Laserfiche WebLink
inic tRUCTIONS: <br />1 TI►is sldQ Is to be completed by a notary publlc tor both the Principei end the Surety. <br />2 Please attach the Power of Attorney end Certtfied Copy of the Corporate Ftesolutlon for the Surely Nsied h�r�lr� <br />ACKNOWLEDGMENTOF iNDIVID� <br />STATE OF � <br />) ss <br />COUNTY OF 1 <br />ACKNOWLEDOMENT OF PRINCIPAL <br />��i Iliis day of . 199 , betore me personally appeared <br />— known to me as the IndfWdual whose ne me Is subscribed on Shls h o t�� <br />ionn, who wcknowiedged that lhls bond was executed for the purposes therein conialned, <br />Natary Public <br />(Nola►y Seal] <br />■ � � � � � � � � � � � F � � � z r � r • F � + i + � • r � + � • � F � � � � • . � . • . . � � • � � . . � r r � . i . <br />STATE OF � <br />) ss. . ACKNOWLEDOMENTOF PRINCIPAL <br />COUNT Y CF' ? <br />On Il�is day of . 199 , before me personally eppeared <br />known to me to be a partner In the pertnershlp whose name Is <br />�ui,��d on ihls bond form. who acknowledged to me that Ihls bond was executed on behalfof ��■ patinership for tl�e puipo�es <br />tlierein canlained. <br />NaLe�r ��p11G ' _ _ - .� .~ <br />i����X ��� <br />� • � . � � � . . � . . . � � � • • • ■ � • � � • � • �• • i � • � + � • � • � F r � • . . . . . . . <br />� • • r • � • � � � <br />�1 �TE ❑� r� �� � � i��4�� � �� �j ��� <br />1�� A�Fr.f� r �F PFiI i��►'L <br />��NT v�r ��� .� Afi' Comrr�si�r� Explra� Jar�. 31 r� <br />�r �-J ��f <br />�� � da �� �.�#'� . ''�'�" . �rfore r�rr p�rron*Il�r �1`ar�� <br />�� .�+� wlto �skrao�Mled t4■ k Iha <br />pi a torpafNlors wFio#■ r�me ks au��cr farrrr, �r� Ik�al, ■s ��orpor�ie WlFcee, he <br />�i � Is �utlhwl�od 1a exr[�I* !h. bwid Tvr 1he �uMP4ses f�r� c8 � <br />uhllo <br />�IVoI pry 5e�1� . . <br />. . . , ; , . , . � . . . . . . . . . . . � . . . . . . . . . . • � • � • � • . � � • . . � � • � - + • + t F � + � � � <br />� � � 7� ��E <br />STATE OF IOWd � <br />) ss. ACKNOWLEDOMENT OF SURETY <br />COUNTY OF ��]j€ � <br />pi� ��� _ 16th day oi ��t .� bsfor+� me personally appe�sed <br />�Tpri Eldt @ who acknowledged that he or she is the attorney in lact who Is <br />auihorued I o slgn on behalf of Natio[lwide �i ria� �+� (surety company), <br />_ c�h; � ep1�¢t�l�n, ah b�f5bl� �R �{y� tGi�+G1�6eGn <br />(state a� place of co�poretlon) � � ,, <br />���li� <br />�Notary Seal] <br />��• • ` <br />� • • �' +�r.i i — <br />.�, . . . ::'� i 5� •_a � � <br />ti•��..• � • . =$•v'r ���i�'.�5 <br />4 �h ��r�r� H � � r <br />� <br />