PROJC00480

• Contract/PO #: C150043
• Contractor Name: Jackson Lake Reservoir & Irrigation Company
• Contract Type: Loan
• Water District: 1
• County: Morgan
• Bill Number: HB 00-1419
• Loan Projects - Doc Type: Contract Documents

COLORADO UCC-1
Approved by Central Indexing System Board
Total Fee $15

1st DEBTOR

SSN/FED Tax ID:
NAME:

STREET:
CITY, STATE, ZIP:

2nd DEBTOR
SSN/FED Tax 10:
NAME:
STREET:
CITY, STATE, ZIP

1st SECURED
PARTY
NAME:

STREET:
CITY, STATE, ZIP:

ASSIGNED PARTY
NAME:
STREET:
CITY, STATE, ZIP:

RETURN COPY TO:

NAME:
ATTN:

STREET
CITY, STATE, ZIP:

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Business X

84-0236480
JACKSON LAKE RESERVOIR AND
IRRIGATION COMPANY
P. O. BOX 38
FORT MORGAN, COLORADO 80701

Countv Where 1 st Debtor Reside!!

15 MORGAN

o additional debtor(s) on attachment
check one: D Business D Personal

Check if Applicable
D This statement is to be filed in the real
estate records only.
D This statement is to b e filed in UCC and
real estate records.
D The debtor is a transmitting utility.

D additional secured party on attachment

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

D additional assigned party on attachment

EFS Filinq? DYes D 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 County
Code Code

From
Date

To
Date

COLORADO WATER CONSERVATION BOARD
ATTN: WATER SUPPLY PLANNING AND
FINANCE SECTION
1313 SHERMAN STREET, ROOM 721
DENVER, COLORADO 80203

COMPLETE DESCRIPTION OF COLLATERAL Fold Here
(Description required only If collateral codes do not adequately describe collateral. Only first 250 characters will be entered into CIS data base)
o
CONTRACT NUMBER C150043. ALL REVENUES DERIVED FROM STOCK ASSESSMENTS TO REPAY
THE INDEBTEDNESS ON THE AMOUNT LOANED TO DEBTOR BY SECURED PARTY, AS DESCRIBED
IN PLEDGE OF PROPERTY PROVISIONS IN LOAN CONTRACT NO. C150043, TO SECURE PAYMENT
OF THE INDEBTEDNESS IN THE AMOUNT OF $336,600.00, EVIDENCED BY CERTAIN PROMISSORY
NOTE, DATED AUGUST 18, 2000.