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UCC FINANCING STATEMENT <br />I ow Instructions (front and back) Carefully <br /> <br />'~ . ~VlE & PHONE OF CONTACT (opdonal) <br /> <br /> B. SEND ACKNOWLEDGEMENT TO: (Nan~ and Address) <br /> <br />Wells Fargo Brokerage Services, LLC <br />Atm: Michelle Trujillo <br />1740 Broadway - MAC C7300-011 <br />Denver, Colorado 80274 <br /> <br />ABOVE SPACE FOR FILING OFFICE USE ONLY <br /> <br />I. DEBTOR'S EXACT FULL LEGAL NAME: Insert only one debtor name (I a or I b) - do not abbreviate or combine names <br /> I a. ORGANIZATION'S NAME <br /> <br /> City of San Marcos <br /> I b. INDIVIDUAL'S LAST NAME <br /> <br />OR <br /> <br />lc. MAILING ADDRESS <br />630 E. H(~pkins <br /> <br />ld. TAX ID #: SSN OR EIN <br />(OPTIONAL: NOT REQUIRED) <br /> <br />lc. TYPE OF <br />ORGANIZATION <br />City. <br /> <br />FIRST NAME MIDDLE NAME SUFFIX <br /> <br /> San Marcos TX 78666 USA <br />CITY STATE POSTAL CODE COUNTRY <br /> <br />If. JURIDDICTION OF ORGANIZATION lg. ORGANIZATIONAL ID #, If any <br /> TX [] NOrm <br /> <br />2. ADDITIONAL DEBTOR'S FULL LEGAL NAME - Insert only one debtor name (2a or 2b) - do not abbreviate or combine names <br /> 2a. ORGANIZATIOWS NAME <br /> <br /> 2b. INDIVIDUAL'S LAST NAME <br /> <br />2c. MAILING ADDRESS <br /> <br />2d. TAX ID #: SSN OR EIN <br />(OPTIONAL: NOT REQUIRED) <br /> <br />ADD'L llqFo KE <br />ORGANIZATION <br />DEBTOR <br /> <br /> FIRST NAME MIDDLE NAME SUFFIX <br /> <br /> CITY STATE POSTAL CODE COUNTRY <br /> <br />ORGANIZATION2e' TYPE OF 2 f. JURIDDIGTION OF ORGANIZAT ON 2g, ORGAN ZAT ONAL ID g, If any [] NONE <br /> <br />3. SECURED PARTY'S NAME (or NAME of TOTAL ASSIGNEE of ASSIGNOR S/P) - insert only o~ne secured patty name (3a or 3b) <br /> <br />3b, IND VIDUAL S LAST NAME <br /> <br />3c. MAILING ADDRESS <br /> <br />1740 Broadway, MAC C7322-026 <br /> <br />4. This FINANCING STATEMENT covers the following collateral: <br /> <br />FIRST NAM~enver MIDDLE NAME [ SUFFIX <br /> <br />CITY STATE POSTAL CODE COUNTRY <br /> CO 80274 USA <br /> <br />Self Contained breathing apparatus & breathing air station Lease No. 1626-001 <br /> <br /> This FINANCING STATEMENT is to be Sled (for record) in the REAL 7. Check to REQUEST SEARCH REPORT(S) on Debtor(s) (Optional) <br /> <br /> ESTATE RECORDS [] All Debtors [] Debtor 1 [] Debtor 2 <br /> <br />OPTIONAL FILER REFERENCE DATA <br /> <br /> NATIONAL UCC FINANCiNG STATEMENT (FORM UCC1 ) (REV. 07/1/01 <br /> <br /> <br />