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HomeMy WebLinkAbout958231OR la. ORGANIZATION'S NAME 1b. INDIVIDUAL'S LAST NAME Heavin FIRST NAME Joseph MIDDLE NAME E SUFFIX lc. MAILING ADDRESS 1009 Applewood CITY Rock Springs STATE WY POSTAL CODE 82901 COUNTRY USA 1 d. TAX ID SSN OR EIN ADD'L INFO RE Ile. TYPE OF ORGANIZATION ORGANIZATION DEBTOR 1f. JURISDICTION OF ORGANIZATION lg. ORGANIZATIONAL ID if any ONE OR 2a. ORGANIZATION'S NAME 2b, INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 2c. MAILING ADDRESS CITY STATE POSTAL CODE COUNTRY 2d. TAX ID SSN OR EIN ADD'L INFO RE Ile. TYPE OF ORGANIZATION ORGANIZATION DEBTOR I 2f. JURISDICTION OF ORGANIZATION 2g. ORGANIZATIONAL ID if any ONE OK 3b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME SUFFIX 3c. MAILING ADDRESS 513 5th Ave West CITY Rock Springs STATE UT POSTAL CODE 82901 COUNTRY USA UCC FINANCING STATEMENT FOLLOW INSTRUCTIONS (front and back) CAREFULLY A. NAME PHONE OF CONTACT AT FILER [optional] Allan Seth Bingham 435- 630 -6224 B. SEND ACKNOWLEDGMENT TO: (Name and Address) T L ASB Construction, LLC Allan Seth Bingham 513 5th Ave. West Rock Springs, WY 82901 1 1. DEBTORS EXACT FULL LEGAL NAME insert only rgya debtor name (la or 1b) do not abbreviate or combine names 2. ADDITIONAL DEBTORS EXACT FULL LEGAL NAME insert only one debtor name (2a or 2b) do not abbreviate or combine names RECEIVED 2123/2011 at 9:46 AM RECEIVING 95 BOOK: 762 PAGE: 869 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY 000869 THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY 3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) insert onty one secured party name (3a or 3b) 3a. ORGANIZATION'S NAME ASB Construction, LLC 4. This FINANCING STATEMENT covers the following collateral: Legal Description of Property COMM RUN A L 81 T24 R116 S26 Amount owed $1445.69 (853 Spruce Tr, Commissary Lot 81 Unit A in Commissary Ranch Subdivision) 5. ALTERNATIVE DESIGNATION [if applicable]: LESSEE/LESSOR 6. is is o •e e ESTATF RECORDS. Attach Addendum B. OPTIONAL FILER REFERENCE DATA rrecor• or reco m i fi CONSIGNEE/CONSIGNOR e y 7. ec o aonlicahlel (ADDITIONAL •1 y.- on'e•o s AI_ FEEL footionall SELLER/BUYER AG. LIEN NON -UCC FILING All Debtors Debtor 1 Debtor 2 Email: asbconstruction@ymail.com Fax: 801 877 -2415 513 5th Ave. West Rock Springs, WY 82901 To: Joe Ann Heavin 1009 Applewood Drive Rock Springs, WY 82901 Statement Date 2/10/2011 0 Amount Due Amount Enc. $1,445.69 Date Transaction Amount Balance 09/30/2010 Balance forward 0.00 11/09/2010 INV #240. Due 11/09/2010. 1,120.00 1,120.00 11/17/2010 PMT 1,600.00 480.00 11/23/2010 INV #246. Due 11/23/2010. 1,350.61 870.61 12/07/2010 INV #251. Due 12/07/2010. 196.00 1,066.61 01/02/2011 PMT 800.00 266.61 01/03/2011 CREDMEM #255. -43.42 223.19 01/03/2011 INV #256. Due 01/03/2011. 1,222.50 1,445.69 CURRENT 1 -30 DAYS PAST DUE 31 -60 DAYS PAST DUE 61 -90 DAYS PAST DUE OVER 90 DAYS PAST DUE Amount Due 0.00 0.00 1,222.50 223.19 0.00 $1,445.69 Email: asbconstruction@ymail.com Fax: 801 877 -2415 513 5th Ave. West Rock Springs, WY 82901 To: Joe Ann Heavin 1009 Applewood Drive Rock Springs, WY 82901 Statement Date 2/10/2011 0