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<br />INANCING STATEMENT
<br />INSTRUCTIONS front and back CAREFULLY
<br />&PHONE OF CONTACT ATFILER [optional]
<br />3-8026
<br />ACKNOWLEDGfllENT TO: (Narm, and Address)
<br />J)liJEIZSI rtEb
<br />DIVERSW~QDFINANCIAL SERVICES, LLC
<br />14010 FIRSfNATIONAL BANK PKWY
<br />. STE 400 ,,;,7E Y-~6
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<br />OMAHA, NE 68154
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<br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
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<br />I, DEBTOR'S EXACT FULL LEGAL NAME -In"mtonly"no dobt", ""mMia,,, 1b) .donotabbr"";illeorcomblnenames
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<br />10. MAII.ING ADDRESS
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<br />- :lIRST NAME - "-
<br />KENNETH
<br />., CITY
<br />
<br />WOOD RIVER
<br />AWL INFO RE : 1 e TYPE OF ')RGANlZATIO'N------ if JURISOiCTlONOF ORGANiZATION
<br />ORG/I.NIZATION
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<br />m_-S:-~;'~'--F:y-
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<br />..... ........ '1g:'0il'(lANi'ZATlONAL 10 #, if any
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<br />5212 S. BURWICK RD
<br />-i<i"seei'NSTRUciioNS' .
<br />
<br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME. il1.611 (,nly"".!! <JoNOI l1.mo (20 or 2b) . do 110t obbreviatE> 01 ooml>l"" namo.
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<br /> 2.. ORGANIZATION'S NAME
<br />OR 21>. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX
<br /> LAYHER HARLAND L.
<br />20. MAILING ADDRESS ~ CITY STATE IPOSTAL CODE COUNTRY
<br />11962 W, SCHULTZ RD WOODRIVER NE 68883
<br />20. SEEINSTRLJCTIONS I;OD'L.INf'O f.1~ ,20, lYP'" Of' ORGANllATlON 2f, JU RISDICTlON OF ORGANIZ!\ TlON 2g. ORGANIZA T1ON11L 10 #, it any
<br /> ORGANIZATION I nNONE
<br /> DEBTOR I I I
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<br />:I SE CURE D PARTYS NAME/or NAMEoITOT/lI..A:';SIGNEE of ASSIGNOR SIP) .1nr."It""IYQIl6soourodpaftyname (3aor31>)
<br />3i"6RGA}iIZA~no-Ni~fNA-MEm._.._m_.- m____..... . .m.. ..___nom m.nn....__ nommmm on _________________________m_m___._____________
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<br />DIVERSIFIED FINANCIAL SERVICES, LLC
<br />OR 3b.iNDIVII)UAL'SLASTNAME-''''
<br />
<br />FIRST NAP.lE
<br />
<br />MIDDLE NAME
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<br />SUFFIX
<br />
<br />30. MAILING ADf)RFSS
<br />
<br />CITY
<br />
<br />,sfi\TEir'Ds'fALcODE
<br />
<br />COUNTRY
<br />
<br />14010 FIRST NATIONAL BANK PKWY STE 400
<br />
<br />OMAHA
<br />
<br />NE
<br />
<br />68154
<br />
<br />4. This FINANCING STATEMENT opvel5 the fQII'JWil1g coUatE>ral:
<br />
<br />1 NEW MODEL 8000 VALLEY PIVOT 1296' 7-TOWER SIN 10624694
<br />
<br />
<br />Debto, 2
<br />
<br />0135561-002
<br />
<br />FILING OFFICE COPY - UCC FINANCING STATEMENT (FORM UCC1) (REV. OS/22/02)
<br />
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