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SURETY'S CONSENT OF PAYMENT TO CONTRACTOR: <br />The Surety, Travelers Casualty and Surety Company of America <br />Page 3 of 5 <br />,a <br />corporation, in accordance with Public Construction Bond Number 106030386 hereby <br />consents to payment by the OWNER to the CONTRACTOR, for the amounts specified in <br />this CONTRACTOR's APPLICATION FOR PAYMENT. <br />TO BE EXECUTED BY CORPORATE SURETY: <br />Attest: <br />4 -41 -ed <br />Secretary <br />STATE OF North Carolina <br />COUNTY OF Buncombe <br />Travelers Casualty and Surety Company of America <br />Corporate Surety <br />One Tower Square <br />Hartford, CT 06183 <br />Business Address <br />BY: /:�i% <br />Print Name: Karen K. Beard <br />Title: Attorney -in -Fact and Florida Licensed Agent <br />(Affix Corporate SEAL) <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />Karen K. Beard , to me well known or who produced <br />N/A as identification, who being by me. first duly sworn <br />upon oath, says that he/she is the Attorney -in -Fact for Travelers Casualty and Surety Company <br />of America and that he/she has been authorized by Travelers Casualty and Surety Company of <br />America to approve payment by the OWNER to the CONTRACTOR of the foregoing <br />Contractor's Application for Payment. Subscribed and sworn to before me this 3rd day <br />of September , 20 15 . <br />had( <br />Notary Public, State of North Carolina <br />My Commission Expires: September 22, 2017 <br />[The remainder of this page was left blank intentionally] <br />00622-3 <br />Z\My Documents/Excel special est forms\3980 - 13th Street\3980-9.doc Rev 0501 <br />3980-9 <br />11 <br />89` <br />