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<br />o <br /> <br />UCC-10CR <br /> <br />'ORM COMMERCIAL CODE <br />FINANCING STATEMENT <br /> <br />002 <br /> <br />I FEE $10.00 I <br /> <br />INSTRUCTIONS ON REVERSE SIDE <br /> <br />1 ST DEBTOR <br />(PERSONAL) <br /> <br />55. No.lFED Ta, I.D x 84-0338590 <br /> <br />Last Name <br /> <br />\ <br /> <br />First & Middle Name .\ <br /> <br />1ST DEBTOR (BUSINESS) Name <br /> <br />x <br /> <br />The Trinchera Irrigation Company <br /> <br />Street \ P.O. Box 41 <br /> <br />City ^ Blanca <br /> <br />Slale .x co <br /> <br />Zip \ 81125 <br /> <br />THIS DOCUMENT MUST <br />BE TYPED IN BLACK <br /> <br />-- <br /> <br />SECRETARY OF STATE' 1560 Broadway, Ste. 200. Denver. CO 80202 <br />(303) 894.2200 EXT 7 <br /> <br />2ND DEBTOR <br />(PERSONAL) <br /> <br />o Additional debtor(s) on anachment <br /> <br />5.S. No.lFED Tax 1.0. x <br /> <br />Fi(st & Middle Name .\ <br /> <br />Last Name <br /> <br />\ <br /> <br />2ND DEBTOR (BUSINESS) Name X <br /> <br />Street X <br /> <br />City ~________ <br /> <br />Stale ,x <br /> <br />Zip .x <br /> <br />1 ST SECURED <br />PARTY <br /> <br />o Additional secured party on attachment <br /> <br />Name x State of Colorado for the use and benefit of the Colorado Water Conservation Board <br /> <br />Street \ 1313 Sherman St., Room 721 <br /> <br />Slate X CO <br /> <br />Zip X 80203 <br /> <br />City x Df~nver <br /> <br />ASSIGNED <br />PARTY <br /> <br />Name x <br /> <br />City -' <br /> <br />State .... <br />-- <br /> <br />Zip ~___ ______ <br /> <br />Street X <br /> <br />CHECK IF APPLICABLE <br /> <br />o This statement is to be filed tor record in the real estate records <br /> <br />o The debtor is a transmitting utility <br /> <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 />o <br />o <br /> <br />Already subject 10 a security interest in another jurisdiction when it waS brought into this <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 ~ <br />security interest was perfected <br /> <br />o <br />o <br /> <br />Acquired after a change of name, identity or <br />corporate structure of the debtor <br /> <br />As to which the filing has lapsed; or <br /> <br />COLLATERAL USED use additional sheets 81j2 x 11 if more space is needed. <br /> <br />O Accounts, Accounts 0 Fixtures 0 Proceeds 0 Equipment, Machinery 0 Livestock, Farm Animals, Elc <br />- Receivable <br /> <br />o Contract Rights 0 Inventory 0 Products 0 Truck, Car, Vehicle fiJ Other <br />All revenues derived from assessments on stock to repay indebtedness on the Trinchp.,,, <br />Irrigation Company and all appurtenant structures thereto as approved by the stockholdp.rs <br />or the Board of Directors, pursuant to ~7-42-104, as amended, <br /> <br />The Trinchera Irrigation Company <br /> <br />Colorado <br /> <br /> <br />Board <br /> <br /> <br />DEBTOR(S) SIGNATU <br />EXHIBIT H <br />REPRODUCTION OF THIS FORM BY AUTHORIZED VENDERS ONL Y <br />FINANCING STATEMENT (UCC.I) Bradford Publishing. 174J Waue St.. Denver, CO 80202 ~ (303) 292-2500 _ 12-91 <br /> <br />SECURED PARTY SIGNATURES <br /> <br />o <br /> <br />,., ro,,..~ ",.."",,"r,,<',..r "r <br />