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201608082
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Last modified
7/3/2017 5:40:44 PM
Creation date
12/2/2016 11:42:03 AM
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201608082
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NH Mt OF FIRST DEBTOR: Same as line la or 1b on Financing Statement; if line 1b was left blank <br />because Individual Debtor name did not fit, check here ❑ <br />18a. ORGANIZATION'S NAME <br />18b. INDIVIDUAL'S SURNAME <br />Kleeb <br />FIRST PERSONAL NAME <br />Kelvin <br />ADDITIONAL NAMES) /INITIAL(S) <br />E <br />SUFFIX <br />ADDITIONAL DEBTOR S NAM <br />41 D. INU1v1UUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S) /INITIAL(S) SUFFIX <br />21c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />22. ADDITIONAL SECURED PARTY'S NAME 91 $ ASSIGNOR SECURED PARTY'S NAME: Provide only eat name (22a or 22b) <br />22a. ORGANIZATION'S NAME <br />OR <br />22b. INDIVIDUAL'S SURNAME • PERSONAL ADDITIONAL NAME(S) / INITIAL(S) SUFFIX <br />22c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />23. p ADDITIONAL SECURED PARTY'S NAME g • ASSIGNOR SECURED PARTY'S NAME: Provide onlygng, name (23a or 23b) <br />23a. ORGANIZATION'S NAME <br />OR 23b. INDIVIDUAL'S SURNAME FIRST PERSONAL NAME ADDITIONAL NAME(S)/INITIAL(S) SUFFIX <br />23c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY <br />24. MISCELLANEOUS <br />UCC FINANCING STATEMENT ADDITIONAL PARTY <br />FOLLOW INSTRUCTIONS <br />OR <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />19. . P rovide only gag Debtor name (19a or 19b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />19a. ORGANIZATION'S NAME <br />19b. INDIVIDUAL'S SURNAME <br />Kleeb <br />MAILING ADDRESS <br />35 S 60th Rd <br />FIRST PERSONAL NAME <br />Kelvin <br />ADDITIONAL NAME(S) / INITIAL(S) <br />E <br />CITY <br />Alda <br />STATE <br />NE <br />POSTAL CODE <br />68810 -9624 <br />OR <br />19c <br />7 <br />20. ADDITIONAL DEBTOR'S NAME: Provide only gm Debtor name (20a or 20b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />20a. ORGANIZATION'S NAME <br />20b. INDIVIDUAL'S SURNAME <br />Kleeb <br />MAILING ADDRESS <br />35 S 60th Rd <br />FIRST PERSONAL NAME <br />Susan <br />CITY <br />Alda <br />ADDITIONAL NAMES) / INITIAL(S) <br />A <br />STATE <br />NE <br />POSTAL CODE <br />68810 -9624 <br />OR <br />20c. <br />75 <br />21. ADDITIONAL DEBTOR'S NAME: Provide only gfg Debtor name (21a or 2 b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />21a. ORGANIZATION'S NAME <br />OR <br />2 01608082 <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (Form UCC1AP) (Rev. 08 /22 /11;tfOn of Commercial Administrators (IACA) <br />UCC FINANCING STATEMENT ADDITIONAL PARTY <br />FOLLOW INSTRUCTIONS <br />OR <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />19. . P rovide only gag Debtor name (19a or 19b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />19a. ORGANIZATION'S NAME <br />19b. INDIVIDUAL'S SURNAME <br />Kleeb <br />MAILING ADDRESS <br />35 S 60th Rd <br />FIRST PERSONAL NAME <br />Kelvin <br />ADDITIONAL NAME(S) / INITIAL(S) <br />E <br />CITY <br />Alda <br />STATE <br />NE <br />POSTAL CODE <br />68810 -9624 <br />OR <br />19c <br />7 <br />20. ADDITIONAL DEBTOR'S NAME: Provide only gm Debtor name (20a or 20b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />20a. ORGANIZATION'S NAME <br />20b. INDIVIDUAL'S SURNAME <br />Kleeb <br />MAILING ADDRESS <br />35 S 60th Rd <br />FIRST PERSONAL NAME <br />Susan <br />CITY <br />Alda <br />ADDITIONAL NAMES) / INITIAL(S) <br />A <br />STATE <br />NE <br />POSTAL CODE <br />68810 -9624 <br />OR <br />20c. <br />75 <br />21. ADDITIONAL DEBTOR'S NAME: Provide only gfg Debtor name (21a or 2 b) (use exact, full name; do not omit, modify, or abbreviate any part of the Debtor's name) <br />21a. ORGANIZATION'S NAME <br />OR <br />2 01608082 <br />SUFFIX <br />COUNTRY <br />SUFFIX <br />COUNTRY <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDITIONAL PARTY (Form UCC1AP) (Rev. 08 /22 /11;tfOn of Commercial Administrators (IACA) <br />
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