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INSTRUCTIONS: 1. PLEASE TYPE ALL INFORMATION, and si4n with ball poi~t pen. Siqnature must bs leyib~e on Filiny Officer Copiss.
2. Co~tsct Filinq Offio~r for fN scMdul~ or ad~l~tion~l information.
STATE OF FLORIDA
UNIFORM COMMERCIAL CODE - FINANCING STATEMENT - FORM UCC-1 REV. 1981
THIS'FINANCING STATEMENT is pr~nted to a filirq oNipr for filinp pursuant to the Uniform Commsrcisl Cod~:
OEBTOR (~ast Name First if s Person)
NAME ~O~OQ~~ THISSPACE FOR USE OF FILING OFFICER
CARL ASHTON w Dats, Tims, Number & Filing Otfice
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MAILING ADORESS 450 Cyclone Drive ~
X ~ ' ~UGLAS DIRON
n c~TV Fort Pierce STATE 34945 Rtc Fce =----r"' S~ Lu~e ~unty
u~ MULTIPLE OEBTOR (IFANY) (Lsst Name First ii a Person? ~-V`~ r~ s~_ ~eric nf Ci=""1it Ce~Tt
W NAME poc Tax S-~-~- gy
Z~ a Int Tax S~""S'" - ~ iy l.;crk
MAILING AODRESS ' ~
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> CITV STATE
J
Z MULTIPLE DEBTOR (IF ANV) (Last Name First ii a Perso~) J~ ~ P? .~1~~
~ NAME
ioxos2z g
MAIUNGAODRESS j;L~.°'~'''
1C~~~~: " f.i_'?~
t CITV STATE ~ ~ ~ ~ , ~
SECURED PARTY (Last Name First if a Person?
NAME
FLORIDA NATIONAL BANK
2A
MA~~~rvc AooRESS 501 Orange Avenue
CITY Fort Pierce STATE ~ 34950
MULTIPLE SECURED PARTV (IF ANY) (Last Name First if a Person)
NAME
2B
MC.ILING ADDRESS AUDIT UPDATE
CITY STATE
ASSIGNEEOFSECIJREDPARTVIIFANYI(LastNameFirstifaPerson) VALIDATIOlVINFOAMATION
NAME
~ 3
t MAILING ADDRESS
ff
d
~ CITV STATE
~ 4. This FINANCING STATEMENT covrrx the following types or items of property (incfude detcri~tion o/real pioperry on
' which /ocared and owner o/ reeord w!~en requirer!l. If more space ~s required, attach additional sheets 8'r4 x 11
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1979 Fiat Allis Chalmer front end loader. Serial ~t11Y03722 Model a
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~ i 645B ~ t
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LL
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5. Proceeds of coilaterat are covered as p.ovided ~n Sections G79.203 and 679.306, F.S. No. of additional Sheecs ~
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F 6. F~~~ ,•..tn: Cir t Co rt Cler of St. L e Co II Presented. Q
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8. (Check r~i ~iAll dotumentary stamp taxes due and payabie or to ber,Ome d~e and payable pursuant to Sect:on 201.22 F.S., Q
~ ha~fl b2en paid.
~ Flo~~da Documenta•v Stamp Tax is not rey:.~red. Z
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. 9. Th1s statement is f~led vfSthout the debtor's signat~re to cerfect a security ~mterest in cotlateral ~Q. (Check ~ ~t sol a
(Check ~,ii so) w
l7 already sub~ect to a securi:y interest ~n another ;unsailction when ~t •xaz brought into this ~ Debtor is a t~ansmittirtg utility Q
state or debtor'S locat~on changed to thls state. Z
?Products oi co~Iateral are
? wh:ch iz proceeds of the original collaterai deuribed above in yrhich a sewrity interest was cOVered
; perfected.
~ (7 as to which the fitinq has IapSeA. ~ SI ' TURE(Si DEBTORlS)
~ O acqu~~ec1 atter a change of name, identfty, or corpo~ate scruciure of the
~ C1 Aebtor or i_~ secured pa•ty.
a
~ t3, ne~~.~ ~oPV to~ Carl s n
NAME
~2. SIGNATUREIS) OF SECURED
~ ADORESS PARTVIIES) OR ASSIGNEE
~ P o. BoX _ 4 44 ~.o~~,~TI~ B~
~ cirv F P r
TATE Flor z~PCOOE Y: Robert J. Kenne ~Vice Pr dent
STANDARD FORM - FORM UCGt Aoprover! ny Sec~etarv of State, State o~ F lo~~~fa
f Filing Officer Copy
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