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 *$%$,#1  .     55  1  4. DELIVERY INSTRUCTIONS: (request will be completed and mailed to the address shown in item B unless otherwise instructed here); 4a. [ ] Pick Up 4b. [ ] Other _______________________________________________________________________________________________________________ Specify desired method here (if available from this office); provide delivery information (e.g., delivery service's name, addressee's account # with delivery service, addressee's phone #, etc.) The undersigned filing office hereby certifies that the above listing is a record of all presently effective financing statements and statements of assignment which name the above debtor, UCC-11 STATE OF SOUTH CAROLINA FILING FEES: $ 5.00 - Each filing $ 2.00 - Copies (First Page) $ 1.00 - Copies (Additional Page) $10.00 - Fax Fee: Outgoing (Per Search) $ 5.00 - Fax Fee: Incoming (Per Search) $ 2.00 - Certification (Per Copy) $ 2.00 - Additional for additional Debtors (i.e., DBA) and which are on file in my office as of , 20 at AM/PM Additional fee required $ Dated this day of A.D., 20 (Signature of Filing Officer) SC SECRETARY OF STATE'S OFFICE, P.O. BOX 11350, COLUMBIA, SC 29211 (5/14/2003) $ 1.00 - Additional Fax Fee: Outgoing (Per page) $ 5.00 - e-Search Fee: Incoming (Per Search)