Form Dr 7065 - Fuel Distributors Bond Page 2

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INSTRUCTIONS
If the Principal on the Bond is a CORPORATION, the bond must be signed for the CORPORATION by its President or
Vice-President, and the seal of the CORPORATION should be attached by the Secretary and attested by his signature.
Names and addresses of present officers should be shown below:
If the Principal on the Bond is a PARTNERSHIP, the names of the partners should be shown on the lines indicated on
the bond, and the name and address of each partner should be shown on the following lines:
POWER OF ATTORNEY MUST
ACCOMPANY THIS BOND

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