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2019-06-11_REVISION - M1982015
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2019-06-11_REVISION - M1982015
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Last modified
12/27/2024 9:53:32 AM
Creation date
6/19/2019 1:15:35 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M1982015
IBM Index Class Name
REVISION
Doc Date
6/11/2019
Doc Name
Denial Document
From
DRMS
To
Carma Bayshore LLC
Type & Sequence
SO2
Email Name
PSH
Media Type
D
Archive
No
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ACKNOWLEDGMENT OF PRINCIPAL-IF A CORPORATION <br /> STATE OF ss <br /> COUNTY OF <br /> Onthis..................................................day of............................., ........before me personally appeared <br /> ...............................................................................to be known,who, being by me duly sworn,did depose and <br /> say;that he/she resides at...............................................................................that he/she is the....................... <br /> ................of...........................................................................................the corporation described in and which <br /> executed the within insurance instrument;that he/she knows the seal of said corporation;that the seal affixed <br /> to said instrument is such corporate seal;that is was so affixed by the Board of Directors of said corporation; <br /> and that he/she signed his/her name thereto by like order. <br /> .....................................................................I...................... <br /> ACKNOWLEDGMENT OF PRINCIPAL-IF INDIVIDUAL OR FIRM <br /> STATE OF ss <br /> COUNTY OF <br /> Onthis ....................................................day of........................... ......... before me personally appeared <br /> ................................................................................................to me know to be(the Individual)(one of the firm <br /> of.................................................................),described In and who executed the within Instrument and he/she <br /> thereupon acknowledged to me that he/she executed the same(as the act and deed of said firm). <br /> ............................................................................................ <br /> ACKNOWLEDGMENT OF SURETY COMPANY <br /> STATE OF New York <br /> ss <br /> COUNTY OF West haste <br /> } <br /> On this .,;;?!, .. . .................before me personally came.Benedict J.Tock <br /> ....................... <br /> to me known,who,being by me duly sworn,did depose and say;that he/she resides In <br /> Fiushing,New.York. .......... ..................................... that he/she is the Attomey-in-Fact of the <br /> ....... ... . ... <br /> C.ENF,RALJNSURANGE:GQURANx.0RAMR -LC&..............................the corporation described In which <br /> executed the above instrument;that he/she knows the seal of said corporation;that the seal affixed to said <br /> Instrument Is such corporate seal;that is was so affixed by the Board of Directors of said corporation;and that <br /> he/she signed his/her name thereto by like order;and the affiant did further depose and say that the <br /> Superintendent of Insurance of the§tate of I�ef..York,has,kpursuant to Section 1111 of the Insurance Law of <br /> the State of New York,issued to ... ......enedict ockarshews... y .. his/her <br /> .................................................................. <br /> certificate of qualification evidencing the qualification of said Company and its sufficiency under any law of the <br /> State of New York as surety and guarantor,and the propriety of accepting and approving it as such; and that <br /> such certificate has not been revoked. <br /> AUCE MaCAffM .• ••,.•. •• •••••• <br /> Notary Public <br /> NOTARY PUBUC,S"al New York > <br /> No.01 MC5079N2 <br /> CammOfssaion Expires Junee07 2 019 <br />
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