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<br />and compliance or noncompliance with any formalities connected with the Contract or the changes do not <br />affect the Surety's obligation under this Bond. <br /> <br />Signed and sealed this <br /> <br />d1 <br />- <br /> <br />day of ~ l (1 17 e ,20 (Jr)'g <br /> <br />BY: ~I() Ijp)'f!J' Z- <br />(Na, of poration) <br /> <br />~J%.n~~f1'<~ <br />~~d mr/,'Qd"/1 (OW/lfi J <br />me and n~ Signed Above) "" <br /> <br />WITNESS: <br /> <br />Seaetary <br />(CORPORATE SEAL) <br /> <br />IN THE PRESENCE OF; INSURANCE COMPANY: <br />BY: <br /> <br />*Agent and Attorney-In-Fact <br /> <br />* (Power of Attorney must be attached) <br /> <br />(Add~) E <br />4583 N. DIXIE HIGHWAY <br />(Clty/State~O BEACH, J-L 33064 <br />954-782-0411 <br /> <br />(Telephone) <br /> <br />STATE OF FLORIDA ) <br /> <br />COUNTY OF (j-(,.J- ~ <br /> <br />The foregoing instrument w~cknowledged before me thiS~ day of Cfv-r' , <br />20~ by ~ ~ U7-1.C?- [name of person], as <br />[type of authority], for ..f (; /7 tvl1'1r'Z. <br />[name of party on behalf of whom instrument was executed]. <br /> <br />AFfIX NOTARY STAMP HERE: ~~__of FIoI1c1a <br /> <br /> <br /> <br />Print or Type Com'mls _ :" ~me EDDY W. FABRE <br />~ g~~ }*i MY COMMISSION # DO 505609 <br />Personally Know OR Produced Identification "t",,* ""PIRES, J..anuary 10, 2010 <br />Type of Identi tion Producecl . . .... " ended T~~~ary Public Underwriters <br /> <br />PAGE 68 OF 78 <br />