Orange County NC Website
Executed in <br />Witness: <br />Greensboro,N.C. counterparts. <br />C. J. Kern, Contractor, Inc. <br />(Proprietorship or Partnership) <br />Attest: (Corporation) <br />By: <br />Title: Corp. Sec. <br />_ = f (Carp. Sec. _or _Asst Sec. <br />only) <br />• -- tness . J` <br />.` -. <br />ersigned: <br />Contractor: (Trade or Corporate <br />Name) <br />c - <br />By: <br />Title: Corp. President <br />(Owner, Partner, or Corp. <br />Pres. or Vice -Prey. only) <br />PennsylvaniaoNational.)Mutual Casualty <br />Insurance Comnany <br />(Surety Company) <br />By: <br />Title: Commercial Lines Manager <br />(Attorney in Fact) <br />(surety Corporate seal) <br />Rhonda S. Hiatt <br />(N.C. Licensed Resident Agent) <br />Robins & Weill,Inc. <br />P.O. Box 120, Greensboro,N.C. 27402 <br />Name and Address - Surety Agency <br />Pennsylvania National Mutual Casualty Insurance Co. <br />Greensboro,N.C. <br />Surety Company Name and N.C. <br />Regional or Branch Office Address <br />3 -51 <br />