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Notice of Claim of Lien or Security Interest in a Class B or C <br /> Allotment and Request for Notification of Action Regarding a <br /> Class B or C Allotment Contract <br /> Date: April 17, 2017 <br /> Name of Allottee: St. Vrain& Left Hand Water Conservancy District <br /> Loan Number: CWCB No. CT2017-3213 <br /> Name of Lender: Colorado Water Conservation Board <br /> Mailing Address: 1313 Sherman Street, Room 718, Denver, Colorado 80203 <br /> Contact Person: Peg Mason <br /> Phone Number: 303-866-3441 x3227 <br /> Email: peg.mason@state.co.us <br /> Class: C -Irrif4ation <br /> Contract ID: 3707 (25); 3704 (2 of the 5 units) Number of Acre-Foot Units: 27 <br /> (Contact Sherri Rasmussen at(970)622-2217 or at srasmussen(a�ncwcd.ore to obtain Contract Date or other information) <br /> One of the following documents must be attached to this Notice: <br /> 1. A copy of the recorded UCC-1 which has been executed by the allottee of record. <br /> 2. A copy of the recorded Deed of Trust which has been executed by the allottee of record. <br /> 3. A copy of a Court Judgment and Decree which creates or recognizes a security interest in the <br /> allotment contract for the benefit of the party filing this notice. <br /> 4. A copy of the transcript of a money judgment in favor of the party filing this notice which has <br /> been granted by a Court having jurisdiction. <br /> 5. A copy of any other instrument evidencing a security interest in the Class B or C Allotment <br /> Contract. <br /> Aut orized Signature <br /> Please return this form to: <br /> Northern Colorado Water Conservancy District <br /> 220 Water Avenue <br /> Berthoud, CO 80513 <br /> Attention: Sherri Rasmussen <br /> srasmussenknorthernwater.org or(970) 622-2217 <br />