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[00819
UCC FJNANCJNG STATEMENT AMENDMENT
FOlLOW INSTRUCTIONS (front and.back) CAREFUlLY
A, NAME & PHONE OF CONTACT AT EII.ER {optional]
Busan Gulbrandson
B. SEND ACKNOWLEDGMENTTO: (Name and Address)
r
:First :National ~ank o£ ::PiDedale
::P. O. ~ox 319
::Pinedale, 1\IY B2941
I
RECEJVED 3/8/2006.at 10:21 AM
RECEIVING=# 916486
BOOK: 613 PAGE: B19
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
~'--'-~
L
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,HE ABOVE SPACE IS FOR FJUNG OFFICE USE ONLY
1a, INITIAL FINANCING STATEMENT FIlE >II 1b' This FINANCING STATEMENT AMENDMENT is
~ook 507 ::Page 5Ba Crown Oil & Gas Company, he. ~=.'~;.i~~e~~~b~;~rded) in the
2, ~ lERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement.
3, Ð CONTINUAJlON: Effectiveness of the Financing Statement identiflBd above with IBspect to security interest(s) of the SeculBd Party authorizing this Continuation Statement is
continued 10r the additional period provided by applicable law,
4, ASSIGNMENT (full or partial): Give name 01 assignee in item7a oOb and addlBss 01 assignee in item7c; and also give nama of assignor in item 9,
5, AMENDMENT (PARTY INFORMATION); ,his Amendment affects 0 Debtor J [ Ð Secured Party 01 record. Check only J2Dfi 011hese two boxes.
Also checkJlDl! 01 the following thr.... boxasJlllil provide appropriate information in items 6 andlor7,
TI CHANGE name andIor address: Give currÐl1t record name in item Sa or Bb; also give new Ð DElETE name: Give record name 0 ADD name: Complete item7a oOb, and also
L-' name (il name change) in item 7a oOb andlor new address (il address change) in item 7c. :10 be deleted in item 6a or Bb, item7c; also complete items7d-7g (if applicable),
6, CURRENT RECORD INFORMATION:
6a. ORGANJZATION'S NAME
OR Bb, INDIVIDUAL'SlAST NAME
FIRST NAME
MIDDlE NAME
SUFFIX
7. CHANGED (NEW) OR ADDED INFORMAJiON:
7a, ORGANIZATION'S NAME
OR FIRST NAME MID.DJ..E NAME
7b, INDIVIDUAL'SlAST NAME SUFFIX
7c, MAILING ADDRESS CITY STATE I POSTAL CD.DE COUNTRY
7d,ìAX ID>II: SSN ORElN :D'L INFO RE 17", TYPE OF ORGANIZATION 71. JURlSDlCTtON OF ORGANIZATION 7g. ORGANIZATIONAL 10>11, if any
ORGANIZATION nNONE
DEBTOR I
ß,AMENDMENT (COliAlERAL CHANGE): check onIYJ2Dfibox.
Describe collateral :0 deleted or:O ,added, or give antire 0 r"stated collateral description, or describe collateral 0 assigned,
9. NAME OF SECURED PARTY OF RECORD AUTHORJZING ,MIS AMENDMENT (na
adds collateral or adds the authorizin Debtor, or ilthis is aTermination authorized b
ea. ORGANIZATION'S NAME
DR
:First National :Bank o£ ::Pinedale
9b, INOIVIDUAL'SlAST NAME
SUFFIX
10, OPTIONAL FIŒRREÆRENCEDATA
FlUNG OFFICE C
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NAL utc FINANCING STATEMENT AMENDMENT 1lli¡~m::~!:2:::';C3) (REV. 07/29198)
Bankers Systems, Inc" SI. 1:;:'".