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~D Copy
Bond No. 6118 2 3 60 ______ _
Western Surety Company
Know all Persons by these Presents:
THAT WE, JOAN D ADAMS _ ; as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do
business in the Commonwealth of Pennsylvania, are held and
firmly bound unto the Commonwealth of Pennsylvania in the sum of
Fifty Thousand and 00/100 ________________ Dollars (~Ol_0.00._.00___ _),
to be paid to the said Commonwealth, or its certain Attorney or Assigns, t;o which
payment well and truly to be made, we bind ourselves jointly and severally, for
and in the whole, our heirs, executors and administrators, firmly by these
presents.
Sealed With Our Seals -Dated the_ 19th _day of __-__ .October ,
in the year of our Lord
The Condition of This Obligation Is Such, That If The Above Bounden Principal, as Administrator of all
and singular the Goods, Chattels, and Credits of JOHN R ADAMS ,
deceased, does make or cause to be made, a true and perfect inventory of all and singular. the Cxoods,
Chattels and Credits of the said deceased, which have come or shall come to the hands, possession or
knowledge of the Principal or into the hands or possession of any other person or persons, for the said
deceased and the same so made, do exhibit, or cause to be exhibited, into the Register's Office in the County
of CtTMBERLAND ,within thirty days from the date hereof; and the same Goods,
Chattels and Credits, and all other the Goods, Chattels and Credits of the said deceased, at the time of
hislher death, which at any time shaII come to the hands or possession of the Principal, or into t;he hands and
possession of any other person or persons, for the said deceased do well and truly administer according to
law, and further do make or cause to be made, a just and true account of said Administration, within six
months from the date hereof, or when thereunto required by the Orphans' Court, and all the rest= and residue
of the said Goods, Chattels and Credits which shall be found remaining upon the said Administrator's
account, the same being first examined and allowed by the Orphans' Court of the county having jurisdiction,
shall deliver and pay unto such person or persons at the said Orphans' Court, by their decree or sentence,
pursuant to law, shall limit and appoint, and shall well and truly comply with the laws of this
Commonwealth relating to collateral inheritances; and if it shall hereafter appear that an;q last will and
testament was made by the deceased, and the same shall be proved according to law, if the said Principal
being thereunto required, do surrender the said Letters of Administration into the Register's Office
aforesaid, then this obligation to be void, otherwise to remain in full force.
~~~~~g~a~$astat~r ~ ~ifj'7/liZif/f/t~Q--
~ ~ ~ic~i+sPred in the presence of ____ ___ _ _ _ ~ __ _ _
.~'~~" '`' Princi al
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--- ----Principal
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~~~~o ~.~` Ted 1. -I,;•~.~~STE SURE TY ~~;OMPANY
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_:. ;.~,__ .J
By Paul T. Bruflat, , for Vice ]'resident
Form 1149-A-12-2(102 ,r r~ , r , ; , ~ ~ ~
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Copy
Western Surety Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and
authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut,
Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey,
New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United
States of America, does hereby make, constitute and appoint
Paul T. Bruflat of Sioux Falls ,
State of South Dakota ,its regularly elected ._ Senior Vice President ,
as Attomey-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on
its behalf as Surety and as its act and deed, the following bond:
One Administratrix JOHN R ADAMS
bond with bond number
for JvAN D ADAMS _
as Principal in the penalty amount notto exceed: $ 50, 000.00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of We;~em Surety Company
dory adopted and now in force, to-wit:
Section 7. All bonds, policies, undertakings, Powers of Attomey, or other obligations of the corporation shall be exe<;uted in the corporate
name of the Company by the President, Secretary, any Assistant Secretary, Treasurer, or any Vice President, or by such ether officers as the
Board of Directors may authorize. The President, any ice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys-in-Fad or agerds who shaft have authority to issue bonds, policies, or undertakings in the name of the Company. The corporate seal is
not necessary for the validity of any bonds, policies, undertakings, Powers of Attomey or other obligations of the corporation. The signature of any
such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Senior Vice President with the corporate seal affixed this _ 19th _ day of _ October ,
2011
ATTEST
L. Nelson, Assistant Secretary
STATE OF SOUTH DAKOTA
COUNTY OF MINNEHAHA J ~
On this __ 19th day of October ,
WESTE N URET COMPANY
By ---
Paul T. Brufi , :senior Vice President
~~~,
~~
_ 2011 ,before me, a Notary Public, personalty appeared
Paul T. Bruflat and
son
who, being by me duly sworn, acknowledged that they signed the above Power of Attomey as Senior Vice_ President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary act and deed of said Corporation.
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fiAy Commission Expires November 30, 2012 ~•
Form F1975-9-2006 «'