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.. fir ,-~~- UCC FINANCING STATEMENT ADDENDUM FOLLOW INSTRUCTIONS (front and back) CAREFULLY 9. NAME OF FIRST DEBTOR (1a or 1b) ON RELATED FINANCING STATEMENT 9a. ORGANIZATION'S NAME OR 9b, INDIVIDUAL'S lAST NAME I FIRST NAME I MIDDLE NAME,SUFFIX RODRIGUEZ AIDA 10.MISCELLANEOUS: THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 200706019 11. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only = name (ll.or 11b) -do notabbreviato or combine name. 11a, ORGANIZATION'S NAME OR 11 b, INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX 11 c, MAILING ADDRESS CITY STATE rOSTAL CODE COUNTRY 11d. SEE INSTRUCTIONS I:DD'l INFO RE 111.. TYPE OF ORGANIZATION 111. JURISOICllON OF ORGANIZAllON 11g, ORGANIZATIONAL ID #, If any ORGANIZATION n NONE DEBTOR I I I 12. 1 ADDITIONAL SECURED PARTY'S 111 n ASSIGNOR SIP'S NAME. insert only = name (120 or 12b) 12a, ORGANIZATION'S NAME OR 12b, INDIVIDUAL'S lAST NAME FIRST NAME MIDDLE NAME SUFFIX 12c. MAILING ADDRESs CITY STATE rOSTAL CODE COUNTRY 13, This FINANCING STATEMENT covers D timber to be cut or D as-extracted 16. Add~ion.1 collateral d.scription: cOllat.,.I, 0' I. fll.d .. . ~ fixture filing. 14. Description of real estate; PARCEL 400059037 Lot Five (5) Block Thirty-Two (32) John W. Lambert's Addition to the city of Grand Island, Hall County, Nebraka 15. Name and addre5$ of it RECORD OWNER of above-de5cribed r&BI 85ta.tlil (if Debtor doe5 not have a record intere5t): 17. Check 2Dbl if applicable and check 2Dbl one box, Debtor is a n Trust or n Trustet!!l acting with rS:!ipect to property htllld in trU!it or n Decedent's Estate 18. Check 2Dbl if applicable and check 2Dbl one box, Debtor i. a TRANSMITTING UTILITY Filed in connection with. M.nufactured-Home Tran.actlon - effective 30 ye.,s Flied In ccnnliillction with a Public-Finance Transaction - effective 30 years . . International AssOCiation of CommerCial Administrators (IACA) FILING OFFICE COPY - UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02)