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Bar 21FL-I Ed No?t '?6 •
4853'74
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC - 1
THIS FINANCING STATEMENT is prasantad to a filing officer for filing pursuant to the Uniform Commercial Code: 3. ~
1. Debtorls) (Last Names First! and Address 2. Sscurod Party and Address * For Filirq Ofticer(Data, Time, Number,andFiUrtg
EDMUAIID5~ ROBERT E., THERESA Office)
134 PEACH ST.
PORT ST. LDR~IE, FL. 33450 ~ncfi:i:,l f m:~nci~ ~.t rlori,la
ll4l J. 1'r.:rr.~l liiq~~t~.e~. G.~rl 1'i:r,.•. ~+~1~
4. Th is financing statement covers the following types(or items) of property: (Check box whlrh applies/
Afl of the horuehold jurnituro and jurnishirt;; electrical and aas appliance; Including trlevrsion 3
D ,tet; phonograplu and record player; rejrlgerator; etc, and other persons! property now owned
a?d located at the ?esldence of the Debtors at the address given above In Box 1.
D 5~ Assigneelsl of Secured Party and Addresslesl
6. Check if true[x The stamps required by Chapter 201, F.S. have been placed on the promissory instrument
secured hereby, and will be placed on any additional and similar instrument that may be so secured.
Documentary stomps attached to oriabed note and cancelled
This statement is filed without the Debtors' signatuta to pe?fect a security interest in collateral. (Check ~ if so)
? Already subject to a security interest in another jurisdicCwn when it was brought into this state. r
? which is proceeds of the original collateral descried above in which s security interest was perfected:
Check[~if covered: Proceeds of Collateral are also coversd.QProducts of Collateral are also covered No. of additional Sheets presented:
Filed with: Clerk of the Circuit Court of County, Florida
Secured Party
fionctr:...sl f ~r~.n:r il, ;..I......................................
Debtor .
\..:............~:G~.,~rf~. .alaCS? ~
- - .,:d.~ T.Y. By
Debtor STANDARD FORM - F CC-1 Manager '
* Type jail and complete corporate name.
4853'74 ~
1960 HAY -5 AN ii= 34
fl ED ANC REC4+cDED
Si.~UC CWJNTY.iLA.
RDGE~ POITRAS
CLERK Cd(C(11T COIMT
REGAitO yERtFIED____-~ -
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