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<br />RESERVED FOR REGISTER OF DEEDS RECORDING SPACE <br />(StlC. 23-1503.01) <br />HALL COUNTY, J\TE <br /> <br />~ <br /><::) <br />~. <br /> <br />/o?%/to-3 <br />UNIFORM COMMERCIAL CODE-FINANCING STATEMENT-FORM 9-402-1 <br /> <br />ThiS FINANCING STATEMENT is presented to a Filing Officer <br />for filing pursuant to the Uniform Commercial Code: <br /> <br />No. of Additional <br />Sheets Presented: <br /> <br />2. Secured Party(ies): Name(s) and Address(es): <br /> <br />Nor-Ii, tj i.d f6lA"-- <br />f?(j. 66X .-1..,), 0 - ~:;I:5 W .3/~ <br />DrLlAL.{ 1-S/CN ;t![;;;ffI.lJ-f..kHu <br /> <br />Maturity Date <br />3. (Optional): <br /> <br />4. For Filing Officer: Time, Date, <br />No., Filing Office <br /> <br />1. Debtor(s) (Last Name First) and, Address(es): ; \, <br /> <br />M C!2on n ell )1. rtY.J fhy LJebJ,,-, j., <br />d.),:JLfNb r A1!ilvUL <br />IJ L Ls (/Y1L Ale bffo3JL!J <br /> <br />5. The Financing Statement Covers the Following Types (or Items) of Property: <br /> <br /> <br />f):~~-!:~f:; f; fUUu- Lutd <br /> <br />l-PbC:u,'-I607j" -/5- mr30 /USCO"!. -3 6. <br />o Products of the Collateral are Also Covered: a l,C_ <br /> <br />200606347 <br /> <br />j- <br /> <br />/O~A'" <br />i..--Q +0 11 <br /> <br />200204194 <br /> <br />To be Recorded in Real <br />Estate Mortgage Records <br /> <br />o Proceeds <br /> <br /> <br />131/<- <br /> <br />8. Name(s) Of} <br />Record <br />Owner(s): <br /> <br />9. Assignee(s) of Secured Party and Address(es) <br /> <br />A0A- <br />.hCLLh <br /> <br /> <br />,1/l_..rL <br /> <br />/( . (;>~ll-/l- <br /> <br />Signature of Secured Party <br /> <br />By <br /> <br />White Copy - Filing Officer - Alphabetical Green Copy - Filing Officer. Numerical Filing Yellow Copy - Filing Officer. Acknowledgment - Filing Officer is requested to note file number, <br /> date, and <br />hour of filing on this copy and return to the person filing, as an acknowledgment <br />Pink Copy - Secured Party Gold Copy - Debtors Copy (Signature of Secured Party or Assignee of Record. Not Valid Until Signed) <br />