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2901371-41-2 PARTIES 93673 CIT.GRPI
Debtor name (last name first if individual) and mailing address:
MILTON S. HERSHEY MEDICAL CENTER
"~ff~0 LOuisE DRIVE STE 105
MECHANICSOURG, PA 17055
Debtor Name Oast name first if individual) and mal~ing address:
Debtor name (last name first If individual} and mailing address:
Secured Party(les) names(s) (last name first if InrJIvidual) and
uti In erest forma/Ion: .
~-['ise~c:~ology ~nanclng Services Inc
650 C~T Drive
PO Box 1638
Livingston, NJ 07039
04,2547678
Assfgnee(s of Secured party name(s (last name first if
individual) and address for security interest Informafion:
FINANCING STATEMENT
Unif6rm Commercial Code Form UCC-t
IMPORTANT-Please read instructions on
reverse side of page 4 before completing
Filing No. (stamped by filing officer): Date, Time, Fili~,0flice (stamPed by filing
[~ Secrotary of the Commonwealth.
[~ Prothonota~/of
Number of Additional Sheets if~ny):
Optional Special Identification (Max. 10 Characters):
COLLATERAL
Identlf,j collateral by item and/or type:
~ County
-- County
2901371
"This is a True Lease this UCC-1 Financing Statement is being filed for
information purposes only"(20) E-3400 SE(l) E-3400 XL"together with all
replacements, additions, accessions and accessories incorporated
therein and/or affixed thereto and all proceeds thereof, including, but not
limited to, amounts payable under any insurance policy"
SECURED PARTY SIGNATURE(S)
t~cf yr oo~slaat edm w~l Corselet ~ ,la a, Dim w~onbl.e: , h e COllaleral is. or includes (cheCk a,prop~ate box(es)~'
the following real estate:
Street Address:
Described at: Bcok -- of (check one) [~ Deeds ~ Mortgages, at Page(s)
for-- County. Uniform Pamel Identifier
~ Described on Additional Sheet.
Name of record owner (required only ff no debtor has an interest of record):
DEBTOR SIGNATURE(S)
Debtor Signature(s):
MILTON S. HERSHEY MEDICAL CENTER
(required only if box(es) is checked above):
CIT Technology Financing Services Inc
Financing, Inc. ~, ~'~Y~.~/
ATTORNEY- -FA~ ~' ~' -~UL CH01
STANDARD FORM FORM UC~-I (7~9) ' ~
Approved by S~r~ of Cem~ealth of Pennsylvania
f~'ORNEY-IN-FA~T////'/J~
RETURN RECEIPT TO:
UCC Direct Services
P.O. Box 29071
Glendale
CA Ph~e (800) 331-3282
91209-9071 Fa~ (818) 662-4141
repared h CCD'eot orWin~--rectServ[ce~,.O Box2go71.Gie,~ele. C~ g120~-gO71Tel (800) 331.3282