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THIS FINANCING STATEMB~iT is presenfed ro o filing oHicer fw filinp pvrwont b the Uniiortn Carmierciai Cade: 3. Matvritr date (if ooy:) 6 80 ~
_ 1. Debtwisl (lost Nome First) ond oddressles) 2. Srcvred Partp(ies) ond od~.~.~ssles) , For Filing Officer (Date, Time. Nurt~be~, .
S~nith, A~~ ,•j~_t~1,r ~~~~~~7~E a~~;~,~~~, ~
1901 Ponce DeI,eon r - ?
Ft. Pierce, ~la. 33450 r~.`'i~ f' ~tiT, z~~`,Z'Y.)~ a3~Q~'~aj :
I• :'ii;~Z~~', ~~_:7itIL`~1 3~j-~50 -
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4. This finorxing statement caven the fdfowing types (or ~tems) of propeny: -
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As listed on_schedule "A" $~icuritq list dated b-17-75 - ~
5_ Ass+gnee{s) of Secwad Porty ond Address(a1
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x
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_ 6. The secvred Pa~Yls), whos~e uynotvrels) oppears bebw, ttates that the sromps reqvired by Clwpter 2~1, . ~
~ f{wido Stotutes, if ony, have been ploced on the promissory instnxnents secv:ed hereby, and will be s~
pl«ed r.~ any odditio~ol and simi{or instrfxner~t that moy be os secwed. .
Thii srorertxnt is fikd witfiovt ~1e .febtor's sgnatvre b perfect a tetvriry interest in collaterol. (Chodc ~ it so) _
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? Alreody subject ro a securiry interest in onotf+er jvrisdictan wrlwn it rvos brought imo this stat~- - -
? Whkh is proceeds of the original collottrol described obare in whid~ o setvrity interest wos perfec?ed:
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- Check e if covered: ? Proceeds of Cdiateral are also cavered_ ? Prod~cts of Cdlotero{ orc olso covered. No_ of Additional 5lieets presented: - r
FilOd wifh: . ~
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= S~9noturet:) of Deblor(~! Po
- - - , STANDARD FORM FORM UCC-1 p~~~~~~ ~
~(ly Fling Off;ctr Copy - habetical DcEC_ IDFl~S NO. 1679~~ ~ Rxiwrd lDKk1 S~e, s~«~ry ~ sa~., sror. of ~
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