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HomeMy WebLinkAbout0934 i 1 I' i . . V . . ~ _ ~ _ _ . -------j----.-__._.__.___-~__ - ~ .'NtT~NICiqNd: 1. KEASE 1Y~E ALL NIFOIWAlION. ~n0 wa ~MA Q~i N~~ R~+~ S1~Mw'~ wwlt M b!'eM eu sluiy Of11~p Coq~s. O~~ ! C4iMrq fwYp ilflio~t br N! ~GII!!iM 0~ ~lIMM ~~MOAYIM~I~ L+ s~~~ aF f~.oh~o~? ~om v~.~ I~NIFO~M CtiM1lERCUII CaDE FEi~!l4NC#MG $4ATEM~NT FORM U+CC-1 REV.1'A~1 TMiS FNiARCtNG BTAT~[MENT h prae~d 1o a t~ o1Ra~ ia to Ma tlr~ifonn Con~roi~i C.od~ OE~T011 iuq MMr FYM N a Nv~pp (!pSl~AR~ F011 t16E OF F1lYi0 ~fFICfl1 United Fartoere III,Inc. n~.:w~e«aw~an~o. tA ~.O.Box 3430 ~ ~ Ft.Pierce F.X ~ " ~5 OEC ~2 P 2 ~3 ~ Q .~uimf o~.a~ aF a+n a..~ w~. u. wna.~ . . ~ a ~E ~ 18 _ " FfIED Aii~ =,:;t_~~ : wu~wwci,?oo~ts RQGER PC~ s~:: a;. ~ c~n ~ ST. LUCIE C~uc~; Y. ~L. Z d11r STATE ~ M1ll.fiPLE OEaTOw pF AN~R Pyu Nrer Fint ~1 a P~nop NAIfE tC- ,~~,~,144 • C1TY 3TATf • afpJRED Vl~ifY ttabt N~~ FirN N~ AlesoM M"~ Rea3 ac, Inc . ?A . P.O.Boa 3430 Ft . Pierce FL ~n~+e afaa~c w?nnr oF ~??+n ~u w~. F+n, w~.o~, NAYE , ~ MAitINCi AOORf85 AUOIT t!?DATE ~r 8TATE ASSKiN£E OF SEC~RED Y4RTY flF k!!1~ pae~t Naen~ Frst it a P~rlonf YALIOATION INFOIMiAT10M l/AME 3 ~ ?u?~wc nno~ss C~1~' S1ATE ' 4. TtMS F~NANGiM(i 8TATHffMT oaArs kM foNOVY~p typN o~ ~1MM of prop~rtr ltl?~Ad~ O~w~pt+OR W rMf p~op~rtr on wMe~ btaMd «w or+». a neo~d .n.~ n~..q. n ma..pacs ~ ~w~».e. ~ua+ aae+twrw aMn• sv. LiQuor License No. 66-00020 5-COP s ~ W * < ~ ~ ~4 ~ ~ O ~ PiocNds W eoxat~ ais cowno d wovrd+e in S~c:wna !79 200 ana bl4 F-S 7. Mo. ot aeWtprw SnMts w~+tw: q~ N~ 8. F+ ~ a~ n- C l e r k ~ f S t . L u c i e C o u n ty s F l o r i d a 8. ~.c~ ifi .i~~u ec~.~«xry w~w ?~•s aw.~a o~Ne~. a w o.c«n. a,,..~e osra~+Q o~sw~~ ro s.coo~ ~n. f s.. r+w~ cw~+ w+e. Q= ? Fbrf08 OoCwr»nliry Sbn+O T~s is nq rpuhd W 9. ny..wr+wa ~s rwa Mww~n n» a.owr..~ar,.. a v~+.~ . sK.w+b .++.~a~ ~c+~er G~i aw (10. ~ce~a~ O~t w~ i Z~~~,y ~ e}s.• O akwdy s~et W s s~ewitr Inbesst in aRO1tNr ryrb0~etqti .rMn it was pro~¢+t i+sta ttw aaa :rr lWtcrs v p~ptor P~ a transenittinq utHHy 0 ~ v r7.itMfn d~p~0 q tM~ ~tW. 1~ C1 ~Lr ~ Drc6uca a col~awai an casno ? sfMCh 1! prOCNdt ZI qy WiOMW tOff~Mql 6qCriWCI aDOA 1n wNiCA a f~tunS/ i~Nrqt eaf OM~iW. ~ D ~s to +?h~e~ t1+t HeNp hn 1pMd- 1 SIQMATURE{~) OF DE~TOR{SI [1 Kquir~0 eNw t efiaeq~ W ewr», iOM+tity. a ea~or~N ~uuetur~ W tM „ Q C~ta a D a~cv!i0 prrty. 13. W1vm eoq w: • ~l.i.R J~1~-t John Ed sr Shexrard B$ uira A0°"~ P.0. BoR 43~2 Ft.Pierce, Florida 33448 cirr ~ ~ ~ si~rE ~ oooE fltlNB OFFICER CQP`l 8TAN~/?RD FORM F~ t1~-f s~~.~~.-~ of s~x~:. s~.,. F=,:f:,a .