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COLORADO UCC FINANCING STATEMENT <br />Filing Fee: $15 <br />Follow Instructions (front and back) Carefully <br />NAME & PHONE OF CONTACT (optional) <br />SEND ACKNOWLEDGMENT T0: (Name and Address) <br />I COLORADO WATER CONSERVATION <br />BOARD <br />ATTN: WATER SUPPLY PLANNING & <br />FINANCE <br />1580 LOGAN STREET, SUITE 750 <br />I DENVER, COLOARDO 80203 <br /> <br />- - 1 - IJtl , <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME -insert only one debtor name (1 a or 1bj - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />oR THE LONE CABIN DITCH & RESERVOIR COMPANY <br />tb. INDIVIDUAL'S LAST NAME FIRST NAME <br />1c. MAILING ADDRESS CITY <br />PO BOX 120 HOTCHKISS <br />ADD'L INFO RE 1e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION <br />ORGANIZATION D N C CO <br />DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S LAST NAME IFIRST NAME <br />2c. MAILING ADDRESS <br />ADD'L INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION <br />ORGANIZATION <br />DEBTOR <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) -insert only one secured party name (3a or 3b) <br />3a. ORGANIZATION'S NAME <br />OR COLORADO WATER CONSERVATION BOARD <br />3b. INDIVIDUAL'S LAST NAME FIRST NAME <br />NAME ISUFFtX <br />FATE POSTAL CODE COUNTRY <br />CO 81419 USA <br />1g. ORGANIZATIONAL ID#, if any <br />0019871041424 ~ NONE <br />IDDLE NAME SUFFIX <br />TATE POSTAL CODE COUNTRY <br />2g. ORGANIZATIONAL ID #, if any <br />NAME ISUFFIX <br />^ NONE <br />3c. 1A580 LOGAN STREET, SUITE 750 ICDENVER IS CO IP 80203 ODE IC USARY <br />4. This FINANCING STATEMENT covers the following collateral: <br />SECURED PARTY'S REVENUES PLEDGED TO REPAY LOAN OF $92,700.00. IN ACCORDANCE <br />WITH LOAN CONTRACT NO. 0153517 AND PROMISSORY NOTE DATED July 13, 1988. <br />5. ALTERNATIVE DESIGNATION (itapplica6le): ^ LESSEEILESSOR ~ CONSIGNEEICONSIGNOR ^ BAILEE/SAILOR ^ SELLER/BUYER ^ AG LIEN ^ NON-UCC FILING <br />6. This AN ATEM T is to a filed (for recor in the AL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br />ESTATE RECORDS ^ All Debtors ~ Debtor 1 ~ Debtor 2 <br />S. OPTIONAL FILER REFERENCE DATA <br />LOAN CONTRACT NO. 0153517 <br />NATIONAL UCC FINANCING STATEMENT (FORM UCCi) -COLORADO (REV 1 111 512 0 01) <br />