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UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME & PHONE OF CONTACT AT FILER [optional]
ANDREA BURCHARD 307·733·8064
B. SEND ACKNOWLEDGMENT TO; (Name end Address)
f;NK OF JACKSON HOLE
990 W. BROADWAY
P.O. BOX 7000
JACKSON, WY 83002
I
RECEIVED 4/24/2007 at 10:39 AM
RECEIVING # 928697
BOOK: 655 PAGE: 539
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
L
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THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
10, INITIAL FINANCING STATEMENT FILE #
897081 BK 547 PG 595
1 b, This FINANCING STATEMENT AMENDMENT is
r.:J to be filed (for record) for recorded) in the
L!.I REAL EST ATE RECORDS.
TERMINATION: Effectiveness of the Financing Statement identified above is termineted with respect to security ¡ntarestls) of tho So cured Party authorizing this Termination Statement.
2.
3. CONTINUATION; Effectiveness of the Financing Statement Idantlfied above with respact to security Interest Is) of the Secured Party authorizing this Continuation Statament Is
continued for the additional period provided by applicable low .
4. ASSIGNMENT (full or partial): Give nome of assignee in Item 7a or 7b and address of assignee in item 7c; and also give name of assignor In Item 9.
5. AMENDMENT (PARTY INFORMATION); This Amendment affects
6. CURRENT RECORD INFORMATION:
j~U~~~;~~::E
7. CHANGED (NEW) OR ADDED INFORMATION;
a, OR A A
, FIRST NAME
¡SUFFIX
I MIDDLE NAME
, I any
e.
8. AMENDMENT (COLLATERAL CHANGE); check only .2.!!! box.
Describe collateral 0 deleted or 0 added, or give entire 0 restated collateral description, or describe collatarel 0 assigned.
[XJNONE
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT Iname of assignor, if this is an Assignment), If this I. on Amendment authorized by a Debtor which
odds collateral or odds the authorizing Debtor, or if this i. a Termination authorized by a Debtor, check here .and enter nome of DEBTOR authorizing this Amendment.
10. OPTIONAL FILER REFERENCE DATA
Bankar. Systems, Inc., St. Cloud, MN Form UCC-3-LAZ 6/30/2001
FILING OFFICE COPY -- NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98)