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<br />N <br />CSl <br />CSl <br />0') <br />CSl <br />N <br />N <br />-..J <br />C,J'I <br /> <br /> <br />n <br />~~ <br />ncn <br />i'lli:J: <br /> <br />V\ <br />o <br /> <br />fg <br />"TI <br />c: <br />Z <br />o <br />~ <br /> <br />... <br /> <br />~s <br />0% <br />'" <br /> <br />lANCING STATEMENT <br />NSTRUCTIONS (front and back) CAREFULLY <br />'HONE OF CONTACT AT FILER loptlonal] <br />Ihone:(800) 331-3282 Fax: (818) 662-4141 <br /> <br /> <br />KNOWlEDGEMENT TO: (Name and Address) <br /> <br />5106561P 1M CCEPT <br /> <br />CC Direct Services <br /> <br />R.ctr"", <br />LA re 1'''Y'e~ 7107246 <br /> <br />1 <br /> <br />p.O. Box 29071 <br />Glendale, CA 91209-9071 <br />L <br /> <br />-.J <br /> <br />NENE <br />FIXTURE <br /> <br />File with: Hall, NE <br /> <br /> j -....~.... ~I <br /> ~.::;:....:t Q CJ> <br /> c= <br /> O? 0 """'1 <br /> ~.l. c::: ~ <br /> =.3 :z:: -1 <br />~r = -1 rn <br />fTJ )... = -< 0 0> <br />(..~ "'- <br /> f-' 0 .." ..Jt <br />C) ~ en " 0) - <br />,., z <br /> C' X fTl ::s <br /> .. ~I <br />0 "~'~'I. ~ cu <br />r.., I)' -0 <br />"., ::3 r ::0 <br />0 l r ;1:'" <br />(f) ........ (f) <br /> f"0 ::><: <br /> l> <br /> ....... .................... <br /> en Cl' enz <br /> Cf) 0 <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME - Insert only o.!l!L debtor name (1a or 1 b) - do not abbreviate or combine names <br /> <br /> 1a. ORGANIZATION'S NAME <br />OR <br /> 1b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> LOPEZ PEDRO <br />1c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />604 N. EDDY ST. GRAND ISLAND NE 68801 <br />1d. SEE INSTRUCTIONS ~rD'l INFO RE 11e. TYPE OF ORGANIZATION 11. JURISDICTION OF ORGANIZATION 19. ORGANIZATIONAL 10#, If any <br /> ORGANIZATION D NONE <br /> DEBTOR <br /> <br />= <br /> <br />- <br /> <br />2, ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME ~ insert only o.!l!L debtor name (2a or 2b) - do not abbreviate or combine names <br /> <br /> 2a, ORGANIZATION'S NAME <br />OR <br /> 2b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> LOPEZ ROSA <br />2c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />604 N. EDDY ST. GRAND ISLAND NE 68801 <br />2d. SEE INSTRUCTIONS Fo;D'l INFO RE 12e. TYPE OF ORGANIZATION 21. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL 10 #, If any <br /> RGANIZATION D NONE <br /> DEBTOR <br /> <br />== <br /> <br />- <br />;;;;;;;;;; <br />;;;;;;;;;; <br />- <br /> <br />- <br />- <br /> <br />- <br />- <br /> <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only o~ secured party name (3a or 3b) <br /> <br />- <br />- <br /> <br /> 3a. ORGANIZATION'S NAME <br /> Prime Acceptance Corp. <br />OR <br /> 3b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c, MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />200 West Jackson Blvd #720 Chicago IL 60606 <br /> <br />4, This FINANCING STATEMENT covers the following collateral: <br /> <br />WATER TREATMENT SYSTEM <br /> <br /> <br />LESSEE/LESSOR <br /> <br />BAilEE/BAilOR <br /> <br />= <br /> <br /> <br />NON-UCC FiliNG <br /> <br />626050245 <br /> <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) <br /> <br />Preoared bv UCC Dlrec! Services, P.O, Box 29071, <br />Glendale. CA 9120\+-9071 Tel (800) 331-3282 <br />