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IN$TRUCTIONS: t. PIEA$E TVPE Ail INFORM~lTION. YW spn r~lh p~ll ppnt pM. Sq~+atWa anufl 0~ qq~ On fd~np Offtt~r CppNS-
2. Ca~tatt Filwq Othcer tw fM acnWuN a~d0itanM ~nfom+tlan
STATE OF FLORIDA s~,nu?a~ Fo~ ucc-i
UNIFORM COMMERCIAL CODE - FINANCINQ STATEMENT - FOiiM UCC•t REV. 1981 G~i
THIS FINANCING STATEMENT ia presentsd to a filinq offitsr fw filinp pursuant lo tAS Unifam Commsrtial Cods:
DEBTOH (Wt Ham~ First it a P~rson) THIS SPACE iOR USE OF fILING OFfIGfR
""~'E PAPDYA, BHARAT P. Da~~. T~, NumDa+ 8 P~bnp OffK~
tA
MAILING ADDHESS 133 No . 2nd Street ~~0~
~m Ft . Pierce STATE Fl ro ida 334~Q--- '84 DEC 11 A 8:45
o MULTIPLE DEBTOR pf AH1~ ~~ast Nama Frcst if a Personl
~ NAME PAi~YA, DAKSHA B.
~ 1B F~~ , , .
z MAIIfNG AppRESS 133 No. and Street R~G~~ t`
z ST. LUi.i; : ~
0
o__ "TM Ft . Pierce STATE Florid~ 33450 _
MUITIPLE OEBTOR pF ANY~ (Last Name Fust d a Person~
NAME
E ,c ~ f~E~~~'~
~ AAAILING AppRE$S ~
~ * CITY STATE . #
SECUREO PAHT/ ~USt Name Paat d s Person)
' HAME ~FFER JIM
~ 2A '
MAILING ADDfiESS 1908 Mimosa Avenue
t
Ft. Pierce 5~"TE Flnriria ~~c~5n _
MULTIPIE $ECURED PARTY pF ANY) Ils!! Nsm~ i~rst d a PNaoM
NAME SHAFFER, L~2RAINE S.
ZB
MAILING ADDRE55 ~~8 ~~sa Avenue i AUDIT UPDATE .
,
t _ CITY ~1.._~~ _ - STATE ~1.lll~~~Jkl--- - - - -
ASSIGNEE OF SECURED PARTV (iF ANY~ ~last Name Fnst d a Psrson) ~ VAl10AT10N INiOiiMAT10N
~ N AAA E I
~ 3 (
~ MAILING ADDRES$ i
f I
kt CITY STATE
`t~ 4. T~~s FtNANCENG STATEMENT cown trte foUOw:ny rypss w~tlm~ ol p~opertr U~~~utle tlescnptwn o/ rNl prpperty on wA~M loutM
an0 o er o ncord rnen repwred~. II more spxe ~s reQu~reO. att~cn sOU~tanal ~neets 8~-4" : 1 t'
~ A~~ ~urnishings, fixtures appliances and in~rentory of that certain I
business kno4rn as JERE S~ARDS and GIFTS, located at 133 No. 2nd Street,
~ f Ft. Pierce, Florida. , ±
~ W M ~
¢
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w.~..J • 1,
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p. _ - _ _ _ t11 ~ 3
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: ~J. Proceeds o1 c~~a?sn~ are cove~~o as Orov~oea in Sectwns 679 203 antl 679 306. F S 7. No ol aOA~tantl Sheats P~sxnted: W~~ ~
- - - - - -
~ 6. i~ted w1tn. ~ C~ ~
-._~lPrk_IIf_~LU~t_~OUY~,-St. LI.ICj.e. COllllt~l _ - - - < ~ ~
~ 8. ICneck _.1 ~ An 6xumentary ~4rt+p ~a,c~s due an0 paYaG~a or to become due an0 payaWe pu~wnt to Sectron 207 22. F 5. nare b~en pad. o
~ FbnO~ Dotum~Mary S4mD Tai is not rsQwreO. W~~~ +
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9. rr.:s entemem ~s hHC w~thoui tne O~Dtoi s apnaturs to pertsct a sec~nty mterost ~n cd~ste~a~ IC~sCk _ ~t yo1 ~ 0. (Crtec+c ~f eo) Z~~ ~
,tlr~ady suDj~tt t0 a leCUnry ~ntanst m anOtAer ~un~0itb~ when ~t wae GroupM ~nto tn~s suts o~ OsDtcv's . DW;or ~s ~ ~qnsmit11n9 uidrt~r
iocatwn c~anpW to Ihis stsb. , FroGucts of ccllabnt ~n eovlre0
= wn~cn ~s o~~~da of ~ne wiqina~ cdiatarai dexnbe0 aDOVe ~n wn,cn a ~ecunty ~nt~rsst r~aa pert~ctW
~e b whicA tM fiNnp h~0 I~Pl~O. -
~ SIGNATURE(S) OF DE8/7~-
~R(SI
i ~CawreO ittlr ~ C~in~ OI nart'~. iO~Mity. O~ CO,-Dw~te lt~utturE Of ~I lw ~ _ 1
~ OsDrora ~ sscurW pany { ~
F ~ 3. Retum cOpY to _ - - - I /~5~'W~ {J- I~ ~i ~•.c..
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NAME
AD~JAESS ~ ~Z. SIGNIITUREIS) SE ED
APFtrpES1 oR Ki E
'GTr , „ +
~S~ATE Flnricia ~V z~vcooe 3~~-
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STANOARD FORM - FORM UCC•1 ~~c•o.>,'Y J2'_'2'r^/ s< s~a~a 5~a~e c' ~a
Filiny Officcr ~,o~:Y
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