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. ~ ~ aEiiAUE~+~FOr Re~lstre, Inc. ti INS~PV;"~~.;".c~ • c..: ~:i_ TY:~[ ii, C"']A~~. .~~)h .a~.] 5.~ w CA'. ~(1'n ~r` ~.~~d'.. , .e iry.L.:. C... y . ~ ~ ~ f ~ ! [+Jw '1~ ~ F..I y n] F.n3'1-'.!~y S,a•e_.e~t ~..+~'''CPf dPdr~j~P ~i'EJ (i'11If~1 ~ ~'c~~:A'. AhVI(F. VM. ~~1J1 J Con~a:~ F~~~n~ iPI ~JI 1~e 5:.~124'JI! nt il~l7~1i0~7~ ~~IJITil~01 i63i1~!1~3)17 STATE OF FLORIDA UNIFORM COMMERCIAL CODE - STATEMENT OF CHANGE - FORM UCC•3 REV. 1981 TMIS FINANCING STATEMENT Is prssentsd to ~ filinp o1lic~r la lillnp pursuant to tM Unfform Comm~rciN Cod~: ~ntorma::on w ~tems ~ ana 2 mas ap~ee e.acii~ w~tn ine o+~~7ma~ ~~nnq ~~furma~~on o~ 1 THI$ SPACE FOR USE OF i!UNG OFFICER as vrer~ous~y amentle~ i 10 2 0 6 6 3 Da~e T~~ne Numper 6 F~„n~ Othce DEBTOR ~~ast Name F~rst ~t a Persu~~ ~ NAME CAPAK ~ I NC . Rec Fee DOUOI.A3 DIXON tiA ~ :`~,:d Fea;~~_Sk LueieCc~nnty MAiIiNG~OORESS 1635 14th Avenue Qerk oiG~rcuit Court ~ t .t; TBZ;M.~ ~,T,, Vero Beach, Flor~~~}E ; ~,~e T~uc= ....,~..~B~r MULTIPLE OEBTOF IIF ANV~ iLas! Na~re Fr.s! a Person! +~V v~` NAME Hodges Convalescent Aides, Inc. ~S~'~"" e MA{LING ACDRESS 1635 14th Av~nue ~ ; ~~T~ Vero Beach ~ STqTE F1 ori da 32960 ; ~yU JAN 23 A~0 :d~ ~ MUITICLE DEB'OR ~iF A4Vi :~ast Name F~~st ~f a Pe~som ~ iozoss3 a NAME Gerald T. Capak ~ =,`t ; . . ~ - 1C ; -~n~~~; ` _ . t~ ~ MAIUNG ADuRESS 185 31 ST Avenue SW ; _ ~ . ~ ' ~ ` } ; ~ ~~T~ Vero Beach STATE F1 32962 ~ ~ i------- - SECURED PARTV ILas~ Name Fvst •f a Pe~so~i i UPDATE NAME Hodges, Lawrence S. i ! , 2A ' ~ MAii1NGADDRE55 3a15 N. Indian River Drive ~ AUD~T ~ I , , , ' ' i ' i ~~TY Ft. Pierce ST~TE Fl 33450 ' fI _ i ~ MULTIPLE SEGURED P~RTV rtF AN~~ ~last Nar+e Frst a Pe~scm ~ VAL!DAT~Oh INFORMA'iOh ! NAME I ~ 2g I ~ MAiUNG ADDRESS i ~ C~Tr STATE ~ . _ ---Z---------- - ~ s 3. Tn~s state^~e~.t re~ers to o~~ na; F~nanc~n Statemen~ oea~~~ F:ie NuT~De~ A ^77 a^tl f~~etl w~tn . . ~ ~ ----------~i -~~~4-3--Ft- tt~~~50 ~ - - r - . Tnao+~Q,n~~wash~e0cn * --..---'9- De~artment of State and Clerk of Circu~t Court 4. . Ccn?~n~at~~o^• T^.e o•~g~.~a+ }~~a~c~~q stataTen! Detwee~ tne !oreqo~~p De~~o~~s~ a^~4 SecweG Partyi,es~ Dea~•~~ ~~~e ^.umDer srcwn a~•.e. :s s~~!~ e++ect~.e 5. X Te~r^.^a~~on SEt~~20 Ddrty no .on9e~ c!a~ms a secur.;y .nteres! ~~ee~ i^e hn;-,r.~,g stateme~t oean~p ~,~e ~..T~e~ sno..~ ax~e F). Pan:a Some ot Secu~eo oa~ty s~~gc!s ucder tre F~nar,;~~~ S'a~?~e~+ ~a.e Geen ass~~^a7 to tne ass~yM1ee wr,ose ~a~-e a-0 a0a~ess are se! ~o•~~ ~ Ass•g~~T~e^! ~tern 1~ A tles~~~;:~~c^ c} the co'~ate~a~ s~.:b;ect te i^? asrg~~T~e~' ~s a'~sc se! hh'~ item ! 7 ~ a:: o~ Sec~•ed oa~'y s ~~g^.?s ~.~de~ t~e F~na^: ~•g S~a+e~^e~t ~are Cee~ a>s g~ea ~o ~~e assyree wn~se ^a~-+e a~c aa~~ess are ser ~ . Ass•,rrpn• ~n ~t?m tt a:r,ec~Te~c F r.a~.~~g S!aremen~ pea~ ~g !:'e n,mee• snor~ a~o.e amer.a~ as se~ ~o~tn ~n i;em i~ S~gra•u~e ot DeDtc~ ~equ~~etl a! ~ieT PSS ~ ~ ame^n-~ev C~d^y@5 er.~~ ~a~-e o~ a0d~ess e,~^.e, ;ar. # q Rz~ease Sx„re~ Darty ie~~eases c~!~ fne co~~a!era~ ~cs=n~.~:: ~n ~co;^ r.~m !ne n^a~c.^.G s?a!ema^r Gearmg h~~ n~~..be• s~owr. aD:,~.e ~ _IQ-- C~2ck d hu@ A:I GO[~mP^.Idry StdT~~'d~PS ~~~e d=tl Ddy-nD!P v_t0 C-PCGmp ~~.P d'~~7 Cd~dC~2 Cu~SJd~=tO C~dD~?_Le~ 22 F S ~d:e C9?n pd'd 11. !^~ore svace ~s reou:~e0. auacr. aaa~! o~a~ s^eets 8': ~ This is to Certify that all of the funds due Mr. Lawrence S. Hodges Have been paid for many years now. ~ *~~~.~D ~30~f~ v~ 13 v(~ U~° .'fG y~ ~9 / 3 0~ / ~ 2. NO Ci AOd~t~O~d~~ S~BetS ~4. StGNATUREiS) OF DEBTOR;S~ Necessary Oniy For ~i ~ D~esented Amgn4menl See ItBm 8 t ~ ~ - - i O~ O ~ i --1 - - ~ ~ ~,3. Return Copy t0 ~NAME Gerald T. Capak_ ` ~ - ~ I ~ ~~Ji SIGNATUREISI OF SECURED PAFTViIES~ OR ASSIGNEE "°°RESS 1 f:3~ 14th Av~_n_tt~- ' ~ ~--Yero 6Pach=-_F1_n_rida~29fiQ_- ~ { (CITY f ~ ~"~~~R~~2~/~~ t ; iSTAtE Z~PCODE ~ 799 i STAN DARD FORM - FORM UCC•3 Appro,¢d Oy Sec.e+ary o~ State. Staie o! Fior~oa I: ii`1-IG' fs ~~'`.'`r f . _ : ~