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<br />COLORADO DCC FINANCING STATEMENT <br />Filing Fee: $15 <br />Follow Instructions (front and back) Carefully <br /> <br />. NAME & PHONE OF CONTACT (optional) <br /> <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br /> <br />COLORADO WATER CONSERVATION <br />BOARD <br />ATTN: WATER SUPPLY PLANNING & <br />FINANCE <br />1580 LOGAN STREET, SUITE 750 <br />DENVER, COLOARDO 80203 <br /> <br />20062095842 C <br />$ 18,,00 <br />SECRETARY OF STATE <br />10-02-2006 16=01=19 <br /> <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br /> <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br /> <br />OR <br /> <br />1b. INDIVIDUAL'S LAST NAME <br />CARROLL <br /> <br />FIRST NAME <br />Caryl <br />CITY <br />COCA <br /> <br />MIDDLE NAME <br />R. <br /> <br />SUFFIX <br /> <br />1c. MAILING ADDRESS <br />PO BOX 219 <br /> <br />STATE <br />FL <br /> <br />POSTAL CODE COUNTRY <br />32923-0219 USA <br /> <br />19. ORGANIZATIONAL 10#, if any <br /> <br /> <br />ADD'L INFO RE <br />ORGANIZATION <br />DEBTOR <br /> <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br /> <br />2a. ORGANIZATION'S NAME <br /> <br />1e. TYPE OF ORGANIZATION <br /> <br />1f JURISDICTION OF ORGANIZATION <br /> <br />o NONE <br /> <br />OR <br /> <br />2b. INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />2c. MAILING ADDRESS <br /> <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br /> <br />ADD'L INFO RE <br />ORGANIZATION <br />DEBTOR <br /> <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only one secured party name (3a or 3b) <br /> <br />2e. TYPE OF ORGANIZATION <br /> <br />21. JURISDICTION OF ORGANIZATION <br /> <br />2g. ORGANIZATIONAL ID #, if any <br /> <br />D NONE <br /> <br /> 3a. ORGANIZATION'S NAME <br />OR COLORADO WATER CONSERVATION BOARD <br /> 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br /> 1580 LOGAN STREET, SUITE 750 DENVER CO 80203 USA <br /> <br />4. This FINANCING STATEMENT covers the following collateral: <br /> <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $50,000.00 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C153682 AND PROMISSORY NOTE DATED AUGUST 22,1994. <br /> <br /> <br />'-----, <br /> <br />o BAILEE/BAILOR 0 SELLER/BUYER 0 AG LIEN 0 NON-UCC FILING <br /> <br />7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br />o All Debtors 0 Debtor 1 L:I Debtor 2 <br /> <br />ESTATE RECORDS <br />8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. C153682 <br /> <br />NATIONAL UCC FINANCING STATEMENT (FORM UCC1) - COLORADO (REV 11/15/2001) <br />