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<br />.-:, <br />) <br /> <br />'" .. , . <br />.t:"i~_",.i;j.L~ (:: (i.. ~;?: ~( <br /> <br />COLORADO UCC-1 <br />Aproved by Central Indexing System Board <br />Total Fee $16 ($15 Filing + $1 Surcharge) <br /> <br />1 st DEBTOR <br />SSN/FEO Tax 10: <br />NAME: <br />STREET: <br />CITY, STATE, ZIP: <br /> <br />2nd DEBTOR <br />SSN/FEO Tax 10: <br />NAME: <br />STREET: <br />CITY, STATE, ZIP: <br /> <br />check one: ~ Business 0 Personal <br />84-0521460 <br />MANCOS WATER CONSERVANCY DISTRICT <br />WATER ACTIVITY ENTERPRISE <br />MANCOS WATER CONSERVANCY DISTRICT <br />42888 COUNTY ROAD N <br />MANCOS, CO 81328 <br />additional debtor(s) on attachment <br />check one: 0 Business 0 Personal <br /> <br />For Filino Officer Onlv <br />County Where 1 st Debtor Resides <br />Juse 2 Digit Code From Instruction Page) <br /> <br />32 <br /> <br />Check if Applicable <br /> <br />o This statement is to be filed in the real estate <br />records only. <br />o This statement is to be filed in UCC and real <br />estate records. <br />o The debtor is a transmitting utility. <br /> <br />1st SECURED PARTY additional secured party on attachment <br />NAME: STATE OF COLORADO FOR THE USE AND BENEFIT OF THE DEPARTMENT OF <br />STREET: NATURAL RESOURCES, COLORADO WATER CONSERVATION BOARD <br />CITY, STATE, ZIP: 1313 SHERMAN STREET, ROOM 721 EFS Filing? 0 Yes 0 No <br />DENVER, COLORADO 80203 (If non EFS filing. fiil in coilateral codes only) <br />additional assigned party on attachment (If EFS filing, enter County Code and effective dates) <br />(If EFS filing and all years covered. leave dates blank) <br /> <br />ASSIGNED PARTY <br />NAME: <br />STREET: <br />CITY, STATE, ZIP: <br /> <br />RETURN COPY TO: <br />NAME: <br />STREET: <br />CITY, STATE, ZIP: <br /> <br />Collateral County From To <br />Code Code Date Date <br />{['CiJ _ _ _ <br /> <br />----972CIQ2,3.:+i] c: <br /> <br />$'16: DO <br /> <br />--SECRETARY OF STATE <br />01-14-97 09:57 <br /> <br />COMPLETE DESCRIPTION OF COLLATERAL Fold Here <br />(Description required only if collateral codes do not adequately describe collateral. Only first 250 characters 'Hill be entered into CIS data base) <br /> <br />Debtor Signature(s) (Optional) <br /> <br />Secured Party Signature(s) (Optional) <br /> <br />Printed Name(s) <br /> <br />Printed Name(s) <br /> <br />Title <br /> <br />Title <br /> <br />Contact Phone and FAX <br /> <br />~d6'~,.I( <br />