C153746 PIF Contract

• Contract/PO #: C153746
• Contractor Name: Mancos Water Conservancy District
• Contract Type: Loan
• Water District: 34
• County: Montezuma
• Bill Number: EIA
• Loan Projects - Doc Type: Contract Documents

'4.
COLORADO UCC -1
Aproved by Central Indexing System Board
Total Fee $16 ($15 Filing + $1 Surcharge)
1st DEBTOR
SSN /FED Tax ID:
NAME:
STREET:
CITY, STATE, ZIP:
2nd DEBTOR
SSN /FED Tax ID:
NAME:
STREET:
CITY, STATE, ZIP:
1st SECURED PARTY
NAME:
STREET:
CITY, STATE, ZIP:
ASSIGNED PARTY
NAME:
STREET:
CITY, STATE, ZIP:
RETURN COPY TO:
NAME:
STREET:
CITY, STATE, ZIP:
check one: ® Business ❑ Personal
84- 0521460
MANCOS WATER CONSERVANCY DISTRICT
WATER ACTIVITY ENTERPRISE
MANCOS WATER CONSERVANCY DISTRICT
42888 COUNTY ROAD N
MANGOS, CO 81328
additional debtor(s) on attachment
check one: ❑ Business ❑ Personal
additional secured party on attachment
STATE OF COLORADO FOR THE USE AND
NATURAL RESOURCES, COLORADO WAY
1313 SHERMAN STREET, ROOM 721
DENVER, COLORADO 80203
additional assigned party on attachment
FILL COP
County Where 1st Debtor Resides
(Use 2 Digit Code From Instruction Page)
32
Check if Applicable
❑ This statement is to be filed in the real estate
records only.
❑ This statement is to be filed in UCC and real
estate records.
❑ The debtor is a transmitting utility.
BENEFIT OF THE DEPARTMENT OF
ER CONSERVATION BOARD
EFS Filing? ❑ Yes ❑ No
(If non EFS filing, fill in collateral codes only)
(If EFS filing, enter County Code and effective dates)
(If EFS filing and all years covered, leave dates blank)
Collateral County From To
Code Code Date Date
,.,f. nr YET ATE
r_
z .]L�lif.�In�'1 ��p Q:AiE
COMPLETE DESCRIPTION OF COLLATERAL Fold Here
(Description required only if collateral codes do not adequately describe collateral. Only first 250 characters will be entered into CIS data base)
Debtor Signature(s) (Optional)
Printed Name(s)
Title
Secured Party Signature(s) (Optional)
Printed Name(s)
Title
Contact Phone and FAX