Orange County NC Website
1?' ,, . • .‘' <br /> 0 . <br /> 0 • <br /> Executed in Three counterparts. <br /> Witness: Durham Construction Company, Inc. <br /> Contractor: (Trade or Corporate Name) <br /> 41 - <br /> BY: <br /> (Proprietorship or Partnership) <br /> /7 <br /> Attest: (Corporation) Title: /11. ,.... <br /> (owner) Fartneriar:d9rp......7. 5:5> <br /> or Vice-Priaikz) z .".-z.„:... ,,,,, . <br /> . Z..- <br /> .1 .„, ' •-- <br /> .." ' •:• .,,_,..:.'7.-- '<,.:7-' <br /> Title: <br /> (Corp. Sec. or Assist. -........ .--0 <br /> Sec. only) (Corporate Seal) <br /> . , . <br /> Pennsylvania National Mutual Ca .a <br /> Insurance Company <br /> 23,59t7. Company) <br /> Witness: By: .--..... .. -......--..m.....---__ <br /> . . <br /> ,../ / 41/e. .4,1:1(1/ _-- <br /> Title: <br /> _- <br /> (Attorney in Fact) <br /> Countersigned: <br /> /0111111°." <br /> (Surety Corporate Seal) <br /> 4//./. .,...." ........ ..m. <br /> ---.--------------r <br /> N. C. Licensed Resident Agent . <br /> Collier Cobb & Associates of the Carolinas, Inc. <br /> e. U. ts0X 41bp <br /> Chapel Hill, North Carolina 27514 <br /> Name and Address - Surety Agency <br /> Pennsylvania National Mutual Casualty Insurance Company <br /> 'P. 0. Drawer 21727 <br /> Greensboro, N.C. 27420 <br /> Surety Company Name and N. C. <br /> Regional or Branch Office Address <br /> • <br /> , - <br /> __ . <br />