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<br />ACKNOWLEDGMENT OF SURETY <br /> <br />State of <br /> <br />ss. <br /> <br />County of <br /> <br />On this <br /> <br />2004, before me a notary public in and for the state of <br />, personally appeared , known to me to <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 />day of <br /> <br />Notary Public, State of <br /> <br />(NOTARY SEAL) <br /> <br />(Notary Public must print or type name here.) <br /> <br />My commission expires <br /> <br />Approved as to form this <br /> <br />day of <br /> <br />2004. <br /> <br />Cass County States Attorney <br /> <br />Approved by owner this <br /> <br />day of <br /> <br />2003. <br /> <br />By <br /> <br />Chairman, Cass County Board of Commissioners <br /> <br />3 of 3 <br />J:\ADMIN-ENGIPROJECTSISEALCOAT\2003 CHIP SEALICONTRACT BOND WITH MORRIS SEALCOAT 050103.DOC <br />