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23 <br /> and provisions; and Grantee shall agree in said written acceptance to abide by, to observe <br /> and to perform the same according to all of its terms and provisions, subject to applicable <br /> state and federal law and shall declare that statements and recitals contained on said <br /> Franchise are correct and that it has made and does make the agreements and statements <br /> set forth in this Franchise. Acceptance herein referred to shall be in the following form: <br /> The undersigned, , in his/her capacity as of the South Orange Rescue Squad, <br /> Inc., and on behalf of that agency, does hereby accept and approve the foregoing and <br /> attached Franchise and all of its terms and conditions; and in consideration of the benefits <br /> and privileges granted to it does hereby agree to abide by, carry out, observe and perform <br /> all of the obligations and things provided to be carried out and performed by it in said <br /> Franchise approved by the Grantor Commissioners, subject to applicable state and federal <br /> law. <br /> This the day of , 20 <br /> FOR GRANTEE: <br /> STATE OF NORTH CAROLINA ) <br /> ) <br /> COUNTY OF ORANGE ) <br /> On the day of , 20 before me a Notary Public for the County <br /> and State aforesaid, personally appeared before me <br /> on behalf of said agency, acknowledges the signing and execution of the foregoing <br /> instrument. <br /> IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed by <br /> notarial seal on the day and year above written. <br /> Notary Public <br /> My Commission Expires: <br /> South Orange Rescue Squad, Inc. <br /> EMS Franchise Agreement <br /> Page 19 of 23 Rec. 11/2016 <br />