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Attachment B: Name of Public Officers Designation
Attachment B: Name of Public Officers Designation
_____________________________________________
AGENCY LETTERHEAD
LIST OF BONDABLE PUBLIC OFFICERS
REMARSK
EFFECTIVE DATE AMOUNT (WITH/WITHOUT
NAME OF PUBLIC OFFICERS DESIGNATION RISK NO. PENIDNG CASE, STATE
FROM TO MAXIMUM BOND PREMIUM
NATURE OF CASE, if
any)
____________________________________ _________________________________________________
Signature Over-Printed Name Name & Designation of Authorized Official