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STATE OF 5WIMDX PENNSYLVANIA <br /> COUNTY OFMWx BERKS <br /> Before me , a ;Votary Public , duly commissioned, qualified and actino, personally appeared <br /> Susan C . Klein to me well known, who being by me first duly sworn oath, <br /> says that he is the attorney- in- fact for the surety Company- and that he has <br /> been authorized by Western Surety Company to execute the foregoing bond on behalf of the <br /> CONTRACTOR named therein in favor of the County of Indian River, Florida, Subscribed and <br /> sworn to before me this 9th day of June 20 04 <br /> Nota tSW �� Q • <br /> M&*M A Bmei6, Notary Pubk <br /> WyomisftBm, BeftCourriy Notary Public, State of95 Pennsylvania <br /> nny Corrunission Expires Nov. 18, 2006 <br /> My Commission Expires : mwber, Penns*arO Association or Notaries <br /> Any claims under this bond shall be addressed to : <br /> Name and address of Surety Western Surety Company <br /> 101 South Phillips Avenue <br /> P . O . Box 5077 <br /> Sioux Falls , SD 57117 - 5077 <br /> Name and address of agent <br /> or representative in Florida <br /> if different f rn above: Mark A . Coolbaugh <br /> 2600 Lucien Way <br /> Maitland FL 32794 <br /> Telephone number of Surety <br /> and agent or representative in Florida: (".jg�7j 919 = 2263 <br /> F:'• P�r. ssing\Bid5�003 X004 FY (6000)\6080 Resurfa:ins oq CR_t l � 1 = SR 60 to Fellamue Farms\6080 Bid Document.doe <br /> pie J8 of 61 <br />