Orange County NC Website
-• .• <br /> 1 • . ' <br /> i <br /> Executed in Three -counterparts. <br /> 1 <br /> Wit nes s: Durham ConstructionCompany, Inc. <br /> Contractor: (Trade or Corporate Name) <br /> 1 <br /> BY: <br /> (Proprietorship or Partnership) <br /> i Title: i.r. 1,-„„,..,•,,•e_/ <br /> Attest: (Corporaton) r „ ,„ ..s-- -.•- <br /> ...... , <br /> Owner, Partner Car. --,0;.?, es. <br /> or <br /> H <br /> • By:. 02 7-21 .rig. ___ .,... <br /> 1 . <br /> Title: .,....X.L.c_ . — <br /> (Corp. Sec. or Assist. , <br /> —_- .- <br /> Sec. only) (Corporate Seal) <br /> 1 <br /> 1 . <br /> Pennsylvania National Mutual Casualt • urance <br /> (:721:.j/Ve. v, Company) co_•1„,: . <br /> Witness: • By 7 ... ,..-------- <br /> i <br /> -)XfAce./ •1/, diiii ..,12, Title: <br /> • <br /> (Attorney in Fact) <br /> Countersigned: <br /> (Surety Corporate Seal) <br /> . . <br /> N. C. Licensed Resident Agent <br /> Collier Cobb & Associates of the Carolinas, Inc. <br /> P. O. Box 2166 <br /> Chapel Hill, North Carolina 27514 <br /> -Name and Address - Surety Agency <br /> Pennsylvania National Mutual Casualty Insurance Company <br /> P. u. wrawer z112/- <br /> Greensboro, N. C. 27420 <br /> Surety Company Name and N. C. <br /> Regional or Branch Office Address <br /> . . <br /> - . <br /> . - <br /> . - <br />