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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 any): ~ ~
1. DebtLorls) tt~s~t
NQame First) an/d addressles?: ~[P~ar ) ~ r (es): C For Filing Officer (pate, Time, Nun~er,
~G'1 h ~Y j ! ry~~`' _ and Filirg offiw) 1.
U ~ vb~ckJ`
~r ~HP~'~ ~`C~. ~s'~s ~'~-<c.-c-. ~ ~l S DSO HAY 28 Iii ~ I 0
4. if financing tement covets the following types arxf/or it of property: ~ # EO ~ Rf C +EO
~u /{~A[ 1 ~ ~iru~ arc alx~rt t
l~ fT . ~Q'~'c~ ~/1~d ~"Y"~ Std l~ 5. Assignee(s) of Sewrd Party and
~K`~eJ..~' ~js ~ ~TV ~C~t~l
v` c, Addresc(a:)
God ~ ~ 48'?"754 ?
a?s~t C/~~ 3113 ~.3//0`~
6. The seourd parry(sl, whose signature(s) sppears below, states that tM stamps requir by a
Fbrida Statutes, if any, have been placed on the promisory instrumenu severd herby, and will be
placed on any additional and similar irtstrument that may be so sawed.
This statement is filed without the debtors signature to perteet s severity interest in cdbtersl. (Chsr9c ®if so)
O Already wbject to a severity interest in another jurisdiction when it was brought into this stall.
? which is proceeds of the original collates( described above in which a security interest vas perfected:
Check ®if covered: O Proceeds of Coltatersl are also carored. [J Products of Collateral are also coverd. No. of additional Shears presentd:
Filed with:
BY~ BY~
S. ure s of Oebtorlsl Sidnature(sl of red Partvlies)
STANDARD FORM -.FORM U -1
{l) FILING OFFICER CUPT-ALPHABETICAL P~~r~ '~"O"°d b!' the Seaeury of State, State of Florida
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