HomeMy WebLinkAbout01-2480 PART(ES
ibtor nar~e (last name first if individua0 and mailing address:
OMEN'S CANCER CENTER OF CENTRAL PA, PC
025 TECH PD/~KWAY
iUITE #304
IECH~/qICSBURG, PA 17055
ebtor name {last name first if indlvidua[) and mailing address:
COMMONWEALTH OF PENNSYLVANIA UCI~PA-Cur~3erlaz/d %
" County ~
FINANCING STATEMENT ....... '
Uniform Commercial Code Form UCC-t
iMPORTANT-Please read ib~/,fuci~rol]
reverse side of page 4 be-f~r~[~,~m~Tl~t0~ ,_~/
Filing No. stamped by f ng off car; O~tb, T h~e, F bg Office stamped by fling officer)
lebtor name {last name first if individual) and mailing address:
CUk ,z, kr.~,-,~.,., ,,,.,~,NTY
la ThisFinancing Statement is presented for filing pursuant to the Uniform Commerc[a~ Code,
and is to be filed with the (check applicable box):
[] Secretary of the Commonwealth of Pennsylvania.
[~7( Prothonotary of C'~TM~Am~T.A~gT~
[] rea~ estate records of
lb Number of Additional Sheets (if any):
Secured Party les) namea{s (iast name first if individual) and address Optic,al Special Identification (Max. 10 characters);-%~
for security nterest nformaton:
APPLE FINA/qCIA~ SERVICES COLLATERAL
201 WEST BIG BEAVER ROAD Identify ~ollat~ral by item and/or type:
SUITE 800
TROY, MI 48084
Assig~eeia of Secured Party name(si{asr name first if individua0 and
address for secur ty nterest fnformation:
County,
County.
6
7
8
See Attached Schedule A for Lease NO.616320, and all
accessions, additions, replacements and
substitutions thereto and therefore and all
proceeds, including insurance proceeds, and products
thereof.
2a
Special Types of Parties (check if applicable):
~]The terms "Debtor" and "Secured Party" mean "Lessee" and "Lessor,"
respectively.
[]The terms "Debtor" and "Secured Party" mean "Consignee" end
1'Consignor,*' respectively.
[] Debtor is a Transmitting Utility.
3
SECURED PARTY SIGNATURE(S)
This statement is filed With only the Secured Party's signature to perfect
a security interest in collateral {check applicable box(esi)
a. [-]acquired after a change of name, identity or corporate structure of
b.[] as to which the filing has lapsed.
d. already subject to a security interest in another jurisdiction-
[] when the cotlateral was moved to Pennsylvania.
[] when the Oebtor's location was moved to Pennsylvania.
e. []which is proceeds of the cotlateral described in block 9, in which a
security interest was previously perfected (also describe proceeds
in block 9, if purchased with cash proceeds and not adequately
described on the original financing statement).
Secured Party Signature(s)
(required only if box(esi is checked above):
~] (check only if desired) Products of the collateral are also covered. S
Identify related real estate, if age(cable: The oollaterat is, or includes {check appropriate box{esi)
a.[] crops growing or to be grown on -
b. [] goods which are or are to become fixtures on -
c. [] minerals or the I;ke (including oil and gasl as extracted on -
d.[] accounts resLiItii3g from the sale of minerals or the like {including oil and gas) at the wellhead or
minehead on -
the following rea[ estate:
Street Address:
Described at: Book of (check one) [] Deeds [] Mortgages, at Pages s)
for County, Unform Parcel identifier
[] Described on Additlonal Sheet.
Name of record owner {required only if no Debtor has an interest of record):
DEBTOR SIGNATURE(S)
Debtor Signature(s):
WOME 'S CAN S CENTSR OF CENTRAL PA, PC
f
fa
lb
RETURN RECEIPT TO:
LEXIS DOCUMENT SERVICES
PO BOX 2969
SPRINGFIELD, IL 62708
(%) FILING OFFICE ORIGINAL
Apple Financial Services
Lessor
201 WEST BIG BEAVER RD. #800
TROY, MI 48084
EQUIPMENT SCHEDULE NUMBER: 616320
FORMING A PART OF MASTER LEASE AGREEMENT NUMBER: 615950
This Equipment Schedule forms a part of that certain Master Lease Agreement referenced above and is subject to
the terms and conditions set forth therein. The equipment described herein is leased pursuant to the terms and conditions
of this Equipment Schedule and the Master Lease Agreement. All terms used herein shall be defined pursuant to the
requirements of the Master Lease Agreement.
The undersigned hereby cer[ifies that all property described below has been furnished, that delivery end installetion
has been fully completed es required, and that after final inspection the equipment is accepted as satisfactory in ail
respects by the Lessee, and accordingly, Lessee hereby authorizes the Lessor to purchase the Equipment described
below or on the attached schedule
VENDOR:
SUNRISE COMPUTERS
3424 SIMPSON FERRY ROAD
CAMP HILL, PA 17011
QTY. DESCRIPTION OF LEASED EQUIPMENT
SEE A'rFACHED SCHEDULE A
EQUIPMENT LOCATION: (if other then Billing Address of Lessee)
Street Address: 2025 TEC PARKWAY, STE 304
City: MECHANICSBURG County:
INITIAL MONTHLY RENT
RENTAL
TERM
48 $ 378.69
Months
Exclusive of applicable tax
SERIAL NO.
CONTACT:
Phone:717-975-7801
State: PA Zip: 17105-0000
ADVANCE PAYMENT
-0-
Check for this~mount must accomoany Eauipment Schedule
Your end of lease option allows you to purchase the
Equipment for a $1.00 Pumhase Option
WOMEN'S CANCER CENTER OF CENTRAL
PA PC
LESSEE (Complete Legal Name)
2025 TECH PARKWAY, STE 304
Bi,in~ Address
MECHANICSBURG, PA 17105
City/Counb//Stat e/~p Code
717-231-8849
By: "~
Auth ized Sig
Date: ,* 7-/7/~/
CPO
Adv.
THIS LEASE IS NON-CANCELLABLE
Accepted By: Apple Financial Services, Lessor, at
Troy, MI,
D~tte;
DO NOT WRITE BELOW-FOR OFFICE USE ONLY
Verification of Acceptance end Authorization to Purchase:
Given by:
To: Date:
PL2005 5M 6/89
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1
4
4
1
4
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SCHEDULE A
Lessor: Apple Financial Services
Lease Number 616320 Forming Part of Lease # 615950 between
Lessor and WOMEN'S CANCER CENTER OF CENTRAL PA PC, Lessee
Qty.
1
Description of Equipment
PRINT SVR ENET PAR 10/100 BT
ROUTER 10/100BT MODULAR CISC
CRD 1-PORT DSU / CSU WAN CICSO DAN S
SURGE SUPP PERSONAL 75K APC
CBL 15' R J45 10BT CAT5 PVC
ROUTER UPG PK VPN MOD CISCO DAN S
CPU P3/650 128/10.2GB 17" MON
PRNTR PHASER 850 DP 14PPM 64
Serial No
The described items constitute all the equipment covered by the above referenced lease.
LESSEE:
WOMEN'S CA~ CENTER OF CENTRAL PA PC
Page 1 of 1 Pages of this schedule
M$3{~R 4M Z/90