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<br />~~ <br />~ <br /> <br />~""'~ r,: <br /> <br />~~ <br /> <br />ca u~ <br /> 1117 ~ \ ~ ~ ~ ~,~] <br /> <br />~ ~r_ ~ C~ ~ <br />~ <br />~' ~'"~"~ DANCING STATEMENT a ~ ~ ,~; ~ ~ <br />~ ` STRUCTIONS front and back CAREFULLY r a ~~ ""i7 =~' rxti CJ [ <br />jy <br />~ PHONE OF CONTACT AT FILER [optional] (w ~ ~ ~ ~ ~j ~ <br />~- <br />~ vO, H--~+ ~ --~ ~ <br /> :KNOWLEDGMENT TO: (Name and Address) T? <br /> F--- ~ ~ <br />"'~ <br />~ Equitable Bank t,.~ ~ <br />~r PO Box 160 Q <br />"'""~ Grand Island, NE 68802-0160 <br />L <br />THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY /D's~ <br />1. OEBTOR'S EXACT FULL LEGAL NAME -insert only one debtor name (1 a or 1 b) - do not abbreviate or combine names <br /> 1 a. ORGANIZATION'S NAME <br /> HEARTLAND DISPOSAL, INC. <br />OR 1 b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME <br /> <br />1c. MAILING ADDRESS CITY STATE POSTAL CODE <br />2423 W. OLD LINCOLN HWY GRAND ISLAND NE 68803 <br />1d. SEE INSTRUCTIONS ADD'L INFO RE /e. TYPE OF ORGANIZATION 1f. JURISDICTION OF ORGANIZATION 1 g. ORGA NIZATIONAL ID #, If any <br /> ORGANIZATION COr OratlOn NE <br />p <br /> DEBTOR <br />2. ADDITIONAL DEBTOR'S EXACT FULL LEGAL NAME -insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br />OR <br />ADDRESS <br />FIRST NAME <br />2d. SEE INSTRUCTIONS D'L INFO RE e. I <br />DEBTOR ATION~ - i ICTION OF ORGANIZATION <br />3. $ECURE~ PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S!P) -insert only one secured party name (3a or <br />3a. ORGANIZATION'S NAME <br />Equitable Bank <br />OR 3b. INDIVIDUAL'S LAST NAME FIRST NAME <br />MIDDLE NAME <br />any <br />SUFFIX <br />COUNTRY <br />USA <br />COUNTRY <br />SUFFIX <br />x. mhu_Irv~ Auun~aa LI I r S I A I C POSTAL CODE COUNTRY <br />PO Box 760 Grand Island NE 68802-0160 USA <br />4. This FINANCING STATEMENT covers the following collateral: <br />All Inventory, equipment, accounts (including but not limited to all health-care-insurance receivables!, chattel paper, instruments (including but <br />not limited to all promissory no#es1. latter-of-credit rights, letters of credit, documents, deposit accounts, investment property, money, other <br />rights to payment and performance, and general intangibles (including but not limited to all software and all payment intangibles!; all oil, gas <br />and other minerals before extraction; all oil, gas, other minerals and accounts constituting as-extracted collateral; all fixtures; all timber to be <br />cut; all attachments, accessions, accessories, fittings, increases, tools, parts, repairs, supplies, and commingled goods relating to the <br />foregoing property, and all additions, replacements of and substitutions for all or any part of the foregoing property; all insurance refunds <br />relating to the foregoing property; all good will relating to the foregoing property; all records and data and embedded software relating to the <br />foregoing property, and all equipment, inventory and software to utilize, create, maintain and process any such records and data on electronic <br />media; and all supporting obligations relating to the foregoing property; all whether now existing or hereafter arising, whether now owned or <br />hereafter acquired or whether now or hereafter subject to any rights in the foregoing property; and all products and proceeds (including but <br />not limited to all insurance payments) of or relating to the foregoing property. <br />5. AL <br />OPTIONAL FILER REFERENCE DATA <br />All Debtors I I Debtor 1 1 I Debtor 2 <br />FILING OFFICE COPY - UCC FINANCING STATEMENT (FORM UCC1) (REV. 05!22!02) <br />-----. <br />Harland Financial Solutions <br />400 S.W. 6th Avenue, Portland, Oregon 97204 <br />