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Bo- 24F1.•/ EJ. No~•. '7A
519331
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STATE OF FLORIDA
UNlFORM COMMERClAL CODE - FINANCING STATEMENT - FORM UCC - 1
THIS FINANCING STATEMENT is presented to a filing offiter for tiling purwant to the Uniform Commercisl Code: ~ 3.
1. Debtorls) (Lsst Name Firsil snd Address 2. Seturod Pertv and Address * For FilingOffice~(Date Time Number andFiling
GIL•MORE, DEBUFiAfl
1910-A EASTF~? AVE.
~ORT PIF~ftCE, F7,. 33450
4• This f inanCing Ststert~ent tovers the tOltowing types(or itemsl of prOperiy: (C'h~ck box -.,hrch app/i~s/
Afl oj the houuho[d jurnrtur~ and jurnishirr~; eltctiical Q»rt gat appfi~anre; includi~ I~fe~•isiun
~ xt; phonoamphs ciul rccord pWpers, r~jr~t~ato~~ elr., urxl nThtr peisorsal properq' pOW OM'qP(I
anrt locat~d ut thr nsidente oj thr Drbton at th~ aJd~~ss ~r~rrr oDove rn B~x l.
O(ficel~ ~
^ ..................................................................................................................... ~ 5. Assigneets) of Secured Pa-ty and Addressles)
6. Check if trueC The stamps required by Chapter Z01, F.S, have been pltced on the promissory instruments
9ecured hereby, and will be placed on any additional and Simitar insVUment that may be so secured.
D~ocument4ry stcmps ottached to original note and cancrlled
This statement is filed without the Debtors signature to perfect a security i~terest in collateral. (Check ~,t so1
^ Already wbject to a security interest in ar-othe- jurisdictio~ when it was brought into this state.
U which is pto~eds of the original co118ttral described a6ove in which a security interest wss perfected:
Check~if cavered: [x1 Proceeds of Collateral are atso covered.(~Products of Collateral are a1w covered. Na of additional Sheen presented:
F rlpd with: Cl~rk oj thr Circuit Court oj Cwnry, Florido
~~ . ~~ $ecured Party r
.. ... ~~ J'~;c'~•`•~. r'c!t,i: ~ ......................... ...... ......................... ................................................. .......
Debtor ~~
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............................... .............................................. By . ..~i.~~':~..---..................._......................
Debtw ~TANDARD FORM - FORM UCC-1 Ma~a9er
~ Tj•p~ jul! and eompltlt ~o~pora-t nnm~
519331
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