HomeMy WebLinkAbout01-1215~R~ES
~Morname{lastnamefi~ifindividual) andmailingaddress:
G£N Inc.
T/A The ~e~icine Shoppe
33 £. Simpson Street
MechanicsDurg, PA 17055
Debtor name (last name first if individual) and mailing address:
'~'DeMor name (last name first if individual} and mailing address:
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Secured Party(les) of Record names(s) (last name first if individual)
and address for security interest information:
Cardinal Syracuse, Inc.
6012 Molloy Road
Syracuse, NY 13211
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Special Types of Parties (check if applicable):
Q The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor,"
respectively.
[] The terms "Debtor" and "Secured Party" mean "Consignee" and
"Consignor," respectively.
[~ Debtor is a Transreittin9 Utility.
SIGNATURE(S)
Debtor Signature(s) (only if Amendment):
FINANCING STATEMENT CHANGE
Uniform Commercial Code Form UCC-3
IMPORTANT-Please read instructions on
reverse side of page 4 before completing
Rling No. (stamped by filing officer):
Date, Time, Filing Office (stamped by filing officer):
This Financing Statement Change is presented fur filing pursuant td the Uniform Commercial Code,
and is to be filed with the (check applicable box):
[] Secretary of the Commonwealth. ., ~
X[~ Prothonotary of Cu~[~D~rlana · ~ "~ ~l~.Ounty.
[] Deal Estate Records of : ' County. 6
Number of Additional Sheets (if any): 7
Optional Special Identification (Max. 10 characters): 8
ORIGINAL FINANCING STATEMENT BEING CHANGED
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This Financing Statement Change relates to an original Financing Statement ha. ~--~2 4 2
filed with the:
[] Secretary of the Commonwealth off (date)
~ Prothonotary of (.'LI~i1D~r.~-~.J[ICI County off (date)~/9~
[] Real Estate Records of County on (date)
DESCRIPTION OF FINANCIHG STATEMENT CHANGE
~"~ Continuation - The original Financing Statement identified above is still effective.
[] Termination - The Secured Party of Record no longer claims a security interest under the original
Financing Statement identified above.
[] Release - The Secured Party of Record has released the collatera[ described in block 11 from the
collateral covered by the original Financing Statement identified above.
[] Assignment - The Secured Party of Record has assigned to the Assignee, whose name and address
are contained in block 1 ?, rights in the collateral described in block 11 under the originar Financing
Statement identified above.
[] Amendment ~ The original Financing Statement identified above is amended as set forth in block
11 (signatures of Debtor and Secured Party of Record are required) 10
Description of collateral released, rights assigned, Assignee (name and address), or amendment (as
indicated in block 10):
RETURN RECEIPT TO:
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STANDARD FORM UCC-3 (7-891
Approved by Secretary of Commonwealth of Pennsylvania
CSC
UCC FILINGS DEPT.
P.O. BOX
ALBANY, NY J2201-I110
(1) FILING OFFICE ORIGINAL
NOTE - This page will net be morned by the Department of Stats.
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