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€ STATE UF FLORlDA FINt~NC1~VC~ STATEMENT UNIFORM COMMERCIAL CODE - Fotm UCC-1, Rev. 1981
~ THIS FINANCING STATEMENT is presented to a filin~ officQr tor tilinc~ pursuant to the Uni(orm Commercial Code: ~
DEBTOR (Last Name First if a Perso~) THIS SPACE FOR USE OF FILINO OFFICER
Date, Time, Nlumber, and Filing Otiice
' NAME ~p,~rQy, c~l(l/n ~O~er " :
p .
~ 1AMAILING ADDRESS ~ ~j
(.tiJ (,`.i7?lMt?y- Qe~., ~C7~~~j~
~ CITY ~o/'~-S'l Lvc,~e` STA7E ~ -
a MULTIPLE OEBTOR (If Any) (Last Name First it a Person!
~ m NAM E's~~~~e~/ ~ Qe66rc: •~V ~C I-2 P 3~~3
~
~ d 1B .
~ MAILING ADDRESS 5[,t> ~Z~i1?[)/ 4t.h~. r • . ,
ILC . .
• ROGER i~t31 i.:.t.ltY~
2 1 ~
w CITY ~dr'/'J liiJG~ STATE FG 33yr3 ~Y. ~-~~~E i,U'.1N ~~f. FL.
p MULTIPIE DE~TOR (lf Any) (last PJame First if a Person)
~ J NAh1E .
O 1C ~yp~p~~
'f I MAILING ADDRESS d ~7
CiTY S7ATE
e ' •
SECURED PARTY (Last Name First if a Person?
NAME f?(i(/~(/~ .,,[„llC, ,
~ 2A y
~ MAILING ADDRESS '3 ~ ,s~ ~j~" / ST• LJG/~
~ CITY ~j'~ST ~Gle- STATE ~ -3~S~S~. •
~ MULTIPLE SECURED PARTY (1f Any) ILest Narne First if a Perwn)
NAME
2B
MAILING ADDRESS AUDIT UPDA7E
x
CITY ~ STATE
ASSIGtVEE OF SECURED PARTY (lf Any) ll.ast Name First if a Person) VALIDATION INFORMATION
NAME 5~~ ~q~ ~ O r J/. Lt~C-l P~ ~
3
MAILING ADDRESS ~ r ~ p~'~/tq~ ~L,1e, .
?
CI7Y STiA7E 5~~ ~
a This FINANCING STATEMENT covers the following types a items ot property (include detcription of real property on which ~
located and owner o/ record when requiredl. If mora speoe ia required, attach additionat sheets 8%," x 11". •
s~'/~a~ro~ a~ Sa~el/~;~e a(,~itrt~ ~0 6~ loca ~eo~ R~- c~f o~e. na~ress -
~ • L22SSt / 1.~tsc~-~o.-fi ; fro~ o?S ~/LJ o~C~ R$a~f~o~' 3 3 PS:L. '
5 Prooeeds of collateral are covered as provided in Sections 678.203 and 679.30B, F.S. 7 No. of additianal 5heets
s Fi{ed~vith: f-S tt~ p~esented:
$(Check O? q~~ dqcumenta ry stamp taxesdue and payable a to beco due and peyable pursuant to Section 201.2~, F.S.,
have been pald.
~ Florida Qocumentary Stamp Tax ic not required,
9 Th;: svtrm~nc i~ likd withovt tM esbto~~ siyrotw~ to pvirct ~ Ncurtty intKNt tn co~tater~l. (Checic ~ if w.? (CheCk ~ if so)
skeady s~~bj~ct to ~ xtwity intaest in ~notAer jurifdiction whaf it rwt broeght tnto ihi~ fte[e
' t ~ or detrtors {oatan chonpod w thi~ ~utr. Debta is s tnnunittirq utility. z
t
t ~ rfiich is proceods oi tM aigirv) wllete.at d~svibed abow in vfiich a se~vxity Intuost erat psrl~cctd. Produtts ol cotlatnsl us oovered.
•
Q at to whkh the filinq Nf IapsW. ~ SI NATUR ) OF D OR (S)
~ a~quirsd at ta s ctvr~ of rom~, id~ntitY, or corporsts ttructun of tM
i ~ daWa, o~ Q s~curadwrry.
i 13 Raturn '
Copy To: NAME ~Z SIGNATURE(8) OF SEC)URED PRRTYIIES)
~ ADDRESS OR ASS~ ~ y ~ ~~v
~ CITY p G~
" •
~ S7ATE pr Z!P CODE t
~
'9 lJpprored 8y Sc;cretery o/ State
~ &TANDAflD FORM UCC-1 (1) Filingpfficer Copy - s~reo~Fro.r~
fhtncla) FumBrlltm~* Fortn FFi07FL ~OJ!!~ `
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