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3a. ORGANIZATION'S NAME
Wells Fargo Bank, N.A.
3b. INDIVIDUALS LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
3c. MAILING ADDRESS
PO Box 8203
CITY
Boise
STATE
ID
POSTAL CODE
83707 -2203
COUNTRY
USA
UCC FINANCING STATEMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
OR
A. NAME PHONE OF CONTACT AT FILER [optional]
Phone:(800) 331 -3282 Fax: (818) 662 -4141
OR
411
2c.
B. SEND ACKNOWLEDGEMENT TO: (Name and Address)
2d. S
P
CT Lien Solutions
P.O. Box 29071
Glendale, CA 91209 -9071
L
File with: CC WY Lincoln, WY
1. DEBTOR'S EXACT FULL LEGAL NAME insert only one debtor name (1 a or 1 b) do not abbreviate or combine names
la. ORGANIZATION'S NAME
THE GREAT NORTHERN COFFEE COMPANY
1 b. INDIVIDUALS LAST NAME
5 SOUTH PUB PLACE
ADD'L INFO RE
ORGANIZATION
DEBTOR
le. TYPE OF ORGANIZATION
CORPORATION
FIRST NAME
CITY
JACKSON
1f. JURISDICTION OF ORGANIZATION
WY
MIDDLE NAME
STATE
WY
POSTAL CODE
83001
lg. ORGANIZATIONAL ID if any
1991 000267421
lc. MAILING ADDRESS
1d. SEE INSTRUCTIONS
2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one debtor name (2a or 2b) do not abbreviate or combine names
2a. ORGANIZATION'S NAME
2b. INDIVIDUAL'S LAST NAME
MAILING ADDRESS
EE INSTRUCTIONS
ADD'L INFO RE
ORGANIZATION
DEBTOR
2e. TYPE OF ORGANIZATION
FIRST NAME
CITY
2f. JURISDICTION OF ORGANIZATION
MIDDLE NAME
STATE
POSTAL CODE
2g. ORGANIZATIONAL ID if any
3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S /P) insert only one secured party name (3a or 3b)
4. This FINANCING STATEMENT covers the following collateral:
All Fixtures; whether any of the foregoing is owned now or acquired later; all accessions, additions, replacements, and substitutions relating to any of the
foregoing; all records of any kind relating to any of the foregoing; all proceeds relating to any of the foregoing (including insurance, general intangibles
and accounts proceeds)
5. ALTERNATIVE DESIGNATION [if applicable]
LESSEE/LESSOR
8417 WFB -BBG- BOISE -M
26301025
WYOM
FIXTURE
CONSIGNEE/CONSIGNOR
6. [xi This FINANCING STATEMENT is to be filed [for record] (or recorded) in the REAL 17. Check to REQUEST SEARCH REPORT(S) on Debtor(s)
L J ESTATE RECORDS. Attach Addendum fif aoolicablel [ADDITIONAL FEF1 footionall
8. OPTIONAL FILER REFERENCE DATA
26301025 3642003019 34
FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT (FORM UCC1) (REV. 05/22/02)
RECEIVED 12/2/2010 at 4:10 PM
RECEIVING 956998
BOOK: 758 PAGE: 223
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
00 223
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
BAILEE/BAILOR ❑SELLER/BUYER
AG. LIEN C
All Debtors C Debtor 1
SUFFIX
COUNTRY
USA
SUFFIX
COUNTRY
NON -UCC FILING
NONE
NONE
Debtor 2
Prepared by CT Lien Solutions, P.O. Box 29071,
Glendale, CA 91209 -9071 Tel (800) 331 -3282
JR
12a. ORGANIZATION'S NAME
12b. INDIVIDUALS LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
12c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
13. This FINANCING STATEMENT covers timber to be cut or as- extracted
collateral or is filed as a fixture filing.
14, Description of real estate:
Description: Real Property: 108740 N US Hwy 89, Etna,
WY 83118 Lot 1, DEC SUBDIVISION as shown on the plat
thereof that was recorded in the land records of Lincoln
County, Wyoming on April 14, 2004, as Instrument No.
898490 and Plat No. 315 -A Together with a nonexclusive
60 -foot wide right of way easement for inqress and egress
from and to U.S. Highway 89 as shown on said Plat. Parcel
#3519- 023 -00 -345
15. Name and address of a RECORD OWNER of above described real estate
(if Debtor does not have a record interest):
16. Additional collateral description:
17. Check only if applicable and check only one box.
Debtor is a Trust or Trustee acting with respect to property held in trust or
Decedent's Estate
18.
Check only if applicable and check only one box.
Debtor is a TRANSMITTING UTILITY
Filed in connection with a Manufactured -Home Transaction effective 30 years
Filed in connection with a Public- Finance Transaction effective 30 years
Prepared by CT Lien Solutions. P.O. Box 29071
AME OF FIRST DEBTOR (la or 1b) ON RELATED FINANCING STATEMENT
9a. ORGANIZATIONS NAME
9b. INDIVIDUALS LAST NAME
17 WFB -BBG- BOISE -M
e with: CC WY Lincoln, WY
FIRST NAME
MIDDLE NAME,SUFFIX
3642003019 -34
FINANCING STATEMENT ADDENDUM
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
9.
OR
10. MISCELLANEOUS
26301025 -WY -23
0
84
Fil
11. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one name (11a or 11b) do not abbreviate or combine names
11a. ORGANIZATIONS NAME
11b. INDIVIDUAL'S LAST NAME
MAILING ADDRESS
SEE INSTRUCTION
ADD'L INFO RE
ORGANIZATION
DEBTOR
11e. TYPE OF ORGANIZATION
FIRST NAME
CITY
11f. JURISDICTION OF ORGANIZATION
MIDDLE NAME
STATE
POSTAL CODE
11g. ORGANIZATIONAL ID if any
OR
11c.
11d.
S or LJ ASS S P's NAME insert only one name (12a or 12b
FILING OFFICE COPY NATIONAL UCC FINANCING STATEMENT ADDENDUM (FORM UCC1Ad) (REV. 05/22/02)
000224
THE ABOVE SPACE IS FOR FILING OFFICE USE. ONLY
SUFFIX
COUNTRY
C
NONE
Glendale, CA 91209 -9071 Tel (800) 331 -3282