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THIS SPACE FOR USE OF FILING OFFICER <br />FINANCING STATEMENT— FOLLOW INSTRUCTIONS CAREFULLY <br />This Financing Statement is presented for filing pursuant to the Uniform Commercial Code <br />and will remain effective, with certain exceptions, for 5 years from date of filing. <br />A. NAME & TEL. # OF CONTACT AT FILER (optional) IB. FILING OFFICE ACCT. # (optional) <br />JRN COPY TO: (Name and Mailing Address) <br />Development Services Department <br />City of San Leandro <br />835 East 14th Street <br />San Leandro, CA 94577 <br />L I <br />D.OPTIONAL DESIGNATION [if applicable): LmsoR ESSFEL_J CONSIGNOR/CONSIGNEE NON-UCC FILING <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) <br />la. ENTITY'S NAME <br />Hidden Wok Chinese Restaurant <br />CR <br />lb. INDIVIDUAL'S LAST NAME FIRST NAME <br />Sung Ruby <br />1c. MAILING ADDRESS CITY <br />145 Pelton Center San Leandro <br />1& S.S. OR TAX I.D.# OPTIONAL Ile. TYPE OF ENTITY 1f. ENTITY'S STATE <br />I ADD'NL INFO RE OR COUNTY <br />568-67-9694 ENTITYDEBTORJ JORGANIZATRIONOF <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) <br />2a. ENTITY'S NAME <br />OR <br />2b. INDIVIDUALS LAST NAME IFIRSTNAME <br />SUFFIX <br />STATE COUNTRY IPOSTALCODE <br />CA 94577 <br />tg. ENTITY'S ORGANIZATIONAL 10 #, if any <br />2c. MAILING ADDRESS CITY S <br />2d. S.S. OR TAX LD.# OPTONAL 2e. TYPE OF ENTITY 12f.ENTITYS STATE 21 <br />ADDZLIINFO RE OR COUNTRY OF <br />IENTITYDEBTORI ORGANIZATION <br />3. SECURED PARTY'S (ORIGINAL S/P or ITS TOTAL ASSIGNEE) EXACT FULL LEGAL NAME - insert only one secured <br />3a. ENTITY'S NAME <br />City of San Leandro <br />7. INDIVIDUAL'S LAST NAME IFIRSTNAME M <br />3c. MAILING ADDRESS CITY <br />835 East 14th ST reet San Leandro <br />4. This FINANCING STATEMENT covers the following types or items of property: <br />See Attached <br />U NONE <br />NAME SUFFIX <br />COUNTRY IPOSTALCODE <br />ITY'S ORGANIZATIONAL I.D.#, if any <br />NONE <br />name (3a or 3b) <br />NAME I SUFFIX <br />STATE COUNTRY POSTALCOL <br />CA 94577 <br />1...—r ' I I i nis r 1NMNUNU � i A I trntN I is signed by the Secured Party instead of the Debtor to perfect a security interest 7. If filed in Florida (check one) <br />BOX LJ (a) in collateral already subject to a security interest in another jurisdiction when it was brought into this state, or when the ❑ Documentary ❑ Documentary stamp <br />(if applicable) debtor's location was changed to this state, or (b) in accordance with other statutory provisions [additional data may be required] stamp tax paid tax not applicable <br />6. REQUIRED SIG RE( 8. This FINANCING STATEMENT is to be filed [for record] <br />�!•� Attach Addendumin e REAL ESTATE RECORDS'( applicable <br />9. Check to REQUEST SEARCH CERTIFICATE(S) on Debtor(s) <br />Rub Sung DBA Hi n Wok Chinese Restaurant `� [ADDITIONALFEEI <br />(optional) All Debtors Debtor 1LJ Debtor 2 <br />(1) FILING OF016ER COPY — NATIONAL FINANCING STATEMENT (FORM UCC1) (TRANS) (REV. 12/18/95) WOLCOTTS FORM <br />UCCNAT01 <br />(once c]ass 13C) <br />