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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 amyl:
t Debtorlsl (Last Name First) and addresslesl: 2. Secured Partyliesl and addresslesl: For Filing Officer (Date, Time, Number,
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I1v?1~'!r?~.I, .°i~t'~.t~IC::S nF' and Filing ONicel
' "0 ~2IS, i~iALCOI4'. HOLI~Y:•100D, FL. II:C
`:^RRI Jt'DY 2502 S F~'D ??:~1Y 1980 JUN `5 AN g 43
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4 This financing statement covers the following types and/or items of property: (x~( C~(~
.~.I; COIIfit3i"i'.H HOUS~iOLD GOODS LISTED AT ~SIDT._.I' .CE OR A^ P>I:Y RECORt trERtFt6tf
" I:ACE TO YiIiICH TF:I;Y i•:AY BE :;OVr.D.
5. Assignee(s) of Secured Party and
Addrcssles) .
488649
6 The secured partylsl, whose signature(s) appears bebw, states that the stamps required by Chapter 1,
Florida Statutes, if any, have been placed on the promissory irKtruments secured hereby, and will be
placed on ar?y additional and similar instrument that may be so secured.
~ 7his statement is filed without the debtor's signature to perfect a security interest in collateral. (Check ®if sol
J Already wbject to a security interest in another jurisdiction when it wet brought into this state.
~ which is proceeds of the original collateral described above in which a security interest was perfected:
Check ®it covered: O Proceeds of Collateral are also covered. O Products of Collateral are also covered. No. of additional Sheets presented:
F~ledwith: $T I,~CIF COUII'r'Y 0~-O'er 8n
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S~ynaturelsl of Debt s~ 5~9nsture(s) of Secured Ptrtylissi
STA ARD FORM - F RM UCC-1
Approved by the Secretary of State, State of Florida
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