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INSTRUCTIONS: 1. PIEASE TYPE ALL INFOFiMAT10N, and sg~ witfi batl point pen. Signature must be 1eg~ble on Fi1~ng Officer Copies. ~
2. Contact Fihng Officer far tee schedule or addiuonal intormatio~. '
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STATE OF FIORIDA fINANCING STATEMENT UNIFORM COMMERCIAL CODE - Form UCC-1 . Rev. 1981 ;
THIS FINANCIf~v STATEMENT ~s ~~re~sente•d to a f~I~ny oil~i:er 1or hhny piusu,int to the U~tilorm Commerci:~l Cocie: ~
DEBTOR iLast Name First ~f a Personl THIS SPA~E FOR USE OF FIIING OFFICER ~
NAME g~~ s Family Restaurant Date, Time, Number, and Filing Office
tA
MAIIING ADDRESS $4O1 S. U.S. High~aay Ut~e
CITY St. I~le~ STATE 33452 '~~~-~•~V~
rXj MU~TIPLE DEBTOR llf Any) (last Name First if a Perso~i
~
~ NAME
1 16
S MAIUNG ADDRESS
F
z
CITY STATE c~
? V~71.
MULTIPLE DEBTOR ilf Anyl ILast Name First if a Personl
~ NAME
z
0 1C
MAIIING ADDRESS
z
t ~ ~
CITY STATE ~ ~ ~ ~ '
SECUREO PARTY ILast Name First if a Personl
NAME F.~.~ ~Y.1CdT1 ~TilC Of $t. ~1C1@ ~llll~ `
2A f~~~n ~~~tV ~ ,..i~.':.J .
MAIUNG ADORESS P.O. Box 85-7157 ROt`'ER PQ~T''':~S• E~f KK
ST. L!~r~~ r,;~~~~:T
CITY $t. ~1Cle STATE~'' 33485
h1JlTIPLE SECURED PARTY (lf Any) ILast Nanoc First if a Personl
NAME
2$ AUDIT UPDATE
~ '~1AtLING A~DRESS
CITY STATE
f ASSIGNEE OF SECURED PARTY Ilt Anyl i~ast Name First if a Personl VALIDRTION INFORMATION
~ NAME
3
RIAILING ADDRESS
~
CITY STATE
4 This FINANCING STATEMENT covers the following typ>s or items of property (!ncludedescription of realprc~perty on which
!ocated and owner o/ record when requiredl. If mora space is required, attach additional sheets 8fi" x 11". ~
Q ~
All ac~ea,uits, equipment, Inventory, fixtures, doc~ments, chatt~el paper, s M
contract rights, instnm~lts, and ge~ral tangible, ~ with the a M
w
~ procxeds there of, including any right to any refund of taxes, whether nvw g •
a or hereafter awned ~~'ting or aac~uired. o ~
~ .
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5 Proceeds of collateral are covered as provided in Sections 679.203 and 679.306, F.S. 7 No. of additionaf Sheets 0~ j'U
g~~~edw~th: C1PX}C Of tYlE3 C1rCU.lt GOt]rt St. IA1Cle QOR]Ilt v~esented: o
Alldocumencar stam taxesduearxf ableor tobecemedueand a ~
a~Check ~ 1 R'1 ~Ve ~~d Y p ~Y peyable pursuant to Section 201.22, F.S., O Z x •
~ ? Florida Documentary Stamp Tax is not requi~ed. Q V~~
9?n~s su~emen~ ~s t~kd w,tnout ~M aebto: ? i~g~u[u~e co perfecc a secur~cy ~ntMett ~n Col!aM~~. (Chetk d A so.) (Check ? if so) W'~~-j
~ si~esdy wb~ec~ to a ucu.rtv ~nteres; m ano[ha` ~unfd~chon wt»n rt vNS bouflfit into tAn trote Q ~ 0}1
~ a debto/s ~ocatwa chsn~l to th~s ~csr~. DWtor it s trartsm~ttinp ut~l~[y. Z ro .
~ a wn~ch :s poceeas ot :ne or~9~ro1 coiiataral d~sa~bed above ~n wh~ch s»cvity ~ntaest was pr.l~ctW. a Produces et coltaterat sr~ cove.ed. a a~
as to wMCn tbe t,l~;.g n~s :apsW.
~ ? ~j SIGNATUREsSlOFDEBTOR4S1 L
~ aeav~•eA altn s chan9~ ot ryme, dent~tY, a~Daat~ struct f~Q[ ~ ~1` ~
~ dWtor. o~ O slCUrW pirty . - ~ i
13 Return NAME F'u$t ~r'1CdI1 $~1~C Of St. I~L~ClB adlIIlt~7 ~
Copy To: 12 SIGNATUREIS OF SECURED PARTY(IES)
ADDRESS Q,O. BUX HS-7157 SIGNEE
ican Bank of St. Lu~ie oc.
C1TY p~rt St. Lucie J~
STATE F'lOr1C~a ZIP CODE 33485
STANDARD FORM UCC-i Approvcd By Sec/eta/y o/Sta[E
State of Florida
sr'~'~Shc~{i1F7f'it~' Furn. F f 307F ;07~i32; !1) F{II(t~ ~~1~C2f CO~}I
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