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<br /> "" h ~ <br /> m :::J: <br /> "Tl <br /> C m CI) ~ CJ~ <br /> Z n :t ~ o (J) <br /> n ^ c;:;::> o ~ <br /> U"'t ...... <br /> :t n 0 ~, c'X:>- Nfl) <br /> Nt )> (J') ~ Cl :z:-I O~ <br />'" n (I') ;;0 ~' ......, --1m <br />S ^ :c ~,~-- C":) -<0 <br />IS C"" at:' <br />(Jl 'NANCING 8T A TEMENT d c...,) 0"" <br />-\. ~ 0 ""z CJ1_ <br />'" ~STRUCTIONS (front and back CAREFUllY 0 r :I: fl') ~ <br />-.....J ~ PHONE OF CONTACT AT FilER [optional] r>'1 ::0 ;I> o:J <br />'" A. Noard, 563-324-1000 f"T1 ::3 r- ::u ~ <br />(Jl 0 r- l> <br /> 'CK'l5:WlEDGMENT TO: (Name and Address) (f) ~ en ~ <br /> c::> ~ <br /> - enf'.L I )> <br /> enee A. Noard, Corporate Paralegal R fff CI\V- 0 -- <br /> ~anley, Lande & Hunter 'St(tf\\~) I l Ctri1n t.~IUn:Je1 N QIO ~ <br /> (h <br /> ClOO U.S. Bank Center ,., <br /> --~01 West Second St. <br /> Davenport, IA 52801 <br /> <br /> <br />L <br /> <br />~ <br /> <br />/0-50 <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME - in.ert only one debtor nama (1a Or 1b) -do not abbreviate or combine name. <br /> <br /> 1a. ORGANIZATION'S NAME <br /> BOSSELMAN, INC. <br />OR 1b. INDIVIDUAL'S LAST NAME <br /> FIRST NAME MIDDLE NAME SUFFIX <br />10. MAILING ADDRESS CITY STATE I~OSTAlCODE COUNTRY <br />BOX 1567,3123 W. STOLLEY PARK RD. GRAND ISLAND NE 68802 USA <br />1d. TAX 10#; SSN OR EIN I ADD'l INFO RE 11e. TYPE OF ORGANIZATION 11. JURISOICTION OF ORGANIZATION 19. ORGANIZATIONAL 10 #, if any <br /> ORGANIZATION I CORPORATION I NEBRASKA 10010618 n NONE <br /> DEBTOR <br /> <br />2. ADDITIONAL DEBTOR'S EXACT FUll lEGAL NAME - Insert only 2M debtor name (2a or 2b) - do not abbreviate or combine names <br /> <br /> 2a ORGANIZATION'S NAME <br />OR 2b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />20, MAILING ADDRESS CITY STATE iPOSTAlCODE COUNTRY <br />2d. TAX 10 #: SSN OR EIN I tD'l INFO RE 12a. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL 10 #, if any <br /> ORGANIZATION I I n NONE <br /> DEBTOR I <br /> <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - in.ert only Q!li securad party name (3' or 3b) <br /> <br /> 3a. ORGANIZATION'S NAME <br /> CAT SCALE COMPANY <br />OR 3b. INDIVIDUAL'S LAST NAME MIDDLE NAME SUFFIX <br /> FIRST NAME <br />3c, MAILING ADDRESS CITY STATE II~OSTAlCODE COUNTRY <br />P.O. BOX 630 WALCOTT IA 52773 USA <br /> <br />4. This FINANCING STATEMENT covers the following collateral: <br /> <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 #1075 and operates equipment owned by Licensor (Secured Party), generally described as <br />CAT Scale Company truck scales or certified automated truck scales and other equipment related to CAT Scales, which <br />have been installed on the described real estate. <br /> <br />6. <br /> <br /> <br />Debtor 2 <br /> <br />8. OPTIONAL FilER REFERENCE DATA <br />Grand Island, NE; Scale No. 1075 [02363-18] <br /> <br />ACKNOWLEDGMENT COPY - UCC FINANCING STATEMENT (FORM UCC1) (REV, 05/22/02) <br /> <br />INFO-PRO www.infoproform'.oom (800-B55.2021) <br />