HomeMy WebLinkAbout01-2691 IIIIIII IIIllllllllllll IUlllllll IIIIfffllllllll If Ill IIIllfllll IIIIIIII
28.8620'1-~.0-2 PARTIES 94254 AMER. EQT.
Debtor name (last name first If individual) and mailing address:
Beck II, D.C., Thomas E.
501 Market Street
Lemoyne, PA 17043
Debtor Name (last name first if individual) and mailing address:
Debtor name (last name first if individual) and mailing address:
Secured Pa~y(tas) names(s) (last name flrsi if individual) and
31~ Clairmont Road
Villanova, PA 19085
231720013
Assignee(s) of Secured Party name(s) (last name first If
individual) and address for security interest information:
American Ecluipment Leasing
a division of EAB Leasing Corp.
540 Upland Avenue
Reading, PA 19611
~pec~hetal Types of Parties (check if applicable):
SECURED PARTY SIGNATURE(S)
Secured Party Signature(e)
(required only if box(es) is checked above):
//'~ ~ ~~;;~/I Corporation
ATTORNEY-IN-FACT
STANDARD FORM - FORM UCC-1 7-99)
Approved by Secretary of Commonwea th of Penney van a
FINANCING STATEMENT
Uniform Commercial Code Form UCC-I
IMPORTANT-Please read instructions on
reverse side of page 4 before completing
Filing No. stamped by filing offi~e~.r: ~!i~ -~.' : i'.~' Time. Filing Office (stamped by filing officer):
-
r:~,~ -,3 i:i; ,~: 2i.:
~EN
Number of Additional Sheets (if any): ~,~
Optional Special Identification (Max. t0 Characters):
COLLATERAL
identify collateral by item and/or type:
SEE ATTACHED SCHEDULE A $ps-5~516916
2886201
the following real estate:
Street Address:
Described at: Book -of (check one)[~ Deeds [] Mortgages, at Page(s)
for County, Uniform Parcel Identifier
[] Described on Additional Sheet,
Name of record owner (required only if no debtor has an interest of record):
DEBTOR SIGNATURE(S)
Debtor Signature(s):
Beck I~, D.C., Thomas E.
A~bTT(~RN EY-IN-FACT
RETURN RECEIPT TO:
UCC Direct Services
P.O. Box 29071
Glendale
HAROLD CASTILLO
CA Phone (800) 331-3282
91209-9071 Fax (818) 662-4141
FILING OFFICE ORIGINAL ~ //,/,~/
SCHEDULE A
Schedule A, annexed to and forming a part of Lease Agreement between LEAR FINANCIAL CORPORATION, Lessor,
and Thomas E. Becket, II, D.C. , Lessee, and dated
APR g 8 2001
Model Number and
No. Description of Equipment Sedal Number
All EQUIPMENT AS SPECIFICALLY DETAILED ON THE ATTACHED VENDOR I~'VOICE(S):
VENDOR INVOICE # INVOICE DATE
Chiropractic Leadership Alliance 20301 03/23/2001
Dell Computer 536748312 0311312001
Deli Computer 536748320 03/13/2001
and any duplicate pads, extras, mechanisms and devices relating thereto or used in connection therewith, now
attached to or delivered with the designated equipment or that may at any time hereafter be obtained from the
Lessor or be added thereto by or with the consent of the Lessor.
Lear ~Pan. cialtrporation
Title
Thomas E. Becket, II, D.C.
Lessee
Thomas E. Becker, II, D.C.
Owner
Title
CHIROPRACTIC LEADERSHIP ALLIANCE, INC.
255 West Spring Valley Avenue
Maywood, NJ 07607-1445
Tel: 1-201-368-9600
Fax: 1-201-368-9440 (Acer§)
DATE
3/23/2001
Invoice
INVOICE #
20301
BILL TO
Lear Financial Corporation
312 Clairemont Road
Vii[anova, PA 19085
P.O. NO. TERMS REP FOB UNiT SERIAL #
4256221 Net30 EAR M11073
Dr. Thomas Bccker, II
501 Market Street
Lemoyne, PA 17043
THERMAL SERIAL #
Tl1258
SHIP TO
E-MAIL ADDRESS
QTY ITEM CODE DESCRIPTION
I Millcnn3TS
I Neurolink
I Shipping-R
Insight Millennium EMG unit with roiling thermal
scanner, inclinometer and one year technical support plus
Total Solution Seminar
NeumLink SotY, vare Interface
Shipping & Handling
Out-of-state sale, exempt from sales tax
PRICE EACH
9,650.00
0.00
75.00
0.00%
AMOUNT
9,650.00T
0.00T
75.00
o.oo
I Please reference invoice # on Check
Please make check payable to:
Chiropractic Leadership Alliance, Inc (C.L.A.).
Total
$9,725.00
~;4/23/2001 11:18 610-445-4328
~RDM : BECK5~ CHIROPRACTIC
DSLL
S P~:[wOS LEAR FINAN
PHONE NC].
