Bond For Contract Performance And Surface Or Improvement Damage Form - Surface Improvement Damage Megabond - 2004 Page 3
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3ACKNOWLEDGMENT FORM FOR CORPORATION
STATE OF __________________________________)
) ss.
COUNTY OF ________________________________)
On this ________day of _____________________, 20_________,
before me personally appeared ____________________________________, to me personally known, who, being by
me duly sworn, did say that s/ he is ______________________________ of ____________________________________
and that this instrument was signed and sealed on behalf of said corporation by authority of its board of directors, and
acknowledged said instrument to be the free act and deed of said corporation.
IN WITNESS WHEREOF, I have hereunto set my hand and seal on the day and year in this certificate first above written.
_____________________
________________________________
____________________________________________
My commission expires
Notary Public name
Signature notary
(Notary Seal)
ACKNOWLEDGMENT FORM FOR CORPORATE SURETY
STATE OF _________________________________
) ss.
COUNTY OF _______________________________)
On this __________day of ______________________, 20_______,
before me personally appeared ________________________________________, to me personally known, who, being
by me duly sworn, did say that s/ he is ___________________________________of _____________________________
and that this instrument was signed and sealed on behalf of said corporation by authority of its board of directors, and
acknowledged said instrument to be the free act and deed of said corporation.
IN WITNESS WHEREOF, I have hereunto set my hand and seal on the day and year in this certificate first
above written.
______________________
__________________________
________________________________________
My commission expires
Notary Public name
Signature, notary
(Notary Seal)
Note:
Corporate surety, attach power of attorney.
APPROVED
this ________day of ______________________, 20_______.
___________________________________
COMMISSIONER OF PUBLIC LANDS
NOTE: File before development or operations are commenced, with:
Commissioner of Public Lands
New Mexico State Land Office, OGMD
P.O. Box 1148
or
310 Old Santa Fe Trail
Santa Fe, New Mexico 87504-1148
Santa Fe, NM 87501-2708
Revised for Web October 2004
ONLINE VERSION
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