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COLORADO UCC -3 STATE VT OF CHANGE <br />Approved by Central Indexing System Board <br />Total Fee = $15 per box + $1 Surcharge <br />1ST DEBTOR (Put additional debtors on attachment) <br />SSN /FED Tax ID . 84- 0521460 <br />MANCOS WATER CONSERVANCY DISTRICT <br />Name (last, ist) MANCOS ACTIVITY ENTERPRISE <br />Street MANCOS WATER CONSERVANCY DISTRICT <br />City, State, Zip •42888 COUNTY ROAD N <br />MANCOS, CO 81328 ORIGINAL UCC FILING NUMBER <br />#C- 153746 Original Filing Number = 972002840 C <br />1ST SECURED PARTY Date & Time of Filing 01 -14 -97 09:57 <br />(Put additional secured parties on attachment) Filing Officer of Orig. Doc. <br />County Book Number <br />Name (Last, ist) STATE OF COLORADO FOR THE USE AND BENEFITCounty Page Number <br />Street OF THE DEPARTMENT OF NATURAL RESOURCES, Real Estate Filing Number <br />City, State, Zip COLORADO WATER CONSERVTION BOARD <br />1313 SHERMAN STREET, ROOM 721 COUNTY WHERE 1ST DEBTOR RESIDES <br />DENVER, CO 80203 <br />ASSIGNED PARTY <br />(Put additional assigned parties on attachment) <br />Name (Last, ist) <br />Street <br />City, State, Zip <br />RETURN COPY TO <br />Name <br />Street <br />City, State, Zip <br />AMENDMENTS / ASSIGNMENTS Fold Here <br />MANCOS WATER CONSERVANCY DISTRICT <br />WATER ACTIVITY ENTERPRISE <br />MANCOS WATER CONSERVANCY DISTRICT <br />Debtor Signature(s) (Optkmal) <br />Printed Names) <br />Tine <br />(Use 2 Digit Code From Instruction Page) 32 <br />CHECK IF APPLICABLE <br />0 This statement is to be recorded in the <br />county real estate records ONLY <br />0 This statement is to be recorded in real <br />estate AND UCC records. <br />EFS FILING? 0 Yes 0 No <br />Of non EFS King. fill in collateral codes only) <br />Of EFS filing, enter County Code and effective dates) <br />Of EFS thing. and all years covered. leave dates blank) <br />Collateral County From To <br />Code Code Date Date <br />030 <br />"7 > n ? r. <br />1i ii_ "v <br />1-6- <br />. iRa 011 <br />SECRE L.. _'ihiC <br />CHECK THE APPROPRIATE BOX ($15 each) <br />• TERMINATION <br />• RELEASE OF COLLATERAL <br />V AMENDMENT <br />0 TOTAL ASSIGNMENT <br />0 PARTIAL ASSIGNMENT <br />COLORADO WATER CONSERVATION BOARD <br />303 - 866 -3441 Secured Party Signatures) (Optionaq <br />FAX 301-866-4474 <br />Printed Nartte(s) <br />No. 604. Rev 7 -96. STATEMENT OF CHANGE (UCC -3) Bradford Publishing, i 743 Wazx St., DenM CO 80202 — (303) 292 -2500 — 6.96 <br />Title <br />Contact Phone b FAX <br />�1O <br />�1 � <br />