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UCC FINANCING STATEMENT AMENDMENT <br />Filing Fee: $18 <br />Follow Instructions Carefully <br />NAME & PHONE OF CONTACT (op6onal) <br />SEND ACKNOWLEDGMENT T0: (Name and Address) <br />~ Colorado Water Conservation Board ~ <br />Attn: Water Supply Planning & Finance <br />1580 Logan Street, Suite 750 <br />Denver, CO 80203 <br />.N!_ _ ~t -! ~-~ _~~ ~ ~,, <br />~ r„~-cr -7 <br />:y i ;~ e 1_EI i <br />•~~~.:?~:tTH~'`i !1~ ~THT~ <br />i;1-~i ~-;'` ~i~'~ ~ ;: ~';~:15 <br />A80VE SPACE FOR FILING OFFICE USE ONLY <br />1. Initial Financing Statement Information (Required) <br />1a. Original Filing Number: 2004~ 2007591 C 1b. Original Filing Date: 01 /22/04 1c. If filed prior to January 1, 2000, indicate Original Filing Office: <br />~ <br />.~ 2~RIII18 1011: EfFectiveness M the Financing Statement ider~tified above is tertninated with respeetto searily interest(s) of the Sewred Party aulharizing this Termination Statement <br />.~ OII IIIU 1011: Effectiveness of the Financing Stafement ide~fied above with respect to security interest(s) of the Secured Party aWharizing this Continuation Sfatement <br />is continued for the addNOnal periad provided by applicable Ww. <br />SS191IRIeI1 : GNe name of assignee in item 7a or 7b and address of assignee in item 7c; also give name of assigna in item 9. <br />. men men 8 Il ffT18 IOf1 : This Amendment affecLa Debfnr or ured Party of recard. Check ony one of these lwo boxes. <br />Also cheNc one of C~e tollox4ng three boxes and provitle appropriate informaGOn in items B andlor 7. <br />~ CHANGE name andlor address: Give cuirent record name in item Ba ar Bb; also give ^ DELETE name: Give record name ~ ADD name: Complete imm 7a w 7b, and also <br />new name (il name change) in item 7a w 7b andla new address (if address changej in item 7c. to be deleted "n 6a or 6b. item 7c; also complete items 7e-7g ('rf appiwblej <br />6. CURRENT RECORD INFORMATION: <br /> <br />OR 6a. ORGANIZATION'S NAME <br /> 6b. INDIVIDUAL'S LAST NAME <br />EVANS FIRST NAME <br />C. MIDDLE NAME <br />R. SUFFIX <br />7. CHANGED (NEV1n ORADDED INFORMATION: <br /> <br />OR 7d. ORGANIZATION'S NAME <br /> 7b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />7c. MAILING ADDRESS <br />P. O. Box 367 CI7Y <br />FOWLER STATE <br />CO POSTAL CODE <br />81039 COUNTRY <br />USA <br />ADD'L INFO RE 7e. TYPE OF ORGANIZATION 7i. JURISDICTION OF ORGANIZATION 7g. ORGANIZATION IDk,'rf any <br />8. AMENDMENT (COLLATERAL CHANGE): chedc only one box. <br />Desaibe collateral^deleted or ~added, or give entire^restated collateral description, or describe collateral ^assigned <br />NONE <br />. (name of assignor, if this is an Assignment). Ii this is an Amendment authorized by e <br />Debtor which adds collateral or adds the authorizing Debtor, or'rf this is a TerminaUon authorized by a Debtor, check here ^and enter name of DEBTOR authorizing this Amendmen <br />9a ORGANIZATION'S NAME <br />oR State of Colorado - Colorado Water Conservation Board <br />INDIVIDUAL'S LAST NAME <br />NAME IMIDDLE NAME ~SUFFIX <br />10. OPTIONAL FILER REFERENCE DATA <br />Loan Contract No. C153797 <br />NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) - COLORADO (REV 7I18/2007) <br />