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<br />o <br /> <br />;- 1-'<:;: $10.00 <br /> <br />UCC-1 OCR <br /> <br />UNIFORM COMMERCIAL CODE <br />FINANCING STATEMENT <br /> <br />00 <br /> <br />INSmUCTlONS ON ..~VERSE SIDE <br /> <br />1ST DEBTOR <br />(PERSONAL) <br /> <br />5.S. No.lFED Tax l.D. X <br /> <br />last Name <br /> <br />x <br /> <br />First & Middle Name X <br /> <br />1ST DEBTOR (BUSINESS) Name X <br /> <br />Street <br /> <br />X <br /> <br />City X <br /> <br />State x <br /> <br />Zip x <br /> <br />THIS DOCUMENT MUST <br />BE TYPED IN BLACK <br />SECRETARY OF STATE' 1560 Broadway, Ste, 200, Denver, CO B0202 <br />(303) 894.2200 EXT 7 <br /> <br />2ND DEBTOR <br />(PERSONAL) <br /> <br />o Additional debtor(s) on attachment <br /> <br />5.S. No.lFED Tax 1.0. )( <br /> <br />Last Name <br /> <br />X <br /> <br />First & Middle Name \ <br /> <br />2ND DEBTOR (BUSINESS) Name X <br /> <br />Street <br /> <br />, <br /> <br />City .\ <br /> <br />State x <br /> <br />Zip X <br /> <br />1 ST SECURED <br />PARTY <br /> <br />o Additional secured party on attachment <br /> <br />X <br /> <br />Colorado Water Conservation Board <br /> <br />Name <br /> <br />X 1313 Sherman St., Ste. 721 City xDenver <br /> <br />State X CO <br /> <br />Zip X 80203 <br /> <br />Slreet <br /> <br />ASSIGNED <br />PARTY <br /> <br />Name X <br /> <br />Street <br /> <br />, <br /> <br />City X <br /> <br />State x <br /> <br />Zip X <br /> <br />CHECK IF APPLICABLE <br /> <br />o This statement is to be filed tor record in the real estate records <br /> <br />D The debtor is a transmitting utility <br /> <br />PLEASE CHECK APPROPRIATE BOX, <br />THIS STATEMENT IS SIGNEO BY THE SECURED PARTY INSTEAO OF THE DEBTOR TO PERFECT A SECURITY INTEREST IN COLLATERAL <br /> <br />o <br />o <br /> <br />Already subject to 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 a <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 8'/2 x t 1 if more space is needed. <br /> <br />0 Accounts. Accounts 0 Fixtures 0 Proceeds 0 Equipment, Machinery 0 Livestock. Farm Animals. Etc. <br />Receivable <br />0 Contract Rights 0 Inventory 0 Products 0 Truck, Car, Vehicle 0 Other <br />See Schedule 1 attached. <br /> <br />DE8TORIS) SIGNATURES <br /> <br />SECURED PARTY SIGNATURE, <br /> <br />REPRODUCTION OF THIS FORM BY AUTHORIZED VENDERS ONLY' <br /> <br />!'IJ" ...n... "^" ,'n. <br /> <br />"[;'~.c.. <br />