| SURETY DETAIL INFORMATION | |
| Surety ID: | 2010-0187 | | Status: | RELEASED | | Operator Number: | 10110 | Bond Amount: | $5,000.00 | | Instrument: | SURETY BOND | | Instrument Number: | 01I-002831 | | Coverage: | INDIVIDUAL | | Bond Type: | SURFACE | | Limitation: | 1 | | Deposit Number: | | | PDPA Number: | HCW 23-43 | | Received Date: | 9/22/2010 | | Approved Date: | 9/22/2010 | | Maturity Expire Date: | N/A | | FA Provider Number: | 200146 | | FA Provider Name: | INDEMNITY NATIONAL INSURANCE COMPANY | | Deposit Date: | N/A | | Release Request Date: | 4/24/2012 | | Release Date: | 4/25/2012 |
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