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UCC-1 OCR IIFORM COMMERCIAL CODE 002 <br /> FEE$10.00 INSTRUCTIONS ON R...;RSE SIDE FINANCING STATEMENT <br /> 1ST DEBTOR S S No/FED Tax I D <br /> (PERSONAL) <br /> Last Name - First&Middle Name <br /> 1ST DEBTOR(BUSINESS)Name \ The Loloff Lateral Ditch Company i` " <br /> 0 <br /> Street x 24205 WCR 57 City Kersey 'at CO x <br /> THIS DOCUMENT MUST <br /> BE TYPED IN BLACK <br /> SECRETARY OF STATE•1560 Broadway,Ste.200,Denver,CO 80202 <br /> (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 /> 2ND DEBTOR(BUSINESS)Name x <br /> Street x City x State x Zip x <br /> 1ST SECURED ❑ Additional secured party on attachment <br /> PARTY <br /> Name x State of Colorado for the benefit and use of the Colorado Water Conservation Board <br /> Street x 1313 Sherman St. , Room 721 City x Denver State x CO Zip x 80203 <br /> ASSIGNED <br /> PARTY <br /> 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 util ty <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 /> ❑ 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 /> ❑ 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 /> ❑ Accounts,Accounts ❑ Fixtures ❑ Proceeds ❑ Equipment,Machinery ❑ Livestock,Farm Animals,Etc. <br /> Receivable <br /> fl Contract Rights fl Inventory El Products ❑ Truck,Car,Vehicle fl Other <br /> All revenues derived from assessments on shares to pay indebtedness on its lateral <br /> pipeline as approved by the shareholders or the Board of Directors pursuant to CRS § 7-42-104. <br /> The Loloff(� Lateral Ditch Company do ' . t - .•.nnsprvat; nn .Roard <br /> p / DEBTOR(S)SIGNATU:ES / - /07 4 SECURED PARTY SIGNATURES <br /> (3� .„ EXHIBIT F <br /> I REPRODUCTION OF THIAUTHORIZED VENDERS ONLY <br /> No.602.Rev.11-91. FINANCING STATEMENT(UCC-1) Bradford Publishing,1743 Wazee St.,Denver,CO 80202—(303)292-2500—12-91 0 <br /> (1)FILED ONLY WITH SEC OF STATE <br />