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COLORADO UCC-1 <br /> Aproved by Central Indexing System Board <br /> Total Fee$16($15 Filing+$1 Surcharge) <br /> 1st DEBTOR check one:Ell Business ❑ Personal For Filing Officer Only <br /> SSN/FED Tax ID: 84-0721934 County Where 1st Debtor Resides <br /> NAME: Beaver Park Water, Inc. (Use 2 Digit Code From Instruction Page) <br /> STREET: p,0. Box 286, 401 Broadway <br /> CITY, STATE, ZIP: Penrose, CO 81140 14 <br /> Check if Applicable <br /> 2nd DEBTOR additional debtors)on attachment 0 This statement is to be filed in the real estate <br /> SSN/FED Tax ID: check one: 1111Business 0 Personal records only. <br /> NAME: ❑ This statement is to be filed in UCC and real <br /> STREET: estate records. <br /> CITY, STATE, ZIP: El The debtor is a transmitting utility. <br /> 1st SECURED PARTY additional secured party on attachment <br /> NAME: STATE OF COLORADO for the use and benefit of The Department <br /> STREET: of Natural Resources, Colorado Water Conservati Boa <br /> CITY, STATE, ZIP: 1313 Sherman Street, Room 721 EFS Filing? I Yes LI No <br /> Denver CO 80203 (If non EFS filing,fill in collateral codes only) <br /> ASSIGNED PARTY additional .ssigned party on attachment (If EFS filing,enter County Code and Effective dates) <br /> NAME: (If EFS filing and all years covered,leave dates blank) <br /> STREET: <br /> CITY, STATE, ZIP: Collateral County From To <br /> Cod Code Date Date <br /> RETURN COPY TO: D <br /> Code_ <br /> NAME: <br /> STREET: <br /> CITY, STATE, ZIP: _ <br /> 2843 C $16.73 <br /> SECRETARY iRY or STATE <br /> COMPLETE DESCRIPTION OF COLLATERAL Fold Here <br /> (Description required only if collateral codes do not adequate y describe collateral. Only first 250 characters will be entered into CIS da a base) <br /> y .Z <br /> rye jM .. <br /> Debtor Signature(s)(Optional) Secured Party Signature(s)(Optional) <br /> Printed Name(s) Printed Name(s) <br /> Title Title <br /> Contact 'hone and FAX <br /> a049— <br /> (' F7 <br />