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<br />N <br />C$l <br />C$l <br />0'> <br />C$l <br />-....J <br />.j:::o. <br />.j:::o. <br />0') <br /> <br /> <br />o <br /> <br />Q <br />rrl <br />r""l <br />CJ <br />U) <br /> <br />-" :~~~. I <br /> <br />";'0 <br />m <br />..,., <br />c: <br />Z <br />~;:; <br />\.,'1: <br /> <br />nn <br />:x: > <br />m (I) <br />O:C <br />,.;: <br /> <br />.... <br />;~~~:~..,' <br />~'.. ~\ <br />~: ~~, ~ <br />I' ............. <br /> <br />~{'.,- <br /> <br />'."1 <br /> <br />1.'......,,> <br />C:;;:,::)o <br />C:=J <br /><.-n <br /> <br />nn <br />~> <br />n (1'1 <br />;;1l;::X: <br /> <br />FINANCING STATEMENT <br />/ INSTRUCTIONS front and back CAREFULLY <br />E & PHONE OF CONTACT AT FILER [optional] <br />I SERVICING 800.775.8015 <br />) ACKNOWLEDGMENT TO: (Name and Address) <br /> <br />C""") <br />N <br />~ <br /> <br />7.:J~ <br />1:\ ...~ <br />k <br />t-- <br /> <br />:n <br />::3 <br /> <br /> <br />I <br /> <br />rFIRST MUTUAL BANK <br /> <br />Rc:\ E:,w- <br /> <br />~ <br />~ <br />N <br />CO <br /> <br />PO BOX 1647 <br /> <br />BELLEVUE, WA 98009-1647 <br /> <br />200607446 <br /> <br />L <br /> <br />~ <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only QOll debtor name (la or 1b). do not abbreviate or oombine names <br /> <br />(") (/) <br />O-l <br />C:t> <br />Z-l <br />-;/'Tl <br />-<0 <br />0-" <br />-., -,... <br />.:r:: rT] <br />);> en <br />r ::u <br />r 1> <br />(j) <br />;;><; <br />~ <br /> <br />-.......... <br /> <br />U'> <br />(J) <br /> <br />oQ;' <br />r'\)fD <br />o[ <br />OG;- <br />m <br />S" <br />~g <br />~i <br /> <br />enZ <br />Q <br /> <br />/o.OTJ <br /> <br /> 1 a. ORGANIZATION'S NAME <br />OR lb. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> MENDOZA GRANADOS EFREN <br />lc. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />311 N RUBY AVE GRAND ISLAND N E 68803 US <br />1(1 TAX ID #: SSN OR EIN I ;DD'L INFO RE 11e. TYPE OF ORGANIZATION 11. JURISDICTION OF ORGANIZATION 19. ORGANIZATIONAL ID #, If any <br /> ORGANIZATION I I I nNONE <br /> DEBTOR <br /> <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME. insert only QOll 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 SU FFI X <br /> MENDOZA ROSA ERIVES <br />20. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />311 N RUBY AVE GRAND ISLAND NE 68803 US <br />2d. TAX ID #; SSN OR EIN I tD'L INFO RE 12e TYPE OF ORGANIZATION 2t. JURISDICTION OF ORGANIZATION 2Q, ORGANIZATIONAL ID #, if any <br /> ORGANIZATION I nNONE <br /> DEBTOR I I <br /> <br />3. SECURED PARTY'S NAME (or NAME ofTOTAL ASSIGNEE of ASSIGNOR SIP) . Insert only QOll secured party name (3a or 3b) <br />3a. ORGANIZATION'S NAME FIRST MUTUAL BANK <br /> <br />OR 3b, INDIVIDUAL'S LAST NAME <br /> <br />FIRST NAME <br /> <br />MIDDLE NAME <br /> <br />~~ 9'-(~-o..b <br /> <br />SUFFIX <br /> <br />3c. MAILING ADDRESS <br />PO BOX 1647 <br /> <br />CITY <br /> <br />STATE POSTAL CODE <br /> <br />4. This FINANCING STATEMENT covers the followlno collateral: <br /> <br /> <br />98009-1647 <br /> <br />BELLEVUE <br /> <br />WATER SYSTEM <br />PARCEL ID: 400069725 <br /> <br />FIXTURE FILING <br /> <br />COUNTRY <br /> <br />US <br /> <br />LEGAL: LOT EIGHT (8), BLOCK THIRTEEN (13) PACKER AND BARR'S ADDITION TO THE CITY OF GRAND ISLAND, <br />HALL COUNTY, NEBRASKA. <br /> <br />SITUATE IN THE COUNTY OF HALL, STATE OF NEBRASKA. <br /> <br />ADDRESS: 311 RUY AVE, GRAND ISLAND, NE 68803. <br /> <br /> <br />Mendoza, E, 52-114609-08 <br /> <br />1 +4 {~ Ai e <br /> <br />FILING OFFICE COpy - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 07/29/98) <br /> <br />$/0- <br />