Form L-2080 - State Motor Fuel User Fee Bond Page 2
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3WITNESS AS TO PRINCIPAL
STATE OF SOUTH CAROLINA,
County.
Before me, the subscribing Notary Public, personally appeared
Witness number one
and made oath that he/she saw the within named
Company
represented by
sign, seal, and deliver the within Bond, and that he/she with
subscribed their names as witness thereto.
Witness number two
Sworn to and subscribed before
me this
day of
A. D., year of
.
To be signed by witness one
(L.S.)
Notary Public
Witnesses as to Principal:
1.
Principal
2.
By
WITNESS AS TO SURETY
STATE OF SOUTH CAROLINA,
County.
Before me, the subscribing Notary Public, personally appeared
Witness number three
and made oath that he/she saw the within named
Company
represented by
sign, seal, and deliver the within Bond, and that he/she with
subscribed their names as witness thereto.
Witness number four
Sworn to and subscribed before
me this
day of
A. D., year of
.
To be signed by witness three
(L.S.)
Notary Public
Witnesses as to Surety:
3.
Surety
4.
By
41622028
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