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Bw 21FL-I Bd NoK '76
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- 46'723
STATE OF FLORIDA -
UNIFORM COMMERCIAL CODE -FINANCING STATEMENT -FORM UCC • 1
THIS FINANCING STATEMENT is presented to a filing officer for filirp pursuant to the Uniform Commercisl Cody. 3,
t. Debtorlsl (last Name Firstl and Address 2 Scoured Party and Address * For Filing OffiosrlDate, Time, Nurnba,andFiling
HAYPS, LBO & LILLIL office)
708 PALM AoE. Henrfi.~al l~in.u..r (,:c~. of I~hrida
FT PIIItCE, FL• 33450 1141 5. i~rdcral ii;t;h•,ati. mart l'irrcr. f•L _ -1SC`
4. Th is financing statement covers the following typeslor items) of property: /Check box which opplie:J
AA of the hotrxhoht jurniturr and jttrnisht~; electsical and eras appUance; lnchrdbg television -
xt; phonographs and record player; rejr(atrotor; etrA, and other persona! property now owned
and located at the nsldence of the Drbton at the addressgivtn above in Box 1.
. 5. Assigneelsl of Secured Party and Addressles)
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6. Check if true[x The stamps required by Chapter 201, F.S. have been plsosd on the promi~ory imYrumen
secured hereby, and will be placed on sny addiYwnal and similar instrument that may be so accused
DocutnenASry stamps attached to osigLsd note and cancelled
j This staurrssnt is filed without the Oabtora' signature to perfect a aecurity interest in collstersl lChedc ~ if so)
Already subject to s security interest in another jurisdiction when it was brought into this state.
which is proceeds of the original oollsteral dasrx~ed above in which a security interest rues perfected:
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f Check~if covered: x[] Proceeds of Collateral am also covered.[]Products of Colbteral aro also coveted. No. of additional Sheets presented:
Filed with: Clerk of the Circuit Coon of County, Florida
G Secured Party
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`~Qp Debtor
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Debt STANDARD FORM -FORM UCC•1 - Mansger
* rypt jail and complete corporate name: 4 ~VM~' a'+~
l HAY 15 PM 1= 29
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