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4810 S 2ND AVE 2016-01-01 MF Import
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4810 S 2ND AVE 2016-01-01 MF Import
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Last modified
5/8/2017 10:52:06 AM
Creation date
3/8/2017 12:12:00 AM
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Address Document
Street Name
S 2ND AVE
Street Number
4810
Imported From Microfiche
Yes
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����}.'111CAI�1 �'IUEL�.'Y <br />FIRE INSURANCE COMPANY <br />" _'—' - — -- ■ { r r 0 II a -- <br />LICENSE ANU P.F,RMiT BOND <br />(Fur CaunlR CitY. Town or Vi11�Rr On111 �';_^�^.—^�.' n.i° i <br />BOnd N0. <br />KN015' ALL h1EN Bl' THESE PRF.SGN'1'S: <br />� �.I;;�.l�i �', :��.,.qn.; - � <br />Thet we, <br />�I��y SI:ATTI.0 Stntc of �'ASIII`1f.T^" , ss Principal, <br />of the of - • -- <br />•nd thg�r"IGl?I PIDI:I.ITY PIRG IiISl1Re1�'•Cii ���1�'r^pRration duly licenseci to do Uusiness in the <br />g�� a� 12A51IP.dGTo`I , ss Surely, nre held and firml> buund unto the <br />CIT`' i;�'i:'.:i:TT �'.\`I!TtdGTO': phliKee, in the per.al <br />ot Stnte of <br />(Vd�d onl� whea � Counir, Ciq•. To�n ar Vi16Re i� n�med u ObliRee) <br />��eiir.r. T�.c�u;n:m ;, .,o/tonTns--------------------- (E _},n�n.�� � DOLLARs. <br />eum of ' <br />(?lOT VALID IF FILLF.0 IN FOR MORF. THAti j10,000.00) <br />lawtul money of the Uni;ed Slntes, to be pnid to the said ObliRce, for which payment �vell and truly <br />to be mede, we bind oure,eh•es und our le�;iil representntices, jointl>• and sevcrally b}' these presents. <br />T}IE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That µ•herexs, the said Principal <br />i;L �.'."�'�"'. <br />hae becn licensed — - — <br />by thc nnicl Obligce. <br />NOW T1iEREFORE, it the snid Principal shall fnithfull>• perform the duties and in nll things com- <br />piy �+ith the lnws and ordinnnces, inchiding nll Amendments therctu, nppertaining to the license or per- <br />mit spplied for, then this oblixation to Uc void, olherw�iwe to remnin in full force and etfect for a period <br />commencing on the '' ' daS of _ `— _., 19 '—� nnd ending on the <br />11::: day of r'�'" "' ' , 19 '� unless renewecl by continuxtion certificate. <br />This bond mey be terminated nl an>• time by lhe Sw•ei�• upon sendinR nctice in �crilinR to the derk <br />ot the Political Subdivision ���ith ��•hom this Uond ia filed and to the Principal, ndilressed to ihem at <br />the Yolitical Subdicision named herein, and nt the cxpirntion ot thirty-five (35) da)'s from lhe mail- <br />ing of �aid notice, this bond shall ipso faclo terminate nnd the Surety shnll lherr.upon be relieced from <br />nny linbility for any acts or ommissiuns of the Principnl nubsequent to vxid date. <br />� ,. :�iiPTii}t?4I'P �^, , <br />Dated thie __— day of _ 19 _ <br />c�:ant.n r. nr.r.sort <br />/ Principal <br />}iv: (l�% �.l ��✓"_�•�.ix`% ;-✓ <br />' Principnl <br />��r:rircni� rivr•.LiTI rzar ivsuanxcr•. r.orm�r��. <br />,;,�: � � �-� � <br />J. �. . ._ ,����. <br />
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