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; . STATE OF FLORIDA • _ f
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT- FORM UCC- 1 -
THIS FINAfVCING STATEMENT is presented to a filing otficer for filing purwant to the Uniform Commercial Code: 3. 3
~ 1. Debtorfs) (Last Narne First) and Address , 2. Secured Party and Address For Filing Officer(Date,Time, Number,sndFiling q
' ~ ~ _ Office) ~
KRl1EGFR, EDt•rARD A, VALFR I E REP;EF I C I:aL F I nAN('F r
? 1~: E CAMELC~T ['R 1 141 S~ FFD h~JY ~ ~
; oT ST Lt1Ci E, FL, ~?45? FC~RT PI ~RCF,FL . ~
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4. This financing statement covers the following types(or items) of property: /Clieck box whrch opplies) ~ ~
~,~U oj the h-~uschold jurniture cnd jurnishing; efectrical and gas oppliances, includin¢ tele?~ision
~scts, phonogruphs and ncord playe~; refrigeruror; etr_, and orleer pe~sonal property now ox•ned ~
or hereujte~ ocquired in ~ep(acement thereojand nox~ or herenjter locared at the resrdence oj die =
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Uebton ot tJia add~essgicen aboti•e in Box I. _ ;
~ ? 5. Assi9nee(s1 of Secured Party and Addreu(es) ~
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= 6. Check if true[~ The stamps required by Chapter 201, F.S. ha~e be2n placed on the promissory instruments #
_ secured hereby, and will be plactd on any aciditionei and s~rnilar instrument that may be s~ secured. - - ~
_ Documentary stamps artached to orJgina! note and roncelled. ~ - ~
_ ~+~~s siaiement is filed without the Oebtors signature to perfect a security interest in collateral. (Check ~ if so) ~
? AlrEady wbject to a security interrst in another jurisdiction when it was broughi into this state.
~ v~fiich is ~roceeds of the original collateral described abo~e in which a security interest ~vas perfected:
CFeck~x~if covered: ,_~x ] Proc~ed~ of Collat~nl ar~ also covered.OProducts of Collateral are also covered. No, of additional Sheets presented: _ ~
Filed ti~~ith: Clerk oj the Circuit Cvurt oj ~~ZLV County, F(arida
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Secured Party * - ~
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Debto STANDAiiD ~ORF~A - FORh4 UCC-1 . Manager -
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