Florida Department of Agriculture and Consumer Services ...

POWER OF ATTORNEY FOR SURETY MUST BE LEFT STAPLED TO BOND

Florida Department of Agriculture and Consumer Services Division of Fruit and Vegetables

NICOLE "NIKKI" FRIED BOND OF CITRUS FRUIT DEALER TO GUARANTEE PAYMENT OF CITRUS INSPECTION FEES COMMISSIONER

STATE OF FLORIDA COUNTY OF

No. ____________ Season ________________

KNOW ALL MEN BY THESE PRESENTS: That we ________________________________________________________________________

as principal whose address is ____________________________________________________________________________________________

and

of

, as Surety, are held and firmly bound unto the Commissioner of Agriculture, State of Florida, Winter Haven, in the

full and just sum of

Dollars, (

) to the payment of which well and truly to be made, we

hereby bind ourselves, our heirs, administrators, executors, successors and assigns, firmly by these presents.

Signed, sealed and dated this

day of

, 2

.

Whereas by Chapter 601, Florida Statutes, certain dealers in citrus fruits are required to give bond in such form and amount as will be approved by the Commissioner of Agriculture, conditioned upon a full compliance with the provisions of the said Act, and regulations promulgated there under.

NOW THEREFORE, the conditions of this obligation are such that if the above named principal shall well and truly comply with the provisions of this Act and regulations promulgated there under, and shall well and truly account for all such Citrus Inspection Fees or other evidence of indebtedness with respect to such Citrus Inspection Fees to said Commissioner of Agriculture, then this obligation to be void, otherwise to remain in full force and effect, provided however:

The aggregate accumulated liability under this bond shall in no event exceed the penal sum named herein, for any and all claims which may be established during the term hereof.

THIS BOND SHALL REMAIN IN FORCE AND EFFECT UNTIL JULY 31, 2_______

In the presence of:

(SEAL)

PRINCIPAL

By: ____________________________________

(SEAL)

SURETY

By: ____________________________________

Countersigned By Name of Agency Mailing Address

Phone

, Agent Zip Code _________

See reverse side for required amount of bond

FDACS-07044 Rev. 08/14

Persons or firms desiring to pay fees weekly shall furnish the Commissioner with a good and sufficient cash or surety bond, executed by a Surety Company authorized to execute such bonds in the State of Florida, on a form approved by the Commissioner as follows:

1 250,000 500,000 1,000,000 2,000,000 5,000,000

to 250,000 to 500,000 to 1,000,000 to 2,000,000 to 5,000,000 Upward

$ 1,000 bond 2,000 bond 4,000 bond 6,000 bond 8,000 bond 10,000 bond

* Return original executed bond to: Office of Citrus License & Bond 170 Century Blvd. Bartow, FL 33830

For additional information or forms call: 863-578-1900 Ext. 1927 or 1947

Fax 863-578-1901

(POWER OF ATTORNEY FOR SURETY MUST BE LEFT STAPLED TO BOND) THIS STATEMENT NEEDS TO APPEAR ON THE LEFT HAND SIDE OF BOND UP & DOWN AS SAMPLE-OUTSIDE OF BORDER

FDACS-07044 Rev. 08/14

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