Orange County NC Website
5 <br /> IN WITNESS WHEREOF, TAE PARTIES HERETO HAVE EXECUTED THIS GRANT <br /> AGREEMENT THE DAY AND YEAR FIRST WRITTEN ABOVE: <br /> NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br /> BY: <br /> Secretary of Transportation NCDOT SEAL <br /> ATTEST: <br /> SPONSOR: <br /> Official Agency: County a4 Onanae_ <br /> Signed: <br /> Attest: SPONSOR SEAL <br /> STATE OF NORTE CAROLINA, COUNTY OF Oftangp. <br /> Is , a Notary Public in and for the <br /> County 'and State aforesaid, do hereby certify that <br /> personally came before me this day and acknowledged that he is <br /> Chain to the Baand oA Carrerci 64 Loneka . of the County of Onnage <br /> (Title) (Sponsor) • <br /> (hereinafter referred to as "Sponsor") and by authority duly given and as an <br /> act of said Sponsor, the foregoing instrument was signed by him, attested by <br /> Beveney A. B.eythe, C.eenk to the Board of the Sponsor, and the Seal of the <br /> (Name and Title) <br /> Sponsor affixed thereto. <br /> WITNESS my hand and Notarial Seal, this •the ®� dap of <br /> 19 . <br /> Notary Public (Signature) • <br /> My Commission Expires: SEAL ' <br /> DOA Form 12/85 <br /> • <br /> . rage 3 of 6 <br /> II _ - <br />