BOX SHOP SIGN BOND License and Permit Bond Bond No.________—____________
Lumbermens Mutual Casualty Company
An Illinois Corporation
Kem er American Motorists Insurance Company
An Illinois Corporation
INSURANCE American Manufacturers Mutual Insurance Company
A New York Corporation
Know all men by these presents, that__ The_Box Shop (Dave But
191 191 Essex Street, Salem, MA 01970
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------------------------
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(Name and Address)
as Principal and The Undersigned Surety, are held and firmly bound unto-City---of S-7,-em----—
--— -- ----- -- -- - -- --- -— — as Obligee, in the
penal sum of One Sho>Fa_and-_--- ______---__�_---=_-= 0�1110Dollars ($�f}Op_00..----------)•
lawful money of the United States, for which payment, well and truly to be made, we bind ourselves, our heirs, ex-
ecutors, administrators, successors and assigns, jointly and severally, firmly by these presents.
Whereas,, th Principal has applied to the Obligee for a license as a (or permit
sign ebond
Now, therefore, the condition of this obligation is such, that if said Principal shall faithfully
perform the duties of such licensee or permitee, and in all things comply with the ordinances, rules and regulations
akprrtamn g thereto, then this obligation shall bev void, otherwise to remain in full force and effect, until-----______.__
—PP--ii— ------------ -- — 199 .
This bond may be terminated at any time by the Surety upon sending notice in writing, by registered mail,
to the clerk of the municipality with whom this bond is filed and at the expiration of thirty (30) days from the mail-
ing of said notice, the liability of such Surety is thereby terminated and cancelled; and provided further, that nothing
herein shall affect any right or liability which shall have accrued under this bond prior to the date of such termination.
SIGNED, sealed and dated this_-----31_____—day of_Maoh_ 19----
Principal:'c---------------
Countersigned:
-Countersigned:
American Manufacturers Mutual Insurance Company
Surety
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--------—__._ Name of Company
_ Resident Agent
By _- - --
T• G�ieTS Atto ep-i -Fa
Important: Accounting Information
�o",t kL..CAJ
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EP -Z
r Name___-.__-____________ ----__— Ay `pP9Aq••l�j
---- ------------------— s` MEAILr Code------------------ -----— — W - ;
--_— .'�•f`•'•.. 1917,
Send one copy of the bond to your super- °: ...... .S
vising office on the same day executed. ��0i„ylai
1+
FK 735 1-73 145M PRINTED IN U.S.A.
NO CARBON REQUIRED
License and Permit Bond
Bond No.
INSURANCE
❑ LUMBERMENS MUTUAL
CASUALTY COMPANY
(A Mutual Insurance Company, herein called the Surety)
Home Office: Long Grove, Illinois 60049
❑ AMERICAN MOTORISTS
INSURANCE COMPANY
(A Stock Insurance Company, herein called the Surety)
Home Office: Long Grove, Illinois 60049
❑ AMERICAN MANUFACTURERS
MUTUAL INSURANCE COMPANY
(A Mutual Insurance Company, herein called the Surety)
Home Office! 90 William Street. New York 10038
Esecntive Offices: Long Grove, Illinois 60049
License or Permit No.
Applicant:
Name
Address
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As
.Approved:.--- --------------- --- -------------------------19---
FK735 PRINTED IN U.S.A.
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