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<br />UCC FINANCING STATEMENT ADDENDUM <br />FOLLOW INSTRUCTIONS (front and back) CAREFUllY <br />9, NAME OF FIRST g!:,^~OR (1a or 1b) ON RELATED FINANC~N':'~~:ATEMENT <br />9a. ORGANIZATION'S NAM~ <br /> <br />O'~SI~~ <br /> <br /> <br />10, MISCEllANEOUS: <br /> <br />200510964 <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />11. ADDITIONAL DEBT9.f3.'.? EX~.92: FUll lEGAL NAME- in$a'~~!r.llrW nama (11. or l1b)" do rlotabbrevltlte ",corn!'!.!2?!'0!,as <br />111 a, ORGANIZATION'S NAM~ <br /> <br />OR 11b. INDIVIDUAL'S L.AST NAMF.' <br /> <br />Flf{-STNAME- <br /> <br />SUFFIX <br /> <br />MIDDLE NAME <br /> <br />CITY <br /> <br />COIJN'THY <br /> <br />11d, TAX ID#: SSN OR EIN <br /> <br /> <br />11^e:TYPE elf' 6RGANIZATION <br /> <br />11 f. JURISDICflON'OF O-R(iANIZA TION <br /> <br />. STA TE~"'-"rOST AI. CO OF.' <br /> <br /> <br />11g. ORGANIZATIONAL ID II, If ,"'y <br /> <br />110. MAILING ADDflESS <br /> <br />NONE <br /> <br />12. ADDITIONAL SECURED PARTY'S ill ",6~~~'3.f:'J913._?!~'0_r:!~~:in.~.~~~"9..n..It..~,,!~~~:.J.'?'~'~cl?~) <br />12;;:"Q'R'GAi,i'izA'fioN'SNAME --------."".-"""""""" <br /> <br />OR ..........................."."..."""""."""''''''''''''''''''''''''''.''"''''...'''-.--------........-- <br />, 2b, INDIVIDUAL'S lAST NAME <br /> <br />"'FiRST NAME-------- <br /> <br />MiblilE-NAMf' <br /> <br />SUffiX <br /> <br />-i;;;; MATCINGADDFi'E'SS"'''''''''''''''' <br /> <br />""GiiY <br /> <br />STATE <br /> <br />Po.<JTAi,':'CODE",,,,,,,,,,,,mm <br /> <br />COUNTRY <br /> <br />13. This fiNANCING STAT~M~NT ""ver. timber to be mlt or <br />collateral, or is filed a$ a Kl fixture filing. <br />14. Description of real 8state: <br /> <br />as-extracted 16_ Addition;:.:.1 cDllateral desmiption; <br /> <br />SEE EXHIBIT "A", ATTACHED HERETO AND <br />INCORPORATED HEREIN BY THIS REFERENCE <br /> <br />15, Name and address of a RECORD OWNER of above-described real astate <br />(if Debt.or does not have a record interest): <br /> <br />17, Check Qnl~ if applicable .,," check Qnly 0". box, <br />D(~bt()r is a Trustcc tlct.if1~l with rasped to properly held In trust or <br />18. Check. QlllY if applicable and chei';k .QItly. one box. <br />D Debtor is" TRANSMITTING UTILITY <br />D Filed in connection with a Manufactuwd-rioma 1'rallsaction ...... effective 30 yoars <br />Filed in connection with a Public-Finance Trans.action .--- effective 30 years <br /> <br />Decedent's Estate <br /> <br />FILING OFFICE COpy -- NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 07/29/98) <br />NATUCCI w 5/4/01 C T System Online <br />