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THIS FINANCING STATEMENT is presented to a tiling officer for filing purwant to the Uniform Commercial Code: 3. Maturity date (if anyl:
t . Debtorls~ (Last Name First) and addreules?: 2. Secured Pa (iesl and t r~(es~~„ t~~~e~ F r Filing Officer (Date, Time, Number, .
~J'~ I 1 ~U ~ ` \ `~,nrp ~ jt~ t Filing Office) -
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4. This financing staatement r~vers the following types and/or items (properry:~ j (h r ~ ~ p
' l ~ ~ ~ ~ ~ ~ S ~ J ~ ~~i ICJ ~ ` ~~ti'~ ~~~M~ r
U Cu ~~CU ~ vett(f(En
5. Assignee(s) of Secured Party and
Address(es)
S ~ _482880
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6. The secured party(s?, whose signature(s) appears below, states that the stamps required by Chapter 1,
Florida Statutes, if any, have been placed on the promissory instruments secured hereby, and will be
placed on any additional and similar instrument that may be so severed.
This statement is filed without the debtor's signature to perfect a security interest in collateral. (Check ®if so? '
dAlready wbject to a security interest in another jurisdiction when it was brought into this state.
D which K proceeds of the original collateral described above in which a security interest was perfected: ~
-Check ®if covered: D Proceeds of Collateral are also covered. D Products of Collateral are also covered. No. of additional Sheets presented:
Filed with:
ey: ~l t3y:
S~gnaturalsl of Oebtorfsl Signatures of Setu Perty(ies) 1
STANDARD FORM -FORM UCC-1
r~~ nr mr mm~re rnev eusocrrar _ ~ Approved ~ the Secretary of State, State of Florida