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24 F /,r,; 159 <br />No1z- ii W C AR0LI TNT <br />AsSO CI XIION or COUNTY CoraN,sSION"i as <br />NCACC Risk Management Pools <br />Liahility and Property <br />Payment Plan Available: Liability & Property Pool <br />County or Entity: LEE COUNTY <br />Annual Payment Plan: (due on or before August 1, 2011) <br />$325,515 <br />Quoted on: 4/1 212 01 1 <br />I understand that changes made to the exposures subsequent to submission of the <br />renewal application may result in changes to the Estimated Contribution: <br />Accepted by: <br />Signature <br />Printed Name John A. Crumpton <br />Print Title County Manager <br />Date _ 5 /2� /I/ <br />This instrument has been pre- audited in the manner required by the Government Budget and Fiscal Control <br />Act. <br />Financial Officer: <br />Signature AOCA <br />Date <br />NCACC <br />4/1212011 <br />