'~hl, ~ ¥~, ACKNOWLEDQMENT
PAGE
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SEE IMPORTANT TERMS & CONDITION~ OF SAL~ TI-~AT APPLY TO THIS T~ ANSAG'TION AT
Mt p.Jlwww.defl.oom/u.s,,'en/gen/misc/POlL':Y-O~3R-P"~"eY, him
OR AS FOUND IN THE PRINTED DOCUMENT PROVIDED IN YOUR ~YSTEM BOX.
~4'/23/2001
G PEETROS LEAR FINAN
PH0h4E N~. :
your ACKNOWLEDGMENT
PAGE 82
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PAGE 83
PHONE NO. ; 71~76~7i~7
~,s ~r ACKNOWLEDGMENT
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C-Z~P ~IL[, PA 17011
SHIP TO:
THOM~ aF, C.k~R
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CAMPHK. L PA 17011
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U~it Uni~ PHoe Arno[mt
~.EASE SEE IMPORTANT TERMS a CONi31TIONS OF ~ALE TNAT,~PPLY TO 7H15 TRANSACT/ON AT
ht~3://w~w.d~ll.comtu~J~,V~,~lrnicc, l~3olicy .0QO.~o]iCy.h b rl
OR ^~ FOUND iN tN~ ?RINT~D DOCUMENT PROVIDED IN YOUR $ y~I'EM BOX.
IIIIIII IIIIl(llll IIIII IIIII IIIII II111 IIII IIIIII IIIIIIIIII III1(1111 IIIIII IIII Ilfll
~[i PARTiE~ - aa~) ~.~Ul::i~ l~n'l'[T -- FI"ANOING STATE~.NTCHANGE
~86~01.J -3012 ~ -- --~ J~..~--l.:~[ . Uniform Commercial Code Form UCC-3
Debtor ~ame (last name first if indivdual) a~d mailing address: . IMPORTANT Please read tast~ctio~s
Beck II D C Thomas E ~ mverseside°fP~°mc°mpl~fipg
' ' ' ' /r .,,n..o. fi,,., o, c.T
Debtor name (last name first if indivdual) and mailing address:
Debtor name (last name first If individual) and mailing address:
~ecured Pady(ies) of Record name(s) (last name first if individual)
and address for secudty interest information:
American Equipment Leasing
a division of LAB Leasing Corp.
540 Upland Avenue
Reading, PA 19611
~e~ehclal Types of Parties (check if applicable):
e terms "Debtor" and "Secured Pariy" mean "Lessee" and "Lessor,"
respectively.
[] The terms "Debtor" and "Secured Party" mean "Consignee" and
"Consignor," respectively
[]Debtor is a Transmitting Utility.
_ C;utJlqTt'
This Financing Statement Change is presented for filing pursuant to the Uniform Commercial Code,
and is to be filed with the (check applicable box):
[] Secretaryof Commonwealth,
(~(Prothonotary of CC PA CUMBERLAND County.
[] Real Estate Records of County.
Number of Additional Sheets (if any):
-Optional Special Identification (Max. 10 characters): 2886~01.1
ORIGINAL FINANCING STATEMENT BEING CHANGED
This Financing Statement Change relates to an original Financing Statement No 01-~6§t
filed with the:
[] Secretary of the CommonweaJthccOO(data)pA I~flZ'Rrl ~q~;~i O '
E~(Prothonotary o[ CU'-~' ~' "--County on (date)
[] Real Estate Records of County on (date)-
9
DESCRIPTION OF FINANCING STATEMENT CHANGE ~
E3 Continuation - The original Financing Statement identified above is still effective
lb [~ Termination - The Secured Pady of Record no longer claims a secudty interest under the odginal
Finaacing Statement identified above.
E~ Release - The Secured Pady of Record bas released the collateral described in block 11 from the
collateral covered by the odginal Financing Statement identified above
[]Assignment- The Secured Pady of Record has assigned to the Assignee, whose name and address
are contained in block 11, rights in the collateral described in block 11 under the original Financing
Statement identified above.
(~ Amendment - The original Financing Statament identified above is amended as sel forth in bJock
11 (signatures of Debtor and Secured Party of Record are required)
Description of collateral released, right assigned, Assignee (name and address), or amendment (as
indicated in bbck 10):
Amend Debtor Name by including: -Becker II, D.C.
Amend Debtor Name by deleting: -Beck II, D.C., Thomas E.
SIGNATURE(S)
iY-IN-FACT
aecu red Party Slgnatu re(~): ~
American Equipment
Leas~,a'g~ ~ IVitCHELLE WIN
American Equipment Lea~i¢ ~ '
a division of EAB Leasing[JZorp~ ~
STANDARD FORM UCC-3 (7-89)
Approved by Secretary of Commonwealth of Pennsylvania
3
RETURN RECEIPT TO:
UCC Direct Services
P.O. Box 29071
Glendale
CA Phone (800) 331-3282
91209-9071 ~× (818) 662-4141
NOTE - This page will not be returned by ~e~Departm~nt bf State] I ~