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<br /> <br /> <br /> 10 ~ m <br /> m t-..:> <br /> C"~ ("') Ul Z <br /> .." en c=> 0 <br /> c: % c.co 0 -! rr1 <br /> z '.., / c: l> <br /> " ..-\'- :3 :z -! N :IJ <br /> J: S C ::0 ~' ::0 -! rT1 0 m <br /> " ~ fTI ..... -c;; -< 0 0 <br />lANCING STATEMENT n ~~-- t-" 0 ..,., 0 :J> <br />NSTRUCTIONS (front and back) CARE FULL Y JIl; :c ..L: "'T'1 en <br /> '"T1 z CD Z <br />HONE OF CONTACT AT FILER [optional] C) ~ :c rrl <br /> Pl -0 l> (0 0 ~ <br />hone:(800) 331-3282 Fax: (818) 662-4141 r~ t :::3 r- ;:0 <br /> C) r- :I>- e..:> :IJ <br />(NOWLEDGEMENT TO; (Name and Address) 19877 AQUA FINANCE, (/> (f) -.J C <br /> t-" ;:><:: s:: <br /> I )> w m <br /> .....t:: -......- ~ <br />l'T Lien Solutions RfT 'EN-V' t-" (p -.J <br />18676535 (fJ ;:z <br />C:I l-I~N SoWti,,~s '0 <br />p, O. Box 29071 <br />--Glendale, CA 91209-9071 NENE <br />L FIXTURE .-J <br /> <br />N <br />S <br />S <br /><.0 <br />S <br />VJ <br />-...,J <br />VJ <br />-...,J <br /> <br />'-1 <br /> <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY <br />1. DEBTOR'S EXACT FULL LEGAL NAME - insert only one debtor name (1a or 1b) - do not abbreviate or combine names <br /> <br />File with: CC NE Hall, NE <br /> <br />/0..;)0 <br /> <br /> - <br /> la. ORGANIZATION'S NAME <br />OR <br /> lb. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br /> LABELLE NORA A <br />1 c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />2122 W 4TH ST GRAND ISLAND NE 68803 USA <br />ld. SEE INSTRUCTIONS ]D'l INFO RE reo TYPE OF ORGANIZATION 11. JURISDICTION OF ORGANIZATION 19. ORGANIZATIONAL 10 #, If any <br /> RGANIZATION D NONE <br /> DEBTOR <br /> <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME - insert only O..QJL debtor name (2a or 2b) - do not abbreviate or combine names <br /> <br />~ <br />- <br /> <br />- <br />- <br /> <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br />- <br /> <br /> 2a. ORGANIZATION'S NAME <br />OR <br /> 2b. INDIVIOUAl'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />2c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />2d. SEE INSTRUCTIONS ~:D'L INFO RE 12e. TYPE OF ORGANIZATION 2f. JURISDICTION OF ORGANIZATION 29. ORGANIZATIONAL 10 #, if any <br /> RGANIZATION D NONE <br /> DEBTOR <br /> <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR SIP) - insert only OM- secured party name (3a or 3b) <br /> <br />== <br />- <br /> <br />- <br />~ <br />== <br />- <br />- <br />- <br /> <br /> 3a. ORGANIZATION'S NAME <br /> AQUA FINANCE INC <br />OR <br /> 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX <br />3c. MAILING ADDRESS CITY STATE I POSTAL CODE COUNTRY <br />PO BOX 844 WAUSAU WI 54402 USA <br /> <br />- <br />= <br />- <br />- <br />- <br />- <br /> <br />4. This FINANCING STATEMENT covers the fOllowing collateral: <br /> <br />WATER TREATMENT SYSTEM <br /> <br />5. ALTERNATIVE DESIGNATION [if applicable) <br />6. X IN A <br /> <br />8. OPTIONAL FILER REFERENCE DATA <br />18676535 <br /> <br /> <br />NON-UCC FILING <br /> <br />S000707675 <br /> <br />19877 <br /> <br />Prepared bv CT Lien Solullons, P.O. Box 29071, <br />Glendale, CA 91209-9071 Tel (800) 331-3282 <br /> <br />FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02) <br />