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STATE OF FLORIDA FINANCING STATEMENT UNIFOHM COMMERCIAL COOE - Form UCG 2, Rev: 1981 a
THIS FlNANClNG STATEMENT is presented to a filing officer for titing pursuant to the Uniform Commercia! Code:
DEBTOR (Last iVame first it a Perwn) SY3~~ ~ THIS SPACE FOR U5E OF FILING OFFICER
NAME ~ Date, 7ime, Numbe?, and Filing Oftice
~A Harris~ Samuel
MAIIING ADDRESS LSO? AV@ . D. 8~~81,5 t,~'
~f'
~ CITY Ft. Plerce STATE F1 34950
p MULTiPLE DEBTOR (lf Any) (Last Nartte First if a Personi ~ I
~ NaM~ Harr i s, Ida M
ae H ar r is ~
d 1B ~
~ MAIIING ADbRESS 2807 Ave. D. ~
W c:rir Ft.Pierce STA7E Fl. 34950 ~
~ MULTIPLE OEBTOR !if Anyi (Last Name First if a Person)
j NAME
~ 1C ~ '
1 MAiUNG ADI?RESS `
~
~ t
CITY STATE ~ _
SECURED PARTY tLast Name First if a Pe~son) ~
~NAME Acme Roofing Company 83~~18
#
MAiIING ADDf~ESS P• O. BOX 794 ,4~ r. e ~ ~
v w~. ~
ciTY Ft . Pierce , F1a sraTE Fl ~
MtJLTIPLESECUREDPARTY11fAny1(LastNaraeFirstitaPerso~} F~t.~D ~~hi; tZ~_,.()f'~i~FO
- DQL'G~; - - i,
NAME
zB ST. L~C:
MAtUNG AODRESS AUDIT . UPDAT€ i~
CITY STATE
S~S~~QI~GI~~~1~P~TA1~~1'A~~~~j~~e~~st,i~a.Pgso~ VALIUATION INFORMATIQN
e~rta( a ~V ,:tATi
FORI~R~ME Sun Bank of St. Lucie County
3 P.O. Hox 8
k1AlUNG ADOAESS ~
Ft. Pierce, Fla.
CITY STATE ~
4 This FINANCING STATEMENt covers the followinp types or items of property (inc/udedesciiption of re~lproperty on which j
/ocaMdsnd owner ot record when requiredl. If mwe syaoe is required, attach additional sheets 8h" x 11". I
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REROOF HOUSE at 2807 Ave. D, Ft. Pierce. Fl. ~
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$ Proceeds of collateral are covered as provid~d in Sectioni 679.203 and BT9.306, F.S. T 1~to. of edd'etional Sheets a ~
g Fikdwith: S~. y~cie Count C2erk ~fB~Oc~: a
$(Check ~ I ^~~Y stamp ta xes due and peyable or to become due and peyeble pursua~t to Section 201.22, F.S., ~ ~
ve been paid.
? Floreda Documentary Stamp 7ax is rrot required. ~
U
9 T~+is suterrwnt ey ti3M witAout tM d~btor~ tiqrrtur~ W parf~et a~xity innrest M e¢tLtaral. IChKIe O H wJ 10 (Check ~ if soi ~ ~
a ~YMtiY A+b{sd t01 fliwily intwNt in snotlfM jurifdittion wfMn it vNt braght int0 tAit ~pt~
w dobtols botinn dyrp~d to this snH. ~ Debta is ~ u~mmiciinp utility.
a w~rcA if WoaWs ot ~Ae aipirrl colbtw~t d~scnWd abov~ in rfiiM s tttvity iM~rett wat OertectW. ~ROductf ot c+ot4»r~l u~ oo+~fnd.
? ~s ~o ..ti;cn en~ e,i,,,~ n.~ rone. ~
SIGIVATURE(S) OF DE TORIS) ~
~ ~equred ~ttR ~ efrnqr ot rreM, den[ieY. u oaPwat~ aruetw~ of tM
O d~b4or, ar a tKUr~d P~~~ll. ~
13Cp~To: NAME ,,S'Uj'j Hgpik Of S't. Lucie CiOUYlt '
x- 12 SIGNATtiRE(S) OF SECUREp PARTY(IESI
A~DRESS P. Q. $OX 79~' OR ASSIGNEE6~~
Ft. Pierce , Florida 34954 ~t
' STATE ZIP CODE
CITY i~~~~~~'~/ "~"ti„~ .
~1'ANDAtiD FORM UCGi AppiaroD By Secrstsry of Stete
~.na.~ s«.srn.~ ?oen FF~Q7Fl p1A171 I1I ~IlR$ OfI1C6/ Saa ot x~o~~.