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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Title

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 10:
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:

i 9962D4899D \..

84077153
BRAVO DITCH COMPANY
20549 ROAD 55
ILIFF, COLORADO 80736

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SECRETARY
07-29-1998

OF STATE
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For Filing Officer Use Only

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

ORIGINAL UCC FILING NUMBER
Original Filing Number: 19972026494 C
Date & Time of Filing : 04-03-97 15:36
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)
17 PROWERS

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 UCC 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 County
STATE OF COLORADO Code Code
COLORADO WATER CONSERVATION
BOARD 030
1313 SHERMAN STREET, ROOM 721
DENVER, COLORADO 80203

From
Date

To
Date

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

COMPLETE DESCRIPTION OF COLLATERAL
All revenues derived from assessments on stock and
all debtors rights to receive said assessment
revenues to repay the indebtedness on the amount
loaned to Debtor by Secured Party, as described in
Pledge of Revenues provisions in contract No.
C153730. To secure payment of the indebtedness in
the loan amount of $38,098.50.

Debtor Signature(s) (Optional)

Secured Party Signature(.) (Optional)

Printed Name(s)

Printed Name(s)

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