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CASS COUNTY GOV 7012982395 02/12 '04 15:57 N0.259 05/05 <br /> <br />State of <br /> <br />County of._ <br /> <br />ACKNOWLEDGMENT OF SURETY <br /> <br />On this day of . ._ 2003, before me a notary public in and for the state of <br /> , personally appeared .... known to me to <br /> <br />be (title) of the surety described In the within instrument and who executed the same <br />and acknowledged to me that the same was executed for and on behalf of said surety, <br /> <br />Notary Public, State of <br /> <br /> (Neta~ Puba¢ must pH~lt or ty~s name Imm,) -- <br /> <br />My commission expires <br /> <br />(I',I01'AII~Y ~BF..,U.) <br /> <br />Approved as to form this <br /> <br />day of <br /> <br />.... 2004, <br /> <br />County States Attorney <br /> <br />Approved by owner this <br /> <br />dayof ._. <br /> <br />2004. <br /> <br />By <br /> chair:, cass county Boa~l of CommissiOners <br /> <br />J:~,~DMIN.EN~R3RMS~,,ON?EACT BOND FOR ROADWAY .~ERVIC~ <br /> <br />3 of 3 <br /> <br /> <br />