PROJC01357

• Contract/PO #: C153730
• Contractor Name: Bravo Ditch Company
• Contract Type: Loan
• Water District: 64
• County: Logan
• Bill Number: SPL
• Loan Projects - Doc Type: Contract Documents

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COLORADO UCC-1
Aproved by Central Indexing System Board
Total Fee $16 ($15 Filing + $1 Surcharge)

1st DEBTOR
SSN/FEO Tax 10:
NAME:
STREET:
CITY, STATE, ZIP:

2nd DEBTOR
SSN/FEO 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:
STREET:
CITY, STATE, ZIP:

F

check one: I!l Business 0 Personal
84-0777153

For Rlina Officer Onlv
County Where 1st Debtor Resides
(Use 2 Digtt Code From Instruction Page)

13

Check If Applicable
o This s1atemenlls 10 be filed in the real es1ate
records only.
o This s1alemenlls to be filed in UCC and real
estate records.
o The deblor Is a transmitting utility.

Bravo Ditch Company
20549 Road 55
Iliff, CO 80736

additional debtor(s) on attachment
check one: 0 Business 0 Personal

addttional secured party on attachment
STATE OF COLORADO for the use and benefit of The Department
of Natural Resources, Colorado Water Conservation Board
1313 Sherman Street, Room 721 EFS Filing? 0 Yes 0 No
Denver, CO 80203 (II non EFS filing, fill In ooIIaleral codes only)
additional assigned party on attachment (If EFS fiUng, enter County Code and effective dates)
(If EFS filing and all years covered, leave dales blank)

Collateral County From To
Code Code Date Date
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SECRETARY OF STATE

Oi-t4-97

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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)

Debtor Signature(s) (Optional)

Secured Party Signature(s) (Optional)

Printed Name(s)

Printed Name(s)

lltle
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Title

Contact Phone and FAX

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