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INSTRUCTIONS: 1. PI.EASE TVPE ALl INFORMATION, ~nd sipn with ball polnt p~n. S1p?utur~s mu~t b~ lepibl~ o~ Fill~p Offiur Copls~.
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. . Fill iA orl~i~l fin~ncin~ St~t~rt?~nt numbw ~nd d~bi11W (ln It~m 3, Wiow1 ~
3. Contset Fllinp ONicsr to~ te~ tchWul~ or additbnal (niormation.
r STATE OF FLORIDA '
UNIFORM COMMERCIAL CODE - STATEMENT OF CHANGE - FORM UCC-3 REV. 1981
YWIS FINANCINii ~TATEMENT b pn»nt~d to s filirq oHiar fo? f ilinq pueswnt to th~ Uniform Comm~reial CaN:
• - Intormation On it~ms t and ~ mwt ~p?N ~c~ctly with tM o?Iyinal ilinp THIS 8PACE FOR USE OF FIIINd OFFICER
Informatioe or ~s pr~vbuNy ~ndW. O~t~, Tim~, NumbN 6 Fllinp ONics
DEBTOR
(~l~Y A'~'t~~~ 85819'7 _
NAME
~ tA ~ '
MAILINO ADOF`E8~W~. 4 ~X 28 ~ ~
iQJNlr~
o c~TV p~ p~ STATE 33450 319 46 78745
o -
~ MUITIPL~ OEBTOR (~F ANY1 (~at N~rt» FI?st ii ~ PNSOn)
. ~ NAME .
_ ~ iB r~
_ Z MAiIINCi ADDFiESS pSS~? I
W
2
O CITY STATE .
2 MUITIPLE DEBTOR (IF ANY) (L~tt N~me First if ~ P~rson) ,S~ „uV ~ 2 P 2;3~
p NAME
1C ~Q ~
MAII.tNG ADDRESS ~O; t: • V
f l~: t
ST. L~~~
CITY STATE
SECURED PARTY (Last Nsme first if a P~rwn) UPOATE
' NAME
~t~l ~Q~+ ~
2A
MAII.ING dDORESS
PO BOQC 3469 AUn1T _
' CITY P~' STATE ~ 33448
MULTIPLE SECURED PARTY pF ANY) IL~u Nsme First i1 a Person) VAUDATION IMFORMATION
NAME
28 ~
MAILIIVG A~DRESS
i ~ •
' CITY STATE
3. This sbtement relers to oripinal Financinp Statement beariny Fil~ Number ~5800 / and f{led with
~ ~ ~lt~t S~C 451-,p6 2108
C_f~?i2K TF~F:~ ~TTX7TTT (YY1AT _ ST TIY'TF_ (YY1t~~liRfThe oripinal wss filed onn ~.p 77 ~9QA
~-Q Conttnustion. The oripin~l finsncEng stattment batWeen the tor~goin~ Dabtorls) and Secured Psrtyliet) beariny tile number shown sbove,
vw is stili ~ftectiva.
5s~~aPT~rmination. Seeursd psrty no lon~ e~alms a seeurity interest under the finsncing ttatement bearlnp iile number shown above.
s. ? Partial Some of Sstured party's riyhts under the Finaneinp Ststement hsve bern sssipned to tha ~ssipnee whose name and address
' Aniy~n»nt sre set forth in Item 77. A descriptlon of tho eollsteral subject to the assipnment (s slw s~t fortF~ in Itsm 11.
? Full Ali of Setured P~rty's riphts under ths Financtnp Statertwnt hsva besn auipned to tha assipnee whpse nams snd sddress are
Aalqnm~nt s~t forth in Itsm 1L
8. ? Amendm~nt Financi~y Statament baariny fil~ number shown abovo if amended ~s tet to?th in Item il. Sipnstur~ of Dsbtor requirad st
f Item 14 unlets smtndrr»nt ch~npes only nsms or Wdrea ot ~ith~r ps?ty. f
9. ? Rslsiw. Saeured puty nlsss~s only th~ eo1l~t~rai d~scribW in Ii~m 11 from th~ finsneinp st~tem~~t b~ari~y tile ~umber thown abovs. ~
_ ? Ch~ek If trus. All doeum~nt~ry tbmp tax~e du~ sr?d p~Y~b~~ ar to b~con» du~ and p~yabb pursuant to Ch~pt~r 201.22, F.S. hsw besn psid. ~
~ If mors spaee is ?equirW, att~th addiNo~al ihs~ts 8Y,-x 1 t.
. a1N1P[Ti'~t HQUIPI~TT: CJNE NOP~HSTAR DIMM3~1'SIdN, ~7tnt NDP~EISfAR D~ION W~FiItS"1'ATICINS
Ot~ RADIX 10-200CPS DO?P MATRIX PR7NI~it, 0[~ i~IABS.~ 620 letter printer,CX~ 8 Fn0?r
PARAT T~:(. PRtI~Tl~R CABI~, ONE 8 F~00?P SERIAL PRINrER CAB~T~, ONE MS-D06 DISK OPERATII~IGG
SYS`IZ~I AI~ OI~ MIC'RO PIm' S PIm PA~3t.
~ R(~{J~ PAGE ~{~Z • No. ot Additionai . SIGNA7UHE(S) OF OEBTOR(S) Necessa~y dnly
BO~K Shwts pr~ntW: For Arr»ndm~n~ S~s It~m 8.
13. R~tum Copy to:
IVAME
~5. SIGNATURE{ ) OF SBCURED PARTY{IES)
ADDRESS O ASSIdNEE
CITY . .
STATE 21P COOE FTARIDA NATICJN~L
STANDARD fORM - FOR/A UCC-3
Approved by Secretary of St~te, State of Florids
FILIN(3 OFFICER COPY FNe iTEM oa-~» ~
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