Item Q05
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: January 19, 2005
Division:
County Administrator
Bulk Item: Yes.....x.... No
Department: County Administrator
AGENDA ITEM WORDING:
Approval of Public Official Bond for Danise D. Henriquez, Monroe County Tax Collector.
ITEM BACKGROUND:
PREVIOUS RELEVANT BOCC ACTION:
Similar Public Official Bonds have been approved in the past.
CONTRACT/AGREEMENT CHANGES:
STAFF RECOMMENDATIONS:
TOTAL COST:
-0-
BUDGETED: Yes
No
COST TO COUNTY:
-0-
SOURCE OF FUNDS:
REVENUE PRODUCING: Yes
No
AMOUNTPERMONTH_ Year
APPROVED BY: County Atty _
OMB/Purchasing _ Risk Management _
~~
Thonfas J. Willi
DIVISION DIRECTOR APPROVAL:
DOCUMENTATION:
Included X
To Follow_
Not Required_
DISPOSITION:
AGENDA ITEM # Q5
Revised 1/03
~
WESTERN SURETY COMPANY
'P.O. Box 5077
Sioux Falls, SD 57117-5077
(605) 336-0850
'=\.......,..."..-ro...."".....,...,.
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Western Surety Company
Bond No. ~ 6982712..1___ '___'Un_._~
Effective Date: December ~ 2004
STATE OF FLORIDA
Katherine Harris
Secretary of State, Division of Elections
Room 1802, The Capitol
Tallahassee, Florida 32399-0250
FOR OFFICE USE ONLY
Approved by Secretary of State:
BOND
COUNTY OF
Monroe
KNOW ALL PERSONS BY THESE PRESENTS, That we,
. .. ---.~ DaIli~P-'--.H.elli:iqu_e?_u
(Official's Name;
--'1
as Principal, and
WESTERN SURETY COMPANY
(Name of Surety Company)
as Surety, are bound unto the Governor of the State of Florida, and his
successors
in office,
in the
sum of
$ 50.000.00
Dollars, we hereby bind ourselves and each of our heirs, executors,
administrators, successors and assigns, jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That, whereas, said official was, on the
----.._-~-_....._---_. day of . _u____.u_________.~__..
...J appointed
._--, A.D, ___'_U'_ '__.u.__.___,
[J elected Tax__Co11ector
County of Monroe
(Name of Office)
December 15, 2009
(Term Ending Date)
--. to hold office from
the date of hislher commission, until
and until hislher successor is
appointed and qualified according to the Constitution and Laws of the State of Florida,
NOW, THRREFORE, If said official shall faithfully perform the duties of hislh
,,,,,un,,,,,,,,
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... ,~ .,' ....'"0 r",
.s:.~ /O^ \."A~
~"'/ ^~ TTA 1..\":..~.
"'''';'' t::>....... "l/:;; . ''V_
sf:-:! (l,ja sealed thit' 1 ~ i 1 ~ t h___ day of
:;: 2\ ~ .. /-:-('ff
:.;,0' .., '\,;;; .f: p.,v,:' J< '-
'..,x~ ~.~,;'.~::::-
'l./r..... .~ "
. i, ltH \
x
Decembe~____, ~~.
\"':rf .
By ,
(Signature of LIcensed ResIdent A~~t)
IlQ.}/'LEAEEMAN
u - (Identification ~~6ra:.~~~~t Agent)
.... ---"'-~- ... 'n. -.----A-t"\S1Q7-29--.~~__....
(Type Name of Licen~Mdent Agent)
101 S.
(Atto n#;n~~.Ass"+.-8ec.-----
Phillips, Sioux Falls, SD 57104-6703
(Address of Surety Company)-u,-,-~-----
ByX_
THE PORTER-ALLEN ..~ INC-Luuu____
(Name of Bonding Agency or Company)
513 SOUTHARD STREET
KEY WEST.L FL 33040-.6.8..15u______ n ._____
(Address of Bonding Agency or Company)
The above bond is approved this 19. th_.__ day of
nn-7h,,--'L<!~~:rY~.... - ,.~QP~uu.__.
-o/~~ L/ -' .....d#ll:d.L.
~ (Chairman, ~rd County Commissioners)
County Commissioners' Signatures'
bond. doc (06/23/95)
Form 1345-6-99
....l&.~...........c..~lL~..Q;...
............................ ...
". ~
STATE OF SOUTH DAKOTA
County of Minnehaha
l~
ACKNOWLEDGMENT OF SURETY
(Corporate Officer)
My conl1niist?~ ~;t14-es
. ' ," -. . " " ~ "'01"
My C~~~~,~ .:!~- I ~ J '~' _ t:.' ; A~ -( '_'. lol-t
15th ~~aUy appeared
." me, who be;". by me duly.w..... did 'OY that be i. the -...... 0_ ot WESTERN 'lJRETy
~_.- duly "'- and -... ...,., tha Jaw. ot tha ..... .t Bo.th D...... th.. tha '"" """'... .. ....
and '" ''''""",... is .... ""_... .... or 'aid -'''.D. that th. ""d u.._. w.. ....... ...... and .-.tad OD
-'", of 'md _.ttoD by .Dtho,;ty ot lis Do"", .t -". and """"" ......wledae th.. th. .aid "'''_D' and ....
a~ecuticn tbereofto be the voluntary act and deed of said corporation.
IN WITNll.. WHEREOF. I b.ve ""'D" ..b""bod my D_ and """''' my .m.... '"" the ..,. and y.", 1... .bo..
w.-itten.
December
2004
-,
S. Eich, Ass't. Sec.
, before llle, a Notary Public in
On this
Form 103-12-98
-,
i--Ja~
Notary Public