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INSTRUCTIONS <br /> 1. if Proprietorship,applicant and spouse sign a: Principals. <br /> 2. if Partnership,partners sign and spouses sign as lndcmnitors. <br /> If Corporation,two authorized officers sign.All officers and their spouses must also sign as individual indemnitors. <br /> :lPRINCIPAL(S) CORPORATE SEAL <br /> MATHENY CONSTRUCTION COMPANY <br /> Firm Name <br /> eBy <br /> Title <br /> Jack Matheny President <br /> ,?(y <br /> Kenneth Anderson Title Corporate Secretary <br /> By <br /> Title <br /> By <br /> Title <br /> i <br /> a <br /> INDIVIDUAL IND1EMNITOR(S) <br /> Jack Matheny , Indiv' ually Name gina C. Matheny, Individ a ly <br /> :ss Address Business Address <br /> :nce Address Residence Address <br /> Wenneth D. Anderson, Individually Name Carol M. Anderson, Individually <br /> :ss Address Business Address. <br /> :nce Address Residence Address <br /> Name <br /> ass Address Business Address <br /> :nce Address Residence Address <br /> D , <br /> I <br />