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Executed in <br />Witness: <br />reensboro,N.C. <br />(Proprietorship or Partnership <br />Attest: (Corporation) <br />- Title: Co Sec._ <br />_ v (Corp. 'Sec. or Asst. <br />Sec. only) <br />- 'tness: <br />tersigned: <br />,d 1-2 <br />Rhonda S. Hiatt <br />(N.C. Licensed Resident Agent) <br />Robins & Weill <br />P.O. Box 120 <br />Greensboro,N.C. 27402 <br />Name and Address- Surety Agency <br />counterparts. <br />C. J. Kern, Contractor, Inc. <br />Contractor: (Trade or Corporate <br />Name) <br />By: <br />Title: Carp. President _ <br />(Owner, Partner, or Corp. <br />Pres. or Vice -Pres. only) <br />(Corporate Seal) <br />it lvan'a National Mutual Casualty <br />S re y Company) <br />By. <br />_jk <br />Title: Commercial Lines Manager <br />(Attorney in Fact) <br />(Surety Corporate Seal)— <br />w - - <br />Pennsylvania National Mutual Casualty Insurance Co. <br />Greensboro,N.C. <br />Surety Company Name and N.C. <br />