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PARTIE~ Debt°r name (last nameflrst if individual)end ma ng address: '# ~f Ui~iforTTiF~No~N~u-CC~- .......... FARINELLI CONSTRUCTION. NC IMPORTANT,Please read Instructions on · . 3 KACE¥ COURT SUITE 101 reverse side of page 4 before completing MECHANICSBURG, PA 17055 Filing No. (stamped by firing officer): , ~,,~,~: F,~~ -- Ob [~ Secretary of the Commonwea/th [] reef estate reco~a of -- - ~ -- County Secured Party(les) nanTe.(=) (Iai&! name II te -- - County ~r~ ~l~c,~,u~./~._m_ t Ioformatlen: mt If Indhddu*l) End -- · '~,i~.,,.a~/-InaflClal :Serv,ces Coq)omtJon ~peetal Identit~atk)jt (Max. 10 Chara~tem): 2120 West End Avenue -- ?..O. Box 340001 by hm and~or typo: .... 1) CATERPILLAR TH83 TELEScoPIC HANDLER, S/N ~'h~;~ .S.ddd~. [a_~ =~.{m) (iaxt .a,.. hr., ~f ' SUBSTITUTIONs, REPLACEM ..... ~.~,lr, toraxt tafo,.wUO, l. ONSTHERETO, NOW OWN ENTS _A_D_DITIONS, & · ED OR HEREAFTER ACQUIRE~ Contr/CrApp~ A137128 . (r.J~ck If aPpS=ab~O): -- __ Conb'/CrAppgrt A137128 ~. r~.o., ~1~ o~,,). ~ o.- b.~] a~lo',v,'~ch~hef, r, no~aeismee' Describedat:B°°k~°~(checkofle)['-] Deeds [] Morfgages. atPage(s)_ [] '~ "~ ~ ~.,o..~ ~ ~o "~..~a FARINELLI CONSTRUCTION. INC See.red Party 81gnafum{e) RETURN RECEIPT TO: ~ UCC Direct Services P.O. Box 29071 Glendale ~ CA ~ (800} 331-3282 A'I'FC)~NE-~N. FACT- __ __ 91209-9071 "" (818) 662-4141