| SURETY DETAIL INFORMATION | |
| Surety ID: | 2021-0128 | | Status: | ACTIVE | | Operator Number: | 96850 | Bond Amount: | $28,000.00 | | Instrument: | RIDER | | Instrument Number: | ROG0001338 | | Coverage: | INDIVIDUAL | | Bond Type: | LOCATION | | Limitation: | 1 | | Deposit Number: | | | PDPA Number: | INTERIM REC #417777 | | Received Date: | 9/29/2021 | | Approved Date: | 12/3/2021 | | Maturity Expire Date: | N/A | | FA Provider Number: | 10447 | | FA Provider Name: | URSA OPERATING COMPANY LLC | | Deposit Date: | N/A | | Release Request Date: | N/A | | Release Date: | N/A |
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