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~ STATE OF FIORIDA~FtNANCiNG STATEME~iT v~ UNIFORM COMMERCIAL CODE - Form UCC- i, Rev. 1981
THIS FINANCING STATEMENT ~s presented to a filing otfice? for filin iusuant to the Uniiorm Commercial C de:
un a ~
DEBTOR Il.ast Nsme FK:t if a Penanl . THIS SPACE FpR USE OF FILINQ OFFICER T'~~
HqME +~f!~~,~~~,~~ ~~y / • Oste, Tims. Nurt~h~, and Filing Oifioe -
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MAlLING ADDRESS ~fj'~fp? ~~~/j~jj',T~ S~ 7 ~ ~S'~p , . i ;
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~ CITY ~r'/~ STATE . ~
~ MUITIP~E DE6T4R Ili Anyl (Last Nams First if a Parsonl _
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W MAILING AOORESS '
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wZ CITY STATE
O. MULTIPLE DEBTOR (If Any) (i.ast Nsme First if s Person)
„}j NAME ~P'~/'s'S,~iQ~. ~IqL~
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1 MAILlNG ADDRESS ~rjQjZ ~I~ ~ ~
~ CIYY ~ S7ATE Y.~. ~ w
SECUREO PARTY (last Name Ftrst ff Person) F~L~O ~i ir~; ~ j ~
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MAILING ADDRESS~~~?~'~dL•/?~~G/j~(!!~ " ' F~- ,
CITY /'ti STATE I 3~y ~
N4ULTiPLE SECURED PARTY (If qny) (l.ast Name Fir:t if a Pasort?
NAME
28 '
MAILING ADORESS AU017 . UPDATE
C~~ STATE .
ASS(GNEE OF SECUfiED PARTY (1f Any) (La~ Name First if aAPerson) VALIDATIQN INFORMATlON
NAME ~f/?~rN~~/~U/~i° (,~~~STi /y/7 ~ ~
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MAll11YG ADDRESS
CITY /~t' /C,. STATE ~
4 Thes F INqNCING STATEMENT oovers the toliowing types or items of property (include description o/ ieel property on which
locat~~d snd owner o/ record when requiredl. If more spaae ~s required, attach adt}itiorsal sheets 8Y," z 11".
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5 Proceeds of cottateral are covered as providsd in Seceicx?s 679.203 arx! 8~9.3a6, F.S. 7 No. of additia l Sheets ~.'Q. ~ J N
s F ikd with: P?esented: v1 tL LL~ ~
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$ (Check C71 ~ ~~~~~~rysWm~taxesduearsdpaysbleor tobeoomedueandpeyablepursua~ttoSectionZd1.22,F.S., zZ~~ i
? Flwida Documentary Stamp Tax is not required. ~
9 This ststement is (iNd witAOUt tM cltbtor's tyertwt to pMett s f~[wity inqr~st en eolyt~rsl. lChttic ~ ~f w.1
1~ (CheCk C]it to)
Q sMwCy fubj~tl to s setvity mterett in sr+otAM juri9dittion whtn i[ wt 6roupAt into this f1st~
a or d~bso(+ batbn d+tnqW to tha stst~_
wf+KM it procNtls o! tht qr)y'~rq! eol4tpsl ONtribtd a0py~ in whith ~ y~tyritY M2aeft waf p~rf~ti~d. Olbtw ~f ~ t~ansmitti~p u!~litY.
? n to whicA tM tili~+y has lapfsd. Produets ot opl4brat x~ eoraW. `
SIGNATURElS? O DEBT
? scvuwed a(ur a ch~nq~ of rome, dentiry, or eorpw~n struawe of tM r
o~~.. a o~b~.~.
13 Return
CopY To: NAME
~Z~ OF SECUREDP (IES)
AODHESS StGNE
CITY ,~f~' P/'!!~' ~ . /
STATE 21P COD J1 j~ n /y C~~~,~~ '
VJ~~?1 W"
S'fANDARD FORM UCG1 p~~e~ ~ Ap,provsd Br S~e~e~iy o~ Sare
fr+r~i
a~ Fa~*9ntems• Fotm f F307FL (Oy/82) rAYi $t~fH Ol F/OrIK~1
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