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•032 Y <br /> $. LIST BOOK AND PAGEL•IERE DEED OR INSTRUMENT I�::ILED IN ORANGE COUNTY:' <br /> BOOK 553 ,...• PAGE 217 A BOOK - ., PAGE ; BOOK ., PAGE <br /> BOOK ,, PAGE J BOOK . , .PAGE_ J BOOK' , PAGE <br /> FINANCIAL RESPONSIBILITY <br /> i. PERSON(S) OR FIRMS) FINANCIALLY RESPONSIBLE FOR THIS LAND DISTURBANCE: <br /> Allen E. Turner <br /> NAME NAME <br /> 5001. Raintree Road " <br /> STREET ADDRESS STREET ADDRESS -_ . <br /> " CURRENT MAILING ADDRESS CURRENT MAILING ADDRESS <br /> Durham, North Carolina: 27712. .- <br /> . CITY . - STATE ZIP CITY • - STATE ZIP <br /> 383-I+856 - - " <br /> TELEPHONE NUMBER . TELEPHONE.NUMBER - <br /> 2. REGISTERED AGENTS IF ANY, FOR THE PERSON OR FIRM FINANCIALLY RESPONSIPA <br /> NAME STREET ADDRESS - - <br /> CURRENT MAILING ADDRESS . .' CITY . . - . - - STATE ZIP <br /> - - <br /> TELEPHONE NUMBER <br /> 3, THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE <br /> AND BELIEF AND WAS PROVIDED, BY ME WHILE UNDER <br /> 2 Allen E. burner <br /> SIGNATURE ' ' TYPE OR PRINT NAME . . _ <br /> . Aug. 7, 1986 . - - - <br /> ownP,-. <br /> TITLE OR AUTHORITY ,. -DATE _ <br /> John J.""Lampe ' ' , A NOTARY PUBLIC OF THE COUNTY OF - <br /> I, - PERSONALLY! <br /> Durham , HEREBY CERTIFY THAT Allen E. burner PdT OF <br /> BEFORE ME THIS DAY 'AND UNDER OATH ACKNOWLEDGED THAT THIS SJATEME <br /> OWNER SHIP AND .FINANCIAL RESPONSIBILITY "FORM WAS EXECUTED BY HIM/HER. <br /> WITNESS MY HAND AND NOTARIAL SEAL, THIS 7 DAY OF Auyus,,, n: ,, 19 86 <br /> - i / . ' - . ' • . _, - ,4 , /ice-i -4,. • 41 a•' �p� !' : <br /> i•No TARY� • • <br /> L : <br /> 7 . <br /> M MT . <br /> - MY COMMISSION EXPIRES , . . <br />