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Sun SuretyInsurance Company

AFFIDAVIT OF DISCHARGE

STATEOF _

COUNTYOF ~~

AGENT _

OFCounty StateName of person examining records

being duly sworn, desposes and says, that on or about the day of .

he examined the records of Court and found that the Bonds in the below

matters have been discharged of records, by reason of the dispositions shown,

Power # Case # Name of Defendant Date Posted Exonerated Amount Court Disposition

Sworn to before me this day of _

Notary Public Signature of Person examining records

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