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Full Name o£ Surety Co ............ Itome...(lw~ex~..,JI~.8~G.~...~.O...m.p...a..n.,y. ................................................................................................ <br />Hose O~ce Address ........ ~s.~°~u~.t..~h~.~p.?~?.~.n.~..s.~t.~.t.~:.~.~.c~.h~i.g..~°.~:~.~n~°~s~ .................................................................. <br /> <br />Name of Attorney-in-Fact ........ ..D...i...a...n.,.a....M.,;......S...c..,h.,m..i...d...t. .................................................................................................................................... <br />Name of Local Agency .............. .H..o...w...a...r...d......S...t...u...t...s...m,..a,..n. ............................................................. <br /> 15715 Excelsi~ ~'g'~'iggi~'~i~i~'~"'i~'~J~n'JJ'~g~j~{ ' <br />Address o£ Local Agency ............................................................................................................................................................................................... <br /> <br /> If this bond is executed outside the State of Minnesota it must be countersigned on page 2 by a Minne- <br />sota Resident Agent of the Surety Co. <br /> <br />Name of Agent affixing countersignature ............................................................................................................................................................ <br />Address ................................... : ............................................................................................................................ : .......... : ....... : ............. ; .......... : ............................. <br /> <br /> <br />