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6 <br /> Gerald P Burke <br /> PO 2905 <br /> TRAVELERS <br /> Hartford,CT 06104-2905 <br /> October 26,2022 Phone: (610)458-2232 <br /> Email: GPBURKE@travelers.com <br /> MEGAN SUMMERS <br /> SUMMERS INSURANCE GROUP(OVM437) <br /> 2113 CAMERON ST STE 219 <br /> RALEIGH,NC 27605 <br /> This is a Direct Bill policy.The Direct Bill <br /> Account Number is 9862YA191. <br /> This is the Renewal for: CHARLES S BLACKWOOD <br /> 100 PINEWOOD DRIVE <br /> CHAPEL HILL,NC 27517 <br /> Bond Number: 106206426 <br /> Type of Bond: Sheriff <br /> Obligee Name: Orange County North Carolina <br /> Obligee Address: PO Box 8181 <br /> Obligee City,State&Zip: HILLSBOROUGH,NC 27278 USA <br /> Transaction Effective Date: December 01,2022 <br /> Premium Effective Date: December 01,2022 <br /> Premium Expiry Date: December 01,2026 <br /> Bond Limit: $25,000.00 <br /> Bond Premium: $325.00 <br /> Commission-Percentage: 30% <br /> Special Commission: $0.00 <br /> Countersignature Branch: <br /> Countersignature Commission: $0.00 <br /> State Tax: $0.00 <br /> State Surcharge: $0.00 <br /> TOTAL PREMIUM: $325.00 <br /> Comments: <br /> Thank you for placing your business with us. <br /> Producer Name: SUMMERS,LARRY A <br /> S-4123 (9/96)Premium Evidence <br />