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COLORADO UCC FINANCING STATEMENT <br />Filing Fee: $15 <br />Follow Instructions (front and back) Carefully <br />NAME & PHONE OF CONTACT (optional) <br />Steve Biondo 303 - 866 -3495 <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />( COLORADO WATER CONSERVATION <br />BOARD <br />ATTN: WATER SUPPLY PLANNING & <br />FINANCE <br />1313 SHERMAN STREET, ROOM 721 <br />( DENVER, COLOARDO 80203 <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />FORGANIZATION'S NAME <br />OR <br />INDIVIDUAL'S LAST NAME <br />2c. MAILING ADDRESS <br />NAME <br />3b. INDIVIDUAL'S LAST NAME IFIRST NAME <br />NAME <br />NAME <br />CODE <br />ORGANIZATIONAL ID #, if any <br />3c. MAILING ADDRESS /CITY IS AT jPO5TA 3CODE ,COUNTRY <br />1313 SHERMAN STREET, ROOM 721 <br />NONE <br />4. This FINANCING STATEMENT covers the following collateral: <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $83,000.00 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C150096 AND PROMISSORY NOTE DATED JUNE 1, 2002. <br />5. ALTERNATIVE DESIGNATION (H applicable): ❑ LESSEE/LESSOR ❑ CONSIGNEEICONSIGNOR ❑ BAILEEBAILOR 13 SELLER/BUYER ❑ AG LIEN ❑ NON -UCC FILING <br />6, his FINANCING STA E N is to be filed or record) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtors) (Optional) <br />ESTATE RECORDS ❑ All Debtors ❑ Debtor 1 0 Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO, C150096 <br />SLC <br />NATIONAL UCC FINANCING STATEMENT (FORM UCC1) - COLORADO (REV 11115/2001) <br />i i.r ti.. ir" -, r ti 4 <br />ciuu ,ia +.N s Ili <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />FORGANIZATION'S NAME <br />OR <br />INDIVIDUAL'S LAST NAME <br />2c. MAILING ADDRESS <br />NAME <br />3b. INDIVIDUAL'S LAST NAME IFIRST NAME <br />NAME <br />NAME <br />CODE <br />ORGANIZATIONAL ID #, if any <br />3c. MAILING ADDRESS /CITY IS AT jPO5TA 3CODE ,COUNTRY <br />1313 SHERMAN STREET, ROOM 721 <br />NONE <br />4. This FINANCING STATEMENT covers the following collateral: <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $83,000.00 IN ACCORDANCE <br />WITH LOAN CONTRACT NO. C150096 AND PROMISSORY NOTE DATED JUNE 1, 2002. <br />5. ALTERNATIVE DESIGNATION (H applicable): ❑ LESSEE/LESSOR ❑ CONSIGNEEICONSIGNOR ❑ BAILEEBAILOR 13 SELLER/BUYER ❑ AG LIEN ❑ NON -UCC FILING <br />6, his FINANCING STA E N is to be filed or record) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtors) (Optional) <br />ESTATE RECORDS ❑ All Debtors ❑ Debtor 1 0 Debtor 2 <br />8. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO, C150096 <br />SLC <br />NATIONAL UCC FINANCING STATEMENT (FORM UCC1) - COLORADO (REV 11115/2001) <br />