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<br />,StatBrllaat for Rag. Of Ufieds OP Secy. Ot state v Uf11i0r111 eofnfflBretaf cone For Fling officer <br />f Debtor(s) (Last Name First) amend dr resslos) 2 SOCUred Party of Record anal Address ~n~ t, <br />Lutheran Hospitals & Homes Aid Association for Lutheran 7 ~~'t f ~~u <br />Society of America 4321 North Ballard Road <br />?O NorthSth St. , Box 20&7 Appleton, WI 54919 <br />Fargo, North Dakota <br />County of Residence: 3 No. of Additional Sheets Presented: <br />Q This statement refers Yfl original Financingg Statement filed on T1af~ 27. 1972 __ <br />Book 5 of Uniform G mmercial Godes, Pa e 475 <br />~148~rOC~ - ~'ISac State--oR-i~Reg, DeedsTor_ Hall County <br />5 ~8w+tinuatiai-The original Finaetcirtg Statement is SSi II effective. <br />6 '~SfTermination -Secured Party no tongm claims a security interest under the original Financing Statement. <br />7 ^ kssigrment -Secured Party's rights under the rriginal Financing Statement have been assigned io the assignee whose name and <br />address is set forth in Item 10. A description of the collateral subject to the assignment is set forth in Item 70. <br />6 ^ Atadwiineut -1Niginal Financirg Stateman~ amended as sat forth in lien ]0. Signattxe of Debtor required at ifemt t uniassamend- <br />meet only Changes name er address of either party. <br />9 Oilale8ae - -Secured Party releases only the collateral described in Item 10. <br />~0 <br />SIGH>TURE OF OEBTOR - ~~T <br />SIGN~TlFRE OF DEBTOR - .ITIE <br />Sij i i~;Yaf ~z cr ~v}+j ~n~ a~Q}fV=( <br />Valid <br />pR ITS AEPREpENia I4'E <br /> <br /> <br />