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27~T177'1-40-2-- PARTIES 92]567 HIRSCI~
Debtor name (last n~me~rst if individual)and maJiJng address:
SAUVE BROS. ATHLETIC EXPRESS
507 NORTH YORK STREET
MECHANICSBURG, PA 17055
25-1820857
Debtor Name (last name first If individual) and mailing address:
.... ~iN~NC~NG~TAT~M~NT x __~ ____ _
Uniform Commercial Code Form UCC-1
IMPORTANT-Please read instructions on
reverse side of page 4 before completing
Filing No. (stamped by filing officer):
DebtOr na~me (l~st na~ fl~t If~ndivl~ ual)~nd mailln~ address: --- end i. to be filed with the (check applicable t)ox):
L~ Secretary of the CommonwealS.
F~ real estate records of
Secured party(les) names(s) (last name first If Individual) and
r s uc Intu st in atlon:
~lr[ce~ t~ern~lo.'-f~r~)rp.
200 Wireless Boulevard
~, NY 11788
A~slgnee(s) of Secured Party name $ laat name first if
Individual) and address for security Interest Information:
28
Special Types of Parties (check if applicable):
3
SECURED PARTY SIGNATURE(S)
Secured party $1gna~re{s)
(required only if box(es) is checked above):
Hirsch Internationa) Corp.
T~L~' CHOI
ATTORNEY-IN-FAC ~
Number of Additional Sheets (if any):
Coun~
Coun~
Optional Special Identification (Max. 10 Charectefs):
2741771
COLLATERAL
Identify collateral by item andlor type:
Tajima embroidery machine model TMEXC1501/352WCTBF TIB serial
number 2875J. Includes all accessories, attachments and any
~lacements thereof.
Described at: Book of (chsck one) q Deeds [~ Mortgages, at Page(s)
DEBTOR SIGNATURE(S)
Debtor Signature(s):
SAUVE BROS. ATHLETIC EXPRESS
a~-rTo RON FISHER
UCC Dire~ Se~ices
P.O. Box 29071
Glendale
CA ~.~ (800) 331-3282
91209-9071 e~. (818) ~24141