..'C4it Fi (�TATEMENT is pr�ented to� Fili�+f3f(ictt : k No. of'�'A�iditional Mai�i�Y.yDate =�; :
<br /> for Gli�'p�e_f�fo the Uniform GpmmerciaC Gode: ^� x-` 56eets Prccrnted: 3•,X07itndal): s �. �
<br /> '' 1. Debtorh) (Iyst Name Fint)a iNlldxsa(qS:! , ..� ..�, ecu ed Par '�� c am s :nd Address(cs�� 4.��o�r F�1N(iate Tiw�e,;.Date,�.
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<br /> �,�0. This statement �c f�ed�v�t#�r : debt«5�signa4ure-t�pcef�ct�a sttvrity in�n Yollataral � � 9. Aseignee(s� o( d ,i and Addras(a)
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<br /> ❑ which is�proceedc of the followiog described ong�mT ter�.,,,: . P re'�E�c�� ''.�'• ""` '-�" �"��,_`"` .��,•`°" ''�� � ,
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<br /> - TEYtMINATION STATEM£NT: �� Srat�rnrnt of?'ermirtation'��-�inantir+g is'�fits me�eiTto a�g ter T �vtg'putsuant to`t e niior ommerc�a Cdde. e
<br /> Secured Pariy certifia tlut the Secured Party no longer daims a security inierest u�der the'financing staieme t bearing the file number ahown a ove. �
<br /> Date �v 197� By �^
<br /> _,. (Signature of ecured Party or Assignee uf Record-Not Valid until signed)
<br /> FORM 801 F'iGng Of�cer Copy-Acknowledgment-F'iling officer is requested tu note file number,da[e
<br /> and hour of filing on this copy and return it to the person filing,as an acknowlcdgment.
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