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201901579
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Last modified
3/18/2019 4:14:24 PM
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3/18/2019 4:14:24 PM
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DEEDS
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201901579
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UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS <br />9. NAME 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 />OR <br />9a ORGANIZATION'S NAME <br />Mendez Enterprises, L.L.C. <br />9b. INDIVIDUALS SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />201901579 <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />10. DEBTOR'S NAME: Provide (10a or 10b) only one additional Debtor name or Debtor name that did not fit in line 1b or 2b of the Financing Statement (Form UCC1) (use exact, full name; <br />do not omit, modify, or abbreviate any part of the Debtor's name) and enter the mailing address in line 10c <br />OR <br />10a. ORGANIZATION'S NAME <br />10b. INDIVIDUAL'S SURNAME <br />Mendez III <br />INDIVIDUAL'S FIRST PERSONAL NAME <br />Vincent <br />INDIVIDUALS ADDITIONAL NAME(S)/INITIAL(S) <br />T <br />SUFFIX <br />10c. MAILING ADDRESS <br />116 Cherokee Ave S <br />CITY <br />Grand Island <br />STATE <br />NE <br />POSTAL CODE <br />68803 <br />COUNTRY <br />USA <br />11. ❑ ADDITIONAL SECURED PARTY'S NAME or ❑ ASSIGNOR SECURED PARTY'S NAME: Provide onlyone name (11a or 11b) <br />OR <br />11a. ORGANIZATION'S NAME <br />11 b. INDIVIDUAL'S SURNAME <br />FIRST PERSONAL NAME <br />ADDITIONAL NAME(S)/INITIAL(S) <br />SUFFIX <br />11c. MAILING ADDRESS <br />CITY <br />STATE <br />POSTAL CODE <br />COUNTRY <br />12. ADDITIONAL SPACE FOR ITEM 4 (Collateral): <br />Lot Five (5) , Block Thirty Eight (18) , in packer &,"Barr''s Second Addition to the <br />City of Grand Island, Hall County, Nebraska, <br />13. ❑ This FINANCING STATEMENT is to be filed [for record] (or recorded) in the <br />REAL ESTATE RECORDS (if applicable) <br />14. This FINANCING STATEMENT: <br />❑ covers timber to be cut ❑ covers as -extracted collateral ❑ is filed as a fixture filing <br />15. Name and address of a RECORD OWNER of real estate described in item 16 <br />(if Debtor does not have a record interest): <br />16. Description of real estate: <br />17. MISCELLANEOUS: <br />FILING OFFICE COPY — UCC FINANCING STATEMENT ADDENDUM (Form UCC1Ad) (Rev. 04/20/11) <br />Finastra <br />1320 SW Broadway, Suite 100, Portland, OR <br />
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