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ni <br />u30x 20 Pic, 317 <br />PAGE3 <br />IN WITNESS WHEREOF, the parties have hereunto set their hands and seals the d ear first above <br />wrtten. <br />COOPERATOR: Nr <br />~ By <br />Witness (Signature & Title of Authorized <br />Gaynell M. Lee, Clerk Re rese tative11 <br />Herbert lnc'ks, Chairman <br />Lee County Board of Commissioners <br />4~ Witness <br />David M. Smitherman, <br />County Manager <br />(Date) 3/21/05 <br />N.C. DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES - DIVISION OF FOREST <br />RESOURCES <br />Witness <br />Witness <br />DESCRIPTION OF VEHICLE: <br />MAKE OF VEHICLE <br />YEAR <br />NEC # <br />122# LICENSE # <br />"ATTACH A COPY OF DMV REGISTRATION <br />FINANCIAL RESPONSIBILITY: <br />(Director) <br />(Date) <br />N.C. DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES -COOPERATOR <br />By: <br />EQUIPMENT LEASE <br />BODY STYLE <br />SERIAL it <br />NAME OF INSURANCE COMPANY <br />NAME OF INSURANCE AGENT / PHONE# <br />POLICY # OR AGENCY BINDING COVERAGE <br />AMOUNT OF COVERAGE: PER PERSON BODILY INJURY <br />13ER ACCIDENT BODILY INJURY <br />PROPERTY DAMAGE <br />Revised 10/97 <br />