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Statefam► BOND OF EXECUTOR,ADMINISTRATOR OR GUARDIAN:Z U o
STATE FARM FIRE AND CASUALTY COMPANIY
BLOOMINGTON,ILLINOIS " _; � m
r
COMMONWEALTH OF PENNSYLVANIA 1 COURT'OF COMMOMPLEAS'1
COUNTY OF
�VlY1 fdooQ T ss
of Estate
IN THE MATTER OF THE ❑ Guar lanship
OF OEDe W H;WA
Deceased ❑ Execut
❑ Incompetent Bond of ❑ Administrat
❑ Minor ❑. G ardi n
� ( A E AT 0�.
KNOW ALL PERSONS BY THESE PRESENTS:
That we, Mer+ J }}oNrard
as Principal,and State Farm Fire and Casually Company,a corporation Gf IllinoJl's as surety are held firmly bound unto the
Commonwealth of Pennsylvania,in the penal sum of tysyl
Dollars ($ S, 000 ),for which payment of which we jointly and
severally bind ourselves,our heirs,executors,administrators,successors,and assigns.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH,that if the above bound principal shall faithfully discharge the
duties of his,her,their trust as CA!6EA777K ,of the estate of
��ff (EXECUTOR,ADMINISTRATOR,GUARDIAN,ETC)
I!-eogt W {{OVII according to law,then the above obligation is to be void,else to remain in
full force.
Dated,sigaedandsealed with our /d dayo
ZgY MyF BETSY MYERS
�to'�sy�tr NOTARY PUBLIC for the `
State of Montana ( Principal
SEAL Residing at Libby,Montana IRY STATE Mm,
FIRE AND ASUALTY COMPANY
My Commission Expire.
April 1,2017 By:
—-� Artomey-Inflect
Approved this 16 day. ✓ -,_a6i3
11� �
Attest ?'J r4 S -AWAY d itlp7—d LP Wh%
6,�I b'Ylqsh - AJ,4r4r&( S��tti Mah><li �a - L�6Yn/27/SS�rxi eyl 7
COMMONWEALTH OF PENNSYLVANIA
I swear that 1 will faithfully discharge the duties of my trust as
(EXECUTOR,ADMINISTRATOR,GUARDIAN,ETC.)
of the person and estate of e°'Be W 4A o''JO` CL according to law-,so help me God.
Principal
1005654 Page 1 of 7 120679.1 07-M-2013
ACKNOWLEDGMENT OF SURETY
COMMONWEALTH OF PENNSYLVANIA
��H h S�'L/�h jQ- Notarial Seal
----11 Frar¢;+ Aumlller,Notary Public
A•' !]/ ss South MIdoIF.Ln rwp.,Cumberland County
County of l/ m�Y'Q j�^ MY Commiss!10 Expires March 16,2014
Member,Pean5vh,1an1a Ac iatlon of Notaries
I, Ck A N C 65 A• A tA m I L L 5,0— ,in and for said county in the
state aforesaid,do hereby certify that M PCA%aa 1 E 51 ope Attorney-in-fact of STATE
FARM FIRE AND CASUALTY COMPANY of Bloomington,Illinois,a corporation duly organized and existing under the laws of
the State of Illinois,personally known to me to be the same person whose name is subscribed to the foregoing instrument as
Attorney-in-Fact of STATE FARM FIRE AND CASUALTY COMPANY,appeared before me this day in person and acknowledged
that he signed and delivered the said instrument as his and State Farm Fire and Casualty Company's free and voluntary act for
the uses and purposes therein set forth. / pp
Given under my hand and official seal this day of 002y"A"
M Commission Expires
15477 I(o jo14 a.
Month dnd Day Year Notary signature
ACKNOWLEDGMENT OF PRIN V I BETSY MYERS
m�otr,eERr NOTARY PUBLIC for the
11 , ,r,47,r 0 F State of Montane
dY)t�✓1Gc SEAL Residing at Libby,Montana
as ` My Commission ExPires
lam April 1,2017
County of . 1
I, /�P�c I 0 d I LI Ply a/ 1�Notary Public ❑County Clerk
in and for said County,do hereby cartify that 0512nr S 1-d
personally known tome to be the some persons)whose name Qabatl -T subscribed to the
foregoing instrument as Principal,appeared before me this day in person and acknowledged that ha-
signed,sealed and delivered said instrument as 4q free and voluntary act,for the uses and
purposes therein set forth.
Given under my hand and official seal this D day of L of ern&K O 3
My Commission Expires
Month and Day Year gNotery Public ❑County Clerk
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1005654 Page 2 of 2 120679.1 07-05-2013