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200401686
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Last modified
10/16/2011 12:41:51 PM
Creation date
10/20/2005 11:36:04 PM
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200401686
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e <br />LJI THE ABOVE; <br />1. D E BTO R'S EXACT FULL LEGAL NAME - insertonlygnt debtor name (1 a or 1 b) -do notabbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />.i p• <br />;o <br />M <br />n <br />k <br />C <br />MIDDLE NAME <br />7 <br />O'BRIEN <br />= <br />GAIL <br />2c. MAILING ADDRESS <br />CITY <br />CA <br />STATE <br />-.t <br />C= D <br />SHELTON <br />NE <br />IPOSTALCODE <br />68876 <br />W <br />rn <br />O <br />co <br />i <br />ORGANIZATION <br />Q <br />UCC FINANCING STATEMENT <br />CL <br />DEBTOR <br />FOLLOW INSTRUCTIONS front and back CAREFULLY <br />O <br />3a. ORGANIZATION'S NAME <br />A. NAME & PHONE OF CONTACT AT FILER [optional] <br />UNITED STATES OF AMERICA ACTING THROUGH <br />THE FARM SERVICE AGENCY <br />SHELLEY SCHROEDER 308 - 395 -8586 <br />OR <br />3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />B. SEND ACKNOWLEDGMENT TO: (Name and Address) <br />I MIDDLE NAME <br />HALL COUNTY FARM SERVICE AGENCY <br />P O BOX 5943 <br />GRAND ISLAND, NE 68802 <br />LJI THE ABOVE; <br />1. D E BTO R'S EXACT FULL LEGAL NAME - insertonlygnt debtor name (1 a or 1 b) -do notabbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />.i p• <br />OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />O'BRIEN LEVERN EDWARD <br />1c. MAILING ADDRESS CITY STATE IPOSTALCODE COUNTRY <br />8781 SOUTH BLUFFS CENTER ROAD SHELTON NE 68876 <br />1d. SEE INSTRUCTIONS ADD'L INFO RE Ile. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR I I I NONE <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only= debtor name (2a or 2b) -do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />G� <br />MIDDLE NAME <br />O'BRIEN <br />CONNIE <br />GAIL <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />-.t <br />C= D <br />SHELTON <br />NE <br />IPOSTALCODE <br />68876 <br />W <br />rn <br />O <br />co <br />2g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />CL <br />DEBTOR <br />3. S E C U RED PARTY S NAME (or NAME ofTOTAL ASSIGNEE &ASSIGNOR SIP) -insert onlyom secured party name (3a or3b) <br />O <br />3a. ORGANIZATION'S NAME <br />UNITED STATES OF AMERICA ACTING THROUGH <br />THE FARM SERVICE AGENCY <br />OR <br />3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />I MIDDLE NAME <br />C: <br />i:3 <br />v> <br />CD <br />CO <br />- _ <br />CT) <br />C10 <br />a"t <br />SPACE IS FOR FILING OFFICE USE ONLY <br />0 <br />OR 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />O'BRIEN LEVERN EDWARD <br />1c. MAILING ADDRESS CITY STATE IPOSTALCODE COUNTRY <br />8781 SOUTH BLUFFS CENTER ROAD SHELTON NE 68876 <br />1d. SEE INSTRUCTIONS ADD'L INFO RE Ile. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR I I I NONE <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only= debtor name (2a or 2b) -do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR <br />2b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />MIDDLE NAME <br />O'BRIEN <br />CONNIE <br />GAIL <br />2c. MAILING ADDRESS <br />CITY <br />STATE <br />8781 SOUTH BLUFFS CENTER ROAD <br />SHELTON <br />NE <br />IPOSTALCODE <br />68876 <br />2d. SEE INSTRUCTIONS <br />ADUL INFO RE 12e. TYPE OF ORGANIZATION <br />2f. JURISDICTION OF ORGANIZATION <br />2g. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />3. S E C U RED PARTY S NAME (or NAME ofTOTAL ASSIGNEE &ASSIGNOR SIP) -insert onlyom secured party name (3a or3b) <br />3a. ORGANIZATION'S NAME <br />UNITED STATES OF AMERICA ACTING THROUGH <br />THE FARM SERVICE AGENCY <br />OR <br />3b. INDIVIDUAL'S LAST NAME <br />FIRST NAME <br />I MIDDLE NAME <br />3c. MAILING ADDRESS I �1 I T -' - " <br />P O BOX 5943 GRAND ISLAND NE 68802 <br />4. This FINANCING STATEMENT covers the following collateral: <br />WESTERN LAND ROLLER IRRIGATION PUMPS (2), PEERLESS IRRIGATION PUMP, U S MOTORS IRRIGATION <br />MOTOR - 15 HP ELECTRIC - 1965 - SN S- 3612686, U S MOTORS IRRIGATION MOTOR - 15 HP ELECTRIC -1964 - <br />SN S- 3753324, CENTURY IRRIGATION MOTOR - 15 HP ELECTRIC - 1970 - SN SC- 326- J23- C -3CO3 PLASTIC & <br />ALUMINUM IRRIGATION PIPE - 8" - 5,940 FEET. DISPOSITION OF SUCH COLLATERAL IS NOT HEREBY <br />AUTHORIZED. <br />5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE/LESSOR I CONSIGNEE/CONSIGNOR BAILEE/BAILOR SELLER /BUYER AG. LIEN NON -UCC FILING <br />bjoThi s is to or record] or recorded) in a 7, ec to on a fors All Debtors Debtor 1 Debtor 2 <br />ESTATE RECORDS. —Att, d a licable o tional <br />8. OPTIONAL FILER REFERENCE DATA <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) <br />
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