinq statement bearing fib number fhown abate. '
~0.! i Check if true. All d«umen?ory stomp loses dw and payable or to become dw Dori payable pursuant ro Chapter 701. F. S. bore been paid-
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No, of odd;Konol fhcMS presented:
AVC FINACIAL RVI
a
600K~ t1u6E
~r: •r.
Sipnotun;s) of Ocbta(s) (necessary only if Item • is applicable!- S;ynoture'si of Secured ?ortylies)
Faing Officer Copy A~nhabetical STANDARD FORM -FORM UCC-3
Apprarad M the Secretary of state. State of F io. as
a