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200603721
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200603721
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Last modified
4/27/2006 1:00:18 PM
Creation date
4/27/2006 1:00:18 PM
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DEEDS
Inst Number
200603721
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<br />""_r"" <br /> <br />UCC FINANCING STATEMENT ADDENDUM 200603721 <br />FOLLOW INSTRUCTIONS (front and back) CAREFULLY <br />9. NAME OF FIRST DEBTOR (1. or 1b) ON RELATED FINANCING STATEMENT <br /> ea. ORGANIZATION'S NAME <br />OR J.I.L. Asphalt Pavine: Co. <br /> eb. INDIVIDUAL'S LAST NAME rlRST NAME I MIDDLE NAME,SUFFIX <br />10. MISCELLANEOUS; <br /> THE ABOVE SPACE IS FOR FILING OFFICE USE ONL Y <br /> <br />11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only =name (11a 0' 11b) - do not abbreviate or combine names <br /> <br /> 11a. ORGANIZATION'S NAME <br />OR 11 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />11 c MAiliNG ADDRESS CrTY STATE IPDSTAL CODE COUNTRY <br />11 d. SEE INSTRUCTIONS I ,ADD'L INFO RE 1110. TYPE OF ORGANIZATION 111. JURISDICTION OF ORGANIZATION 11g. ORGANIZATIONAL ID#, ifany <br /> g~~;~~ZATION I I I n NONE <br />12. 1 ADDITIONAL SECURED PARTY'S Ql fl ASSIGNOR SIP'S NAME - ,nSert only 2lll! name (12a or 12b) <br /> 12a. ORGANIZATION'S NAME <br />OR 12b. INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME <br /> SUFFIX <br />12c, MAiliNG ADDRESS CITY 5T A TE T'OST AL CODE COUNTRY <br />13. This FINANCING STATEMENT covers D timb.r to be cut orU as-exlracted 16. Additional coll.teral description: <br /> collateral, or is filed as iii IZI fixture filing. <br />14. Description of real estato: <br />All of Lot One (1) and the Westerly 1320' of Lot Two <br />(2), all in Section One (1) in Township Ten (10) North, <br />Range Ten (10) West of the 6th P.M., Hall County <br />Nebraska, excepting certain tracts more particularly <br />described in Warranty Deed recorded as Document <br />No. 96-101623; Corporation Warranty Deed recorded <br />as Document No. 96-105979 and Corporation <br />Warranty Deed recorded as Document No. 96-105980 <br />15. Name and addres5 of a RECORD OWNER of aboveftdelicribed r~al $l!itate <br /> (it Debtor does not hi;1v~ a relcord interest): <br /> 17. Check MI' applioable and check M one bo.. <br /> Debtor is a n Trust ot n Trustee acting WIth respect to ptop.,tty held in trust or n Decedent1s Estate <br /> 18. Check Mil applicable and ch.ck M one bo.. <br /> = Debtor i. a TRANSMITTING UTILITY <br /> = Filed ill Gonnec;tiOI1 wit,", a Manufactured"Home Tr~f1$j;lc;tioh ~ effective 30 years <br /> Filed in connection with a PubljG~Fjnanl;e Transaction ~ effective 30 years <br /> <br />FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05122/02) <br />
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