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TIS> <br />Insurance Services, Inc. <br />C K Contractors and Development, LLC (BONDS) <br />P. O. Box 339 <br />Kings Mountain, NC z8o86 <br />Insured's Name <br />CK Contractors and <br />Development <br />E-4 <br />1900 N. W nston Road I Suite 100 1 Knoxville. I N 37919 <br />PO Box 10328 1 Knoxvile, TN 37939-0328 <br />p: 800.328.0293 1 865.691.4847 <br />1: 865.694.4847 <br />6sins.com <br />Invoice <br />Account 00053524 <br />Policy 7901142853 <br />Invoice <br />Date August 29, 2025 <br />Pae 1 <br />Account Executive <br />Jim Oakes <br />Account Representative <br />Lavonne Sherrod <br />Policy Number <br />ExpirationDate <br />Company <br />Description <br />Amount <br />7901142853 <br />XXXXXX <br />Nationwide <br />Additional Pren1.IRC <br />$701.00 <br />Landfill Scale Lane #2 <br />$89,65o <br />Invoice <br />Payment due on effective date unless otherwise noted. <br />$701.00 <br />TIS Insurance Services, Inc. Date <br />(865)691-484? August 29, 2025 <br />We appreciate your business. <br />