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07-21 04 12:11 WRYNE DAUWALTER PLB� T:4464763 P:03 <br /> ---.-- �— <br /> �_ <br /> � MINNESOTA DEPARTMENT OF HEALTH - BONDING ANp INSURANCE CERTIFICATE <br /> This