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UUU~41
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: (Nama and 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 # 928699
BOOK: 655 PAGE: 541
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER
,
WY
L
-.J
897184 BK 548 PG 008
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
I~b. This FINANCING STATEMENT AMENDMENT Is
to be filed [for record I (or recorded) In the
REAL ESTATE RECORDS,
Ie, INITIAL fiNANCING STATEMENT FILE /I
2. r vl TERMINATION: Effectiveness of the flnencing Stetement Identified above Is termlneted with respect to security Interestls) of the Secured Perty euthorlzlng this Termination Statement.
3. IT CONTINUATION: Effectivene.. of the finenclng Stetement identified ebove with respect to security interest Is I of the Secured Perty euthorizlng this Continuation Statement Is
continued for the edditlonel period provided by eppliceblelew.
4. ASSIGNMENT (full or partiel): Give neme of essignee In item 7a or 7b and eddress of assignee in item 7c; and also give name of essignor in item 9,
5. AMENDMENT (PARTY INFORMATION): This Amendment affecta
ADD name: Complete item 7e or 7b. and also
ite 7c' also c lete Itams 7d· 7 if a licable,
6. CURRENT RECORD INFORMATION:
:I~~;~;;~~:A":
OR 6b. IN I S NA E
I fiRST NAME
I MIDDLE NAME
¡SUFfiX
8. AMENDMENT (COLLATERAL CHANGE): check only .2!!!t box.
Describe colleteral 0 deleted or 0 edded, or give entire D restated colleterel description, or describe collaterel D assigned.
e.
, any
c.
[X]NONE
9. NAME OF SECURED PARTY Of RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignmentl.1t this is en Amendment euthorized by a Debtor which
edds colleteral or adds the euthorlzlng Debtor, or If this Is e Terminetion euthorized bye Debtor, check here end enter name of DEBTOR authorizing this Amendment,
10. OPTIONAL FILER REFERENCE DATA
Bankers Systems, Inc., St. Cloud, MN form UCC·3-lAZ 6/30/200t
FILING OFFICE COPY -- NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 07/29/98)