HomeMy WebLinkAboutVICKI CONLIN BOND 2016-2017 201623192 BOND $0.00
12/15/2016 08:47:528 3 PGS
Zachary Payne
PUWCOFMCIALii ND Clark County Recorder IN
Recorded as Presented
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Band number 1128297
Vicki ConlinPdnd*,and
Auto-Owners insurance Company as Surttty 'S t; t ,tutors,and
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ty y # t itfi'Itl ►ta ;i#►
tnsti :l� tttd Sure ,aru bound,jointi and sever+
t*mount ot$ 300,000.00 �ft ubpar Mph(b)is viol -p.04pFa.t i�sllowir
00iX 10%any t6thls"Put4fe oftal.:
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8) The PKI:1061 appointed,or employed as Clerk
for Chllrtt C*0 fh t# State of)ndieta.
b) "t. PrIMIP81 ed h {t tiiihisoor het`duties of the position named in subparagraph
fie}+indWing OOMPHROW*01C 641 1301*41490t on demand to the persons entitled or al;ffx&ed
to,tie the Umo,01111'. into, to Whmo ds during the term offts Pctp
Ot'tolei Sand. I
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the term of this Public 4fficlRl Bland(t' qrat 1);y rti!!r'ftt beginningon-9 1st doy of
January 2 017 and 4000 04*6. atm day of mtVt
d) This i 0W Qflidal Bond+CBtU M be contittlusd,entered,or renewedlo
plivyMed 0jr0649,
0) This'pum tnficial pfd compo"'With(C$44-10.Md e4y ft it atm
�e be:ratv�ed`it�:cttha��:�idtfa. f
The L siatt MY dt",
testify, repeei;*W.tett law now in force,,60104 t any and all`I s
Oft the`exWtO 0f this Public mal Bond, but this Public 'M ial Bondi i tett in l force 9
ofte t,e)mpt for that which,WM;Am altered by the chap to law. i
Vicki anlin wners Insurance Cerny n
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............ y. ....... ...... ••
Attorney in Fact
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Accepted and approved this day of �,L
Page 1 oft
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? 'ri-x.Mkt ri Yfl3.r r'v t, -. ii
uf'zball
3 A z ^4 e V't T'7u�' w47. .r
State of Indiana, County
Personally appeared before me, In and for
said County and State aforesaid, who being
swam, upon his or her oath says:"t will support the Constitution of the United States and of the State of Indiana,
and I will faithfully, honesty,and Impartially fulfill the duties of the office of
to the best of my skill and ability!
Subscribed and swam to before me,this day of
IN WITNESS WHEREOF, I have hereunto set my hand
affixed the seat of said
.at this day and year above written.
f
1, of the do certify the above to be a true
and correct copy of the official oath of in and for said County
as the same.is endorsed on his or her commission ar hFa �
IN TESTIMONY WHeREOF,I have hereunto set my hand and affixed the seat of said
,at _,this day of ,A.D.
j:
i.
ACKNOWLEDGMENT OF PRINCIPAL
1 z-
Stats oil Indiana, County,ss: ,
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Personalty appeared before me, Vi
Principal upon the bond appearing on the Tverse side hereof and acknow, ges the execution of said bond
This day of '
&PIrawn date of cammtssion,(if Notary Pubric)(month,day,year)
ACKNOWLEDGMENT OF SURETY
State of Indiana ! �� County,ss:
Comes now Auto-Owners Insurance Company by PVGGY J FAWCETT
its agent, surety upon the band appearing on the reverse side hereof and knowiedges theta ution of said
bond this day of 45--Crii�1C l Ccand rms compliance C 5•4-1-48(i)
Expfrstbn date of comfna$100,(if Notary Pubic)(month,day,yeaat)
Page 2 of 2
OATS AWD ATTACH TO ORIGINAL BOND
l it TO-47. KERS INSURANCE COMPANY
LANSING,MICHIGAN
NO. 66128287
POWER OF ATTORNEY
KNOW At.1;MEN BY THESE PRESENTS:That the AUTO-OWNERS INSURANCE COMPAN'!',N E OiNG,MICHIGAN,a Michigan dation,having its
pfi* officeat Lansing.County of Eaton.State itff htf(retfichigan,adopted the following Resolution by the eithe Company ori Jon.uWy Z,7,1971,to wit:
"FtE IOLVED, Thdt the president or any 1%ic+e President or Secretary or Assistant Secretary of the Company shalt have the power anf authority to aPpoylt.
Attorneys-in-fact"-WW to authorize them to exec on behalf of the Company,and attach the seat of the Company thereto,bonds and undtftkings,recognizances..
contracts of indemnity,and other writings obligatory in the nature thereof. Signatures of officers and seal of Company imprinted on such powers of attorney lay
facsimile shall have write force and effect as if manually affixed.Said officers may at any time remove and revoke the authority of any such appointee."
Dots,hereby const tute and 4POW PF GGY J F A WC:ET7'
its true and lawful attorneyCls-4344 r to etCe'cute,seal and deliver for and on its behalf as surety,any and all bonds and undertakings,recognizances,to t aids
of indemnity and other writings-,ob igalory in the nature thereof,and the execution of such insting"itx5t shall be as birli ttg upon the AUTO-OWNERS INSVRAf4CE
COMPANY AT LANSING, MICR) AN as fully and amply,to all intents and Purposes,as ifihe:`sahie had Ww dOMyaxecuted and acknowledged by its r+eguiady
elected officers at its principal once.
IN WITNESS WHM90F. AIiTI0
AW4MtStN3tlt Rf+ICE COMPANY AT LANSING,WCHIGAN, has caused this to be signed tlyr fit eufhtrrztgd cr�cer
this st day of August..201$`;
Denise Williams Senior Vice President
STATE OF MICHIGAN
COUNTY OF EATON
On this 1st day of August.2016,before me petaditally came Denise Williams, to me known.who being duly sworn diddep"4seat d
say that they are Denise Williams,Senior Vice President of AUTO-OWNERS INSURANCE COMPANY;the corporation described Wand
which executed the above instrument,that they know the seal of said corporation.that the seal affixed to said instrument is such Corporate
.� r2ou1fyol r�
Seal,and that they,received said instrumenton behalf of the corppratien by authority of their office pursuant to a Resolution of the Board of ., r
0irettgrs of said cotpttration.
MY etir»i»tsshin expires March 30;2022 i
Susan Theisen Notary Est W
(0190010-10 Axiooilw_
STATE OF MICHIGAN ss,
COUNTY OF EATON
I,the undersigned Senior Vice President,Secretary and General Couraopt of AUTO-OWNERS INSURANCE COMPANY,do hereba iEytktaf easy to
issue a power of attorney as outlined in the above board of directors reitfon retrains in futi`.force and effect as written and has not been rev+Akd arld;fhk'
resolution as set forth is now in force.
Signed add seatedat Lansthg,Michigan,Dated,this 16TH tryof NOVEMBER 2016 afl,�tteasr�4�U
=o �
��J•CORPORATE°�
William F,Woodbury,Senior Vice Pr ident,5ecretairyendCeneral Counsel
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