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, THIS.FINANCING STATEMENT is presented to a f'sting officer for filing pursuant to the Uniform Commercial Code: 3_ Maturity date (if anyk
1. Q~btor(sJ (Lazt Name First) and addressles): 2. Secured Party(ies) artd address(esi: For Filia9 Officer (Date, Time, Number, ~
~OISl9~'iti eT0~111 A4C06 F31Its11C~~ ~I"i/~C89 and ~iling Office)
' _ i Carcleni,~ AV9 OY HO ~ FlLEQ AH9 RECUROEO - ~
~ • - _ ~~s a• : ST.I.UC~i •,,.,UNTY FtA.
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~ Pi~rce F7.a~ 3345~ 2502 3out.h ~'ederal H~ry p~;_~, :;;j*~as
I = Ft. Pierce I~la. ~3)5C c~ ~-U~~ COURT !~l ~
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4. This financing staterr~nt covers the follorring types and/er items of properey: i7A~ 49 11},~ ~~.J
. Atl hou~hala goode ~~u•niture, applisncas and .
consvaer goods af every kind aAd descript3.an nou auned_ and 1 ted '~,~.~r2
about th~ pr~a~iasa at the debtor~ ~s raaidenc~e :or at _at~? other : ~
- ZOC&'fof OA 'ti0 1~t~.C11 tit10 ~OQ~B l~R~f b@ t~OV9Cl• 5. Assignee(sl of Sec~red Farty and
Address(es)
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- DGC STA2~g'S AtZ~ ~,I~D TO Or~GL'~'~L PF~I,•ffSSOF.Y NO't~. ~`~~r
6_ The secured party(s), wi?ose si~rteturelsl appeaes oelow, states chat the stamps re~uirad by Cbapter 1,
. FloriJa Statutes, if any, have been placed on the promissory in;auments secured heceby,and wit{ be _
_ ptaced cn any additional and similar instrument ihat may be so secured. - ~ -
"F This stateme~t is filed wichout the debtor'a signature to perfect a securiry ;nterest in collateral. (Check ~ if so) ~
- - CI Al~eady subjeci to a security ineerest in another jurisd'rct:on wfien it was brought inio this sr.::e. . .
- _ L~ which is procseds of the origina! collatera! described above in wli~ch a security ir,terest was perfected: j
• Check ~ if covered: ~ Praceeds af Collateral are also covered. ~J Products oi Collatera~ are also covered. (~fu_ of addit~onal Shcets presented- i
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. Ali~ 0 IAL - 3~R OF' YWODD -
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_ Si9nature(s) of Debta~fs) Sig mn(c? of S arry ' t
- - STANDtt~~ARD FOFiM - ~ORM U~C-1 `
: g~ ~ ~ Approved by the reta~y of State,'Stats of Florida ~ _
`•fl~ fiUt1G i3:FltER COPY--AtPH~BEili4C w _ . ~