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<br />Orange Water and Sewer Authority <br />Dedication Form <br />3!6/2008 <br />Orange Water and Sewer Authority <br />400 Jones Ferry Road <br />Post Office Box 35 <br />Carrboro, NC 27510 <br />Re: Southern Orange County Senior Center <br />Dear Sirs: <br />Orange County, North Carolina the current owner of Robert and Pearl Seymour Center, <br />according to Plat Book 102 at Page 99 Orange County Registry, does hereby dedicate <br />and convey unto Orange Water and Sewer Authority, its successors and assigns, all of <br />its right, title and interest in and to the water and sewer lines constructed in accordance <br />with plans titled "Utility Plan As-Built, Sheet Number CD 5.OA" prepared by Coulter, <br />Jewell, Thames, PA, and dated May 3, 2007. <br />IN WITNESS WHEREOF, this letter is executed by the duly authorized officers of <br />Orange County, North Carolina and its corporate seal to be hereunto affixed, all on the <br />day and year first above written. <br />Orange County, North Carolina <br />ATTEST: <br />Donna S. Baker <br />Clerk to the Board of County <br />Commissioners <br />NORTH CAROLINA <br />ORANGE COUNTY <br />By: <br />Barry Jacobs <br />Chair, County Commissioners <br />I, , a Notary Public, hereby certify that (Attester) <br />_personally appeared before me this day and acknowledged that he is the (Position of <br />Company / Corporation), a corporation, and that by authority duly given as the act of the <br />corporation, the foregoing instrument was signed in its name by its (Title), sealed with <br />its corporate seal, and attested as its Secretary. <br />(Notary Public) <br />My Commission Expires: <br />