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Witness Carolina Green Coro <br /> Contractor: {Trade or Corporate P3arne } <br />(Pro <br />netar <br />hi <br />o <br />P <br />p <br />s <br />p <br />r <br />artnership) <br />..Attest {Corporation) Title: ~.-t3'yt.¢~ ~C~~ <br /> (Owner. Partner,. or Corp.. <br />Pres. ar'/ice Pres. only] <br />~L <br />~ 2 <br />- <br />- <br />Title : ~ <br />(Corp: Sec. _or.~4ss . ~ . ~n~.y} ` . ~A~L.~ <br />~kr~ <br />~~K'-~-~-+ <br />C% <br /> ' " <br />'(;{'orpo-rate Seal } <br /> 1RAVSf~RS [•~-SnAr~rv APID SURELY ColfPAt~IY <br /> OF AMBRiCA <br /> {'Surety Company) , <br />• Witness • By. ~~ •~ <br />~~t~~,~ Ttie, Donna K_ Ashley,. Attorney-ln-Fact <br />Jennifer Hoehn {Attorney ftl Fact) <br />Countersigr7ed <br />~ '- ~ ~ ~ <br />~'~ <br />(Suretyr~Corporate :Seal) <br />Jennifer C. Hoehn r <br />(N.G. Lic~rssed Resident Agent) <br />Wachovia Insurance Services <br />P.O. Boa 220748 - <br />Chailotte,::NG 28222 <br />_ r <br />Name and Address-SlTrety Agency <br />1Yavelers Casualty and Surety <br />Company of America <br />P.O. Boa 473550 <br />Charlotte, NC .28247 <br />Surety Comp~rty Marne and N.C. <br />Reg)onal ar i3ranoh c~ffiee Address <br />i- <br />