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man000174 136

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man000174-136
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University of Nevada, Las Vegas. Libraries

r STATE OF CALIFORNIA County of Los Angeles ) On this 29th day of April in the year one thousand nine hundred and 54 before me, ATALA ft. CARTER, a Notary Public in and for said County and State, residing therein duly commissioned and sworn, personally appeared W, C. BERING known to me to be the duly authorised. Attorney-in-Fact of PACIFIC INDEMNITY COMPANY, and the same person whose name is subscribed to the within instrument as the Attorney-In-Fact of said Company, and the said W. C. BERING acknowledged to me that he subscribed the name of PACIFIC IND&ftNITY COMPANY, thereto as surety and his own name as Attorney in-Fact, IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year in this Certificate first above written. The countersignature hereto is to be considered the valid countersignature to the undermentioned policy or bond, in so far as concerns that portion of the risk located in the State named above. Nothing herein contained shall be held to vary, alter, wgive or extend any of the terras, conditions, agreements or limitations of the policy or bond other than as above stated. This endorsement forms a part of PACIFIC INDEMNITY COMPANY Bond Number 217640 (SEAL) ATALA M. CARTER Notary Public in and for County of Los Angeles, State of California My Commission Expjires May 28, 1954 LICENSED AGENT COUNTERSIGNATURE ENDORSEMENT State for which this endorsement is Issued Type of Policy or Bond Premium for State Producing Agent or Broker Nevada Contract Bond B$o3n6n4e.r7-5C ampbe11 Issued to Roscoe Moss Company Endorsement Effective April 29# 1954 William V. Gaynor, President Countersigned at Reno, Nevada Date of Issue April 29# 1954 by JOY & DAVIDSON OP NEVADA Truman D« Vineill, Licensed Agt JDD Form 1A029 2©ft 1053 ( « ) f A