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HomeMy WebLinkAbout0969 . 1 ' 1 \ ~ ~ ~i . • r~.~-....~...~.~~..e~ ~ -.a.~.' _.....~~.~"`~~.-.r-e~.~~r.~~. _ _ _ _ . . ~ _ . .+-r-. _ . . . . . K~bm-.~es+'w`tr~'Y.`~~,.~,r .~-~'--+~'~`°^+`~~a--'^. . . . - REORDER FRpM • MIDiTATE LEOAL SUP?Lr q, Opx 41R2 ORlAN00. F~pRIDA 7~02 Y . INSTAUCTIONS: 1. PLEASE TYPE ALl INFORMATION, ~nd Nyn with 4W potet pM, OiOnuw~ mutt W Np'b4 on,Filieq OHiat OopiM, W~ 1~~bt 0 2. Cantiet iitlno Offfpr for h~ ~qwduN or additWeNl informtNon. ° ' ~ STATE O~ ~~ORtDA , - ' . ' " - UNIFORM COMMERCIA~ C~[3~ - FINANCiN(i STATEMLNT ~ORM UCC~1` REV. t~i ~ THIS FINANCINti STATEi~AE~ri1T is tsdto a tiit oNi~ for fil c to tM Unitoem Coda: ~ OElTOq Ilan N~ Fk~t if ~ hrpnl . • - T1~I~.iPACE FOR tNE OF FIRINB OFftCER " NMIf . (~U; 77~. Numb~r A f Nlno OthO~ 1A F~tIQC M. WgS.S~G ~ ~E • _ MAIIINd AQ4R~_ ~ . , _ - ~ .3590 I~ao~tt Hille•-Diriwe ' - . ~~t~,~ ~ CITY ; ~ ~TAtf ' ~ M~ SS~3 . , : , MULTIPIE OdlTC~R ..~IF ANY) tt.nt N~em Fint il a PKwo) ' . . N/1ME . _ ' ~g - , _ . _ . ' ~ MAtItNG AOORESS _ _ _ , - . Y~ _ ~ _ ' " : j CITY STATR : : ; , . _ Y , s ~ . - . . . o ' MULTIiIE DE~TOR (IF_IlNY) . (l~st N~ Fint if a Pfnon) ; . NAME _ - . ~ , i • ~ S ~ri , r. . . ~ - ' . , . " MAILikGADOREBS ' , . - ~ ~ GITY ET/!TE _ ~ ` ~ ~ . iECUREb ~J1Nl'Y (L~tt Naene Ftrtt if ~ MnonY ; , : ' , _ - . _ , • ; . . ; , : 1~lAME ~ • ~ ~ jA BIA~t'1~ ~NK C1['' t4I'. I~IC~ ;CX~1'Y r. Y~AIUMd'ADbRE85'- ° - . ` . 900 ~ast Pr3ma~ Vistia B1v~d: . . _ ~ CITY STATE , ~ . ~ : ~ • ie ; ~ Flpri~d~a k . MULTtPLE SECt/flED PARTY pF ANY? (Iast NartK firtt it a Ptrspe) • ~ . - NAME , ' - ~ • _ . - . 1MAILIHG AODRESS AUDIT UPdATE - . . , . . CITY STATE . . . A8810NEE OF 6ECURE~ PARTY ' UF ANY) (lat Naene fint if a P'~aoii) VAUDATI(3N INFOH~AATION NMlE - , ~ ~ ~ . , .t 3 y ' , . _ ~ - - AAAIUNQADDFiESS . - _ ~m , ~ STATE - _ 4. TRts f tNANCikta ETA~EAlEMT oova.[ tM fopoMrina ty{ia a ifsm~ of'0!oWrtY I~ndsiM daa(Ptien o/ n1MP++olo~r an wAkA loatrd ~ : ~ ~nd o+~r o/ nqa0 wMn nq~lr~dJ. M a~on +p~oe b rpuirW. apad~ ad~cio~ s~r~u eS~" x t t~. a See Sxhibits A and B att~~ed h~ereb~: ~ ~ ~ • y, ~ - ~ _ f . ~ ~ ~ . _ _ a ~~33- /3C~-,. ~ O ~ : ~ . _ ~ haoad. ot eatscu.~ w ea~..e « pro.~e~w i~t s.«ion.6Tg s«+d e7Rao8: F.s. 7. . No. a+ na~ietoaw su..n v««ie.ei ~ . 8. FiNdwith: ~ . ~ . - 8. (ChKk C7) ~ A11 doaurrRtwY p+mp qxq dut MxJ pspsbN a te b~c+oe~ dw ared D~Y~bM Dun~ir+t !o ~etb~ 2QS'.~'l, F.f., h~VS Wrt D~d. - ~ 1~_ FbritM Oowetmqry &~enp.Tak k no~t rquShd.s - p _ .y 9. ny. a.e«n~e k rwa w~d+ouc e*. avtiior• ~.ee«. e~ ii~.t~ei •~rtii? MuuK.a in.ooii+ewa~. ~k b it tol 1 ta+~k Olf af ~ - . . _ , - _ ~ . . . . - r, _ _ 0~In+ef! t~jKt w~ s~owity Mvqr~t in 1rwtM~ juredistioe t~N+ k wa brapAt, fneo tl~it ibu a d~kta's" i] bieNOr b i f~wNttinO wiitY ~ • 4 r' Ioe~bn dww~d to tfiia ~att. ; , . . O~~'4duen of o~Ifats.M sn aovwsd ` . g ~ ~vl~h b P~oowd~ ot th~ o~yinM aoita~N dya~d ~ba+~ in MA+~h ~ Ma~ty +t+taact wa Dwf~ud: . . . t . . , , O ~ - - ~ ' • • , : , : . . - . - o~ c~ wn~+~+.+~nM ti« wa•a. . :~11. aiara?~6ta of oEStoats~ _ - _ ~ - 0+oquin0 ~iw s cAan¢~ ot nrrN, fda,?dtr, a ao~porst~ kwetw~ 01 iM ~ t:' ~~%~~"r * O d~bcor or O f~oune pMty: , ; - ~ ~ ' 13. R~tun+Cooy:o: . - -=e{~~. . . _ ' . . . ~N~.~~pp~~..r..~~.~~~e ~1S7~~i . ~ ~ ~A~ . r . ~ f ~ ~ . . . . " . _ . , . . _ AtfORE~d _ ; . ' - ' =it• A Itl~) Q1i Ai~IG~ TY Ef ~ , . : . : _ ~ ~ « ; . . . - . : : _ ~:`i~ S~. : C17Y . _ . ' J ~ ~ ~T/4YE , 2IP QOdE . . f ~ _ _ - . Y.'r . , _ . . . _ _ . ~tLiNCi OFFICE COi~Y $1'AN6Aqb FOilM P i` ~pra+ebr~e+swrirdiiew.'aaotfload~ ~ ~ ~ ~ ~ ~ ._...<......._....,.,_~._..._..F . _ . . . _ ~ _ _ _ _ ~ _ '_~"i