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Thia FI\A\('1\!: S"1'ATF.aIF:XT is prasentavl b a (~IinR o(frctr for filing pursuant W the l'niform Commercial Cade. j 3 Alaiurity date li! ant r. ~
1 [kbtor Isl Ilsst dame First) and addres-a lest 'L Secured Qariy lies;and sddreas lesl For Filing (NC~cer
4~1,~,,~, 1[)ate. Time. xumber. and Filing Offeel
des M. dry swd Coot Lossl~q, Ise. ~=Q .fi,':3 _2 ~N'; i~ ' 8
3196 M US i 1640- M. lt~t~ St.
Ft. M.roe. Fl 33~so wtta~taa, OM 45177 h ,
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7 Thia (~nancint[ statement eanTr~ the fdbw iaR types for itentsl o! property: ~ Jr.r . 1 ~ '
Losso sgrso~t rot~ssu ~s M.PO~et sod ~sM sad Cook taasi~g, toc. ~
dttod Myl i6, 1996
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Jrdsa~ Mo Tlif Tn~ck MaMt Cs~t Cioaol~g E~ip~t Sot ! 1079
~ luddon Trtit Tnai.eeh. Sehi.a.C ~WC5234S
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G!E ARE NOT REQUtREV TO PAy THE FLORIDA UOCUMENTARy STAMP TAX BECWISE THE LIEN IS
EXECUfE~ TN THE STATE BNXOF OH10
('heck if corered: Q Proceeds of ('dlateral are aho covered Q Pra)ucts d ('dlatnal arc also cwe?ed %a of additional sheen presented
This msttvmeat by.-------
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BY' BY' -
3ittnaturc tsl of i)ehdr Isl Sitna rc Isl t ~ ?
FR1NC oFFICEIt COPY -ALPHABETICAL 7ais Jorwr n(J~wnwr,wq Natrwrwl r. nyyrt.n.J Ay Mr tirrnlury of SrnN. p~
ST.>, ~ ItARU F 1rH~t 1 ~ I F r)FiM l'O]IfIF:R('IAI. ('ODE - FORM l'ct'-1 C0.utM~llt: anrwt WOTE CO_ oOtatns.
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