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<br />o
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<br />[ FEE $10.00 I
<br />
<br />UCC-10CR
<br />
<br />IFORM COMMERCIAL CODE
<br />FINANCING STATEMENT
<br />
<br />002
<br />
<br />INSTRUCTIONS ON "~'cASE SIDE
<br />
<br />1ST DEBTOR
<br />(PERSONAL)
<br />
<br />5.5. No.lFEO Tax 1.0
<br />
<br />Last Name
<br />
<br />\
<br />
<br />First & Middle Name \
<br />
<br />1ST DEBTOR (BUSINESS) Name: _ _ The_.s_ulllIllj..t:..~es_e~"g:i,.1C _and_l):!,:i"g"1:-io_n _<:;~pany_. _
<br />
<br />Street
<br />
<br />~~Q.,_ Bo!'_lJL._
<br />
<br />City,.
<br />
<br />Dolores
<br />._---~.------
<br />
<br />State
<br />
<br />, CO
<br />
<br />Z'p
<br />
<br />81321
<br />
<br />",~_____,,-,,--.__~_________,_~'_"_,___,_~r ..,.- ..~......_.~ 1._n'-~"""'-_h~'-""._'~-~- ..- ..."....-,. -_.~ -. .."'~', ---_,_..".__._. . ,." "~_",_,.~ ___ ___.__.~
<br />THIS DOCUMENT MUST I I
<br />BE TYPED IN BLACK I !
<br />SECRETARY OF STATE. 1560 Broadway, Ste, 200, Denver, CO 80202 i J
<br />(303) 894-2200 EXT 7 I
<br />L_~_ _.______~~.__<'_t.,'_______.__~~______..__,_,__.-~~~<_._.~...._......:.____.._,.,,_~~_.,..,_._... ,
<br />
<br />2ND DEBTOR
<br />(PERSONAL)
<br />
<br />o Additional debtor(s) on attachment
<br />
<br />5.S. No.lFED Tax J.D.
<br />
<br />Last Name
<br />
<br />x
<br />
<br />First & Middle Name
<br />
<br />2ND DEBTOR (BUSINESS) Name
<br />
<br />Street
<br />
<br />\
<br />
<br />City -..
<br />
<br />State
<br />
<br />Zip ,
<br />
<br />1ST SECURED
<br />PARTY
<br />
<br />~,
<br />L.J Additional secured party on attachment
<br />
<br />Name
<br />
<br />c_..5.t..at:."-OL..G.olorado_f.ar.Jhe. .uae ..and._ beneti.L.oL .the._C.olQr.ad.o...wi!J:.l,;C_C..P..D-'i.U'Ci!.1; iQn_~oa r4..
<br />
<br />Street o.......l313~Shp...m.n _S,t.._>. RmJ2L.._______. C;ty \_ .__De1lJ[eL____ ______ ,_____ State ,-_elL_
<br />
<br />Z;p c80ZQL___~..
<br />
<br />ASSIGNED
<br />PARTY
<br />
<br />Name \
<br />._----~---_.~.._.__. --_._------~---_..-
<br />
<br />Street
<br />
<br />City Stale \
<br />
<br />Zip ~
<br />
<br />CHECK IF APPLICABLE
<br />
<br />o This statement is to be filed for record in the real estate records
<br />
<br />n The debtor is a transmining 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 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 />n As to which the filing has lapsed; or
<br />~
<br />
<br />O Acquired after a change of name, identity or
<br />L corporate structure of the debtor
<br />
<br />COLLATERAL USED use additional sheets 81/2 x 11 if more space is needed.
<br />
<br />o
<br />
<br />Accounts. Accounts
<br />Receivable
<br />
<br />11 Fixtures
<br />....!
<br />
<br />~, Proceeds [J 0
<br />U Equipment, Machinery Livestock, Farm Animals, Etc"
<br />'-l Products 0 Truck, Car. Vehicle [XJ Other
<br />~
<br />
<br />D Contract Rights
<br />
<br />o Inventory
<br />
<br />All revenues derived from assessments on shares to repay indebtedness on its Summit Reservoir
<br />Dam and Lost Canyon Ditch and all appurtenances as approved by the shareholders or the Board
<br />of Directors pursuant to CRS . 7-42-104
<br />
<br />The
<br />
<br />
<br />Board
<br />
<br />By: EBTOR(S) SIGNAT SECURED PARTY SIGNATURES
<br />EXHIBIT
<br />REPRODUCTION OF THIS FORM BY AUTHORIZED VENDERS ONLY
<br />No. 602. Rel". 11-91. FINANCING STATEMENT (VCC-I) Bradford Publishing. 1743 Wazee St.. Denver, CO 80202 - (303) 292-2500 - 12.91 . 0
<br />(1) FilED ONLY WITH SEe OF STATE
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