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<br /> ,.. ORGANIZATION'S NAME ~,-",..,~~,.- <br />OR 1 b, INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> ESCOBAR ANA MARIA <br />10. MAiliNG ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />1110 E. 7TH STREET GRAND ISLAND NE' 68801 <br />1d, SEE INSTRUCTIONS I ADD'l INFO RE I 110, TYPE OF ORGANIZATION 11. JURISDICTION OF ORGANIZATION 19, ORGANIZATIONAL ID #. if any <br /> ORGANIZATION I I nNONE <br /> DEBTOR I <br /> <br />,. <br /> <br />I\,) <br />S <br />S <br />0) <br />S <br />S <br />CD <br />-...J <br />0) <br /> <br /> <br />-u <br />::3 <br />....... <br />N <br />Ul <br />0'> <br /> <br />Q~ <br />m CIl <br />n:.r <br />'" <br /> <br />~ <br />-n <br />c: <br />z <br />Ono <br />~>~ <br />ncn <br />~::c <br /> <br />.-..:. <br />(':"-..:::;;)0 <br /><:::::> <br />~ <br /> <br />-,-, <br />r>"1 <br />CO <br /> <br />(":) <br />o <br />c:: <br />:z: <br />-1 <br />-< <br />o <br />" <br /> <br />(f) <br />-1 <br />:t> <br />-; <br />rT1 <br />o <br />" <br />:z: <br />:c rTl <br />l> (T.J <br />r :::0 <br />r l> <br />(j) <br />^ <br />:t>- <br /> <br />~( <br />:;n -- \. <br /> <br />~,f <br /> <br />'1 <br /> <br />;:; ~ <br />~ t <br /> <br /> <br />w <br /> <br />=INANCING STATEMENT <br />, INSTRUCTIONS front and back CAREFULLY <br />: & PHONE OF CONTACT AT FILER [optional] <br />~SA STEFFY 317-844-7951, EXT. 308 <br />I ACKNOW~GM. ENT TO: (Name and Address) <br />- I?J .e~z<) <br />CARM FINANCIAL CORPORATION <br />101 EAST CARMEL DRIVE <br />SUITE 200 <br />CARMEL, IN 46032-6127 <br /> <br />-- <br /> <br />(j) <br />(f) <br /> <br />L <br /> <br />~ <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONL Y <br />1. DEBTOR'S EYJlCT FULL LEGAL NAME-in.ertonly=debtNn."'.(1.or1 b) -donot.bbrevi.teorcombine names <br /> <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME. inser! only = debtor name (2. or 2b). do not abbreviate or combine namos <br /> <br />c::t <br />N <br />o <br />o <br />0') <br />C> <br />c:> <br />CD <br />-..J <br />en <br /> <br />~ <br />fit <br />[ <br />G;" <br /> <br />- <br /> <br /> <br />I <br />...... <br />2 <br />M <br /> <br /><:'=".,. <br /> <br />~ <br /> <br /> 2a. ORGANIZATION'S NAME <br />OR 2b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />2c, MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />Zd, SEE INSTRUCTIONS 1ADD'l INFO RE Ize. TYP" OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g, ORGANIZATIONAL 10 #, if .ny <br /> ORGANIZATION I n NONE <br /> DEBTOR I I <br /> <br />3. SECUR ED P ARTY'S NAME (or NAME ofTOTAl ASSIGNEE of ASSIGNOR SIP) -insertonly=seoured party name (3a or3b) <br /> <br /> 3.. ORGANIZATION'S NAME <br />OR CARMEL FINANCIAL CORPORATION <br />3b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> . <br />3c. MAILING ADDRESS CITY STATE IPOSTAl CODE COUNTRY <br />101 EAST CARlVIEL DRIVE. SUITE 200 CARMEL IN 46032-612i <br /> <br />4. ThIS FINANCING STATEMENT Govers the following coll.teral: <br /> <br />HYDRO SUPREME / RO REG <br />MODEL: 239283/509495 <br />SERIAL: N/A <br /> <br /> <br />8. OPTIONAL FilER REFERENCE DATA <br /> <br />Debtor 2 <br /> <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COPY - UCC FINANCING STATEMENT (FORM UCC1) (REV. OS/22/02) <br />