PROJC00005

• Contract/PO #: C153721
• Contractor Name: Lyons, Town of
• Contract Type: Loan
• Water District: 5
• County: Boulder
• Bill Number: SB 96-153
• Loan Projects - Doc Type: Contract Documents

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COLORADO UCC.3 STATEMENT OF CHANGE

Approved by Central Indexing System Board
Total Fee $16 ($15 Filing + $1 Surcharge)

. 1 ST DEBTOR (Put additional
debtor(s) on attachment)

SSN/FED Tax ID:
NAME:
STREET:
CITY, STATE, ZIP:

1ST SECURED PARTY
(Put additional secured
parties on attachment)
NAME:

STREET:
CITY, STATE, ZIP:

ASSIGNED PARTY
(Put additional assigned
parties on attachment)

NAME:
STREET:
CITY, STATE, ZIP:

RETURN COPY TO:
NAME:
ATTN:

STREET
CITY, STATE, ZIP:

84.6000690
TOWN OF LYONS
P. O. BOX 49
LYONS, COLORADO 80540

STATE OF COLORADO
COLORADO WATER CONSERVATION
BOARD
1313 SHERMAN STRE~T, ROOM 721
DENVER, COLORADO 80203

STATE OF COLORADO
COLORADO WATER CONSERVATION
BOARD
1313 SHERMAN STREST, ROOM 721
DENVER, COLORADO 80203

COMPLETE DESCRIPTION OF COLLATERAL

CONTRACT ENCUMBRANCE NUMBER: C-152721 Dated
10/4/96, Amendment No.1 Dated 86/22/98
Water system revenues pledged to repay the amount loaned to
DEBTOR by SECURED PARTY, as described in the Pledge of
Revenues provisions In Loan Contract No. C153721, as amended to
secure payment of the Indebtedness evidenced by the above,
referenced Loan Contract between tile above named parties hef9wlth,
in the amount of $226,979.86 at an interest rate of 5% per annum for
a term of 20 years, payable by DEBTOR to the SECURED PARTY
until all principal and interest are paid in full.

Debtor Signature(s) (Optional)

Printed Name(s)

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199B2060511
$ 16.00
SECRETARY OF
09-24-1998

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STATE
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For Filing Officer Use Only

ORIGINAL UCC FILING NUMBER
Original Filing Number: 19972097589 C
Date & Time of Filing :11/05/97 10:24
Filing Officer of Orig Doc :
County Book Number :
County Page Number :
Real Estate Filing Number :

COUNTY WHERE 1ST DEBTOR RESIDES
(Use 2 digit Code From Instruction Page

07 BOULDER
CHECK IF APPLICABLE
This statement is to be recorded in the
county real estate records ONLY
This statement is to be recorded in real
Estate AND uee records

EFS FILING?

Yes No

(If non EFS filing, fill in collateral codes only)
(If EFS filing, enter County Code and effective dates)
(If EFS filing and all years covered, leave dates)

Collateral
Code

County
Code

From
Date

To
Date

030

CHECK THE APPROPRIATE BOX ($15 EACH)
TERMINATION
RELEASE OF COLLATERAL
X AMENDMENT
TOTAL ASSIGNMENT
PARTIAL ASSIGNMENT

Secured Party Signature(s) (Optional)

Printed Name(s)

e

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