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■C <br />N <br />= DANCING STATEMENT <br />n >"•' <br />�� <br />3TRUCTIONS front and backj CAREFULLY <br />_ <br />PHONE OF CONTACT AT FILER [optional] <br />�. Noard, 563 - 324 -1000 <br />Cr) <br />�wr <br />;KNOVJLEDGMENT TO. (Name and Address) <br />Qnw . <br />.— <br />r�g.�Floard, Corporate Paralegal <br />i�nle� ,lande & Hunter <br />�*U.S. Bank Center <br />X1 West Second St. `►/]r/ <br />� <br />Davenport, IA 52801 <br />=a <br />n i <br />7C l <br />- — — . THE AB( <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only oe debtor name (1a or 1 b) - do not abbreviate or combine names <br />1a. ORGANIZATION'S NAME <br />-�- TA OPERATING CORPORATION <br />OR 16. INDIVIDUAL'S LAST NAME FIRST NAME <br />u� <br />ca � <br />I�T71 (•k�`r <br />rJ7 <br />cry <br />N <br />F—� <br />CAD <br />Ul <br />Ca CI> <br />9 M <br />-n <br />-• r'1 <br />q <br />t <br />CO <br />7C <br />rr <br />(n <br />cn <br />SPACE I5 FOR FILING OFFICE USE ONLY <br />NAME <br />1 c. MAILING ADDRESS CITY STATE POSTAL CODE <br />24601 CENTER RIDGE ROAD WESTLAKE OH 144145 <br />1d. SEE INSTRUCTI"N ADD'L INFO RE Ile, TYPE OF ORGANIZATION If JURISDICTION OF ORGANIZATION 1p. ORGANIZATIONAL ID #, if any <br />IDEBTOR�TION CORPORATION IDELAWARE 4186462 <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (23 or 2b) - do not abbreviate or combine names <br />2a. ORGANIZATION'S NAME <br />OR r7iNDIVIDUAL'8 LAST NAME FIRST NAME MIDDLE NAME <br />2c. MAILING ADDRESS CITY STATE I POSTAL CODE <br />2d. SEE IN[STRUCTIONa ADDT INFO RE 2e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 29. ORGANIZATIONAL ID #, if any <br />ORGANIZATION <br />DEBTOR <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only one secured party name (3a or 3b) <br />3a, ORGANIZATION'S NAME <br />CAT SCALE COMPANY <br />OR <br />3b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME <br />30, MAILING ADDRESS CITY STATE POSTAL CODE <br />— P.O. BOX 630 WALCOTT IA 52773 <br />. .,_ <br />4, This FINANCING STATEMENT covers the following collateral: <br />C=) <br />N <br />L� <br />C� <br />(-n err <br />C... <br />C.C.) <br />N <br />C77 <br />SUFFIX <br />COUNTRY <br />USA <br />NONE <br />SUFFIX <br />COUNTRY <br />NONE <br />SUFFIX <br />COUNTRY <br />USA <br />This filing is not for an indebtedness, but for informational purposes only to provide notice that Licensee (Debtor) is in <br />possession of CAT Scale #126 and operates equipment owned by Licensor (Secured Party), generally described as CAT <br />Scale Company truck scales or certified automated truck scales and other equipment related to CAT Scales, which have <br />been installed on the described real estate. <br />5. ALTERNATIVE DESIGNATION ifapplicable]: LESSEE /LESSOR CONSIGNEE /CONSIGNOR BAILEE /BAILOR I ISELLERIBUYER AG. LIEN NON -UCC FILING <br />e. This FINANCING STATEMENT is to be filed [for record) (or recorded) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) All Debtors Debtor 1 Debtor 2 <br />T ach Addendum a licable <br />8. OPTIONAL FILER REFERENCE DATA <br />Grand Island, NE; Scale No. 126 [D2363 -18] <br />FILING OFFICE COPY — UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) INFO -PRO www.infoproforms.com (800-855 -2021) <br />