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UCC-1 OCR._ <br /> FEE$10.00 JIFORM COMMERCIAL CODE <br /> INSTRUCTIONS ON R...ERSE SIDE FINANCING STATEMENT (� <br /> SST DEBTOR S.S.No./FED Tax I.D. x 57 Cf- 9 4:74 S C- p <br /> (PERSONAL) <br /> Last Name X First&Middle Name x <br /> 1ST DEBTOR(BUSINESS)Name x The Sanchez Ditch and Reservoir Company <br /> Street x R. R. 1, Box 215 City x San Acacio State x CO Zip x 81150 <br /> THIS DOCUMENT MUST <br /> BE TYPED IN BLACK <br /> SECRETARY OF STATE• 1560 Broadway,Ste.200, Denver,CO 80202 <br /> 1 (303)894-2200 EXT 7 <br /> 2ND DEBTOR ❑ Additional debtor(s)on attachment S.S.No./FED Tax I.D. x <br /> (PERSONAL) <br /> Last Name x First&Middle Name X <br /> l <br /> 2ND DEBTOR(BUSINESS)Name x • <br /> Street x City x State x Zip X <br /> 1ST SECURED El Additional secured party on attachment <br /> PARTY State of Colorado for the use and Benefit of the Colorado Water <br /> Name x Conservation Board <br /> Street x 1313 Sherman St. , Rm 721 city x Denver State x CO Zip x R a 2 f 1 <br />■ ASSIGNED <br /> PARTY <br /> r Name x <br /> Street x City x State x Zip X <br /> CHECK IF APPLICABLE <br /> ❑ This statement is to be filed for record in the real estate records ❑ The debtor is a transmitting utility <br /> PLEASE CHECK APPROPRIATE BOX. <br /> THIS STATEMENT IS SIGNED BY THE SECURED PARTY INSTEAD OF THE DEBTOR TO PERFECT A SECURITY INTEREST IN COLLATERAL <br /> ❑ <br /> Already subject to a security interest in another jurisdiction when it was brought into this ❑ As to which the filing has lapsed;or <br /> state,or when the debtor's location was changed to this state; <br /> ❑ <br /> Which is proceeds of the original collateral described below in which a ❑ Acquired after a change of name,identity or <br /> security interest was perfected corporate structure of the debtor <br />` COLLATERAL USED use additional sheets 81/2 x 11 if more space is needed. <br /> ❑ <br /> Accounts,Accounts ❑ Fixtures ❑ Proceeds ❑ Equipment,Machinery ❑ Livestock,Farm Animals,Etc. <br /> Receivable <br /> 0 Contract Rights ❑ Inventory ❑ Products ❑ Truck,Car,Vehicle ® Other <br /> All revenues derived from assessments on stock to. repay indebtedness on the <br /> Sanchez Dam and Reservoir and all appurtenant structures thereto as approved by <br /> the -stockholders of the Board of Directors, pursuant to CRS 57-42-104, as amended. <br /> The anchez Ditch and Reservoir Co. : •r= Wat Conse tion Board <br /> i� , / , DEBTOR(S)SIGNAT ' SECURED PARTY SIGNATURES <br /> 71/' EXHI c- " <br /> °Pr - ' -Ek 6VION OF THIS FORM BY AUTHORIZED VENDERS ONLY <br /> (2) HILTU WITH COUNTY CLERK AND RECORDER (SHOULD BEAR ORIGINAL SIGNATURES) 0 <br />