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<br /> ~ n n <br /> m :I: ~ <br /> "'T'I <br /> c: m en <br /> Z () :c <br /> n S:! c A ,-..~ fT) <br /> :z: (,.~ () (/) ::J <br /> !{' ==> c:> <br />N m ..... c::>? 0 -i fit <br /> n en ~ r::;~ c:: ~ <br />cS ~ :I: ::D Z -i N ~ <br />cSl ~ ~ c: -j fTl <br />en lANCING STATEMENT 1"'"1 ).., c:l c:::> <br />cSl ~ ~~- -< 0 G;- <br />O) STRUCTIONS front and back CAREFULLY \) 0 .,., c:> <br /><D W .,., <br />W 'HONE OF CONTACT AT FILER [optional] .." U. :z 0) 5" <br />-..J '8 "T" n'l <br /> m f -0 l> OJ c:> g <br /> KNOWLEDGMENT TO: (Name and Address) m ::::3 r :;0 <br /> 0 r J> 0) <br /> -, V> (j) to 3 <br /> F\r-Uld... R BOt...o...-c--~ -C :;><: <br /> end R. Baack )> CD <br /> torney-at-Law ~B~<::'-).q ~-\ - t..~ -t: .................. (....) ;a. <br /> CD C/l -.J 2 <br /> __J. Box 790 W x: ~ " , en <br /> Grand Island, NE 68802 ~ x""lo...rtd. ne- &8'rO.;l. 0 <br /> <br /> <br /> <br />200606937 <br /> <br />/tJ.oo <br /> <br />L <br /> <br />-.J <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br /> <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insertonlY2!ll:debtor name (la orl b) -donotabbreviateoroombine names <br />la. ORGANIZATION'S NAME <br /> <br />OR lb.INDIVIDUAL'SLASTNAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />SUFFIX <br /> <br />Martinez <br />1 c. MAILING ADDRESS <br /> <br />Gas er <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />COUNTRY <br /> <br />1 d. SEE INSTRUCTIONS <br /> <br /> <br />le. TYPE OF ORGANIZATION <br /> <br />Liberal <br />11. JURISDICTION OF ORGANIZATION <br /> <br />KS 67901 <br />1 g. ORGANIZATIONAL ID #, l!any <br /> <br />NONE <br /> <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only \l!m 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 /> Martinez Lilia A. <br />20. MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY <br />150 W. Pancake St. Liberal KS 67901 <br />2d SEE INSTRUCTIONS I ;DD'L INFO RE 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL 10#, i!any <br /> ORGANIZATION 1:71 NONE <br /> DEBTOR I I I <br /> <br />3. SECUR ED PARTY'S NAME (or NAME ofTOTAL ASSIGNEEof ASSIGNOR S/P)- insertonlYllDllseoured parlyname (3a or3b) <br /> <br /> 3a. ORGANIZATION'S NAME <br />OR 3b. INDIViDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> Bolles Larrv <br />30 MAILING ADDRESS CITY STATE IPOSTAL CODE COUNTRY <br />P.O. Box 1942 Grand Island NE 68802 <br /> <br />4. This FINANCING STATEMENT covers the following collateral: <br /> <br />All fixtures and other leasehold improvements located upon the real estate described as follows: <br /> <br />Lots Three (3) and Four (4), Block Thirty-Eight (38), in the Original Town, now City of Grand Island, Hall County, <br />Nebraska, <br /> <br />together with all substitutions and replacements for and products of any of the foregoing property and proceeds of any and <br />of the foregoing property, and together with all warehouse receipts, bills of lading and other documents of title now or <br />hereafter covering such goods. <br /> <br /> <br />BAILEE/BAILOR <br /> <br /> <br />Debtor 2 <br /> <br />IS <br /> <br />8. OPTIONAL FILER REFERENCE DATA <br /> <br />International Association of Commercial Administrators (IACA) <br />FILING OFFICE COpy - UCC FINANCING STATEMENT (FORM UCC1) (REV. OS/22/02) <br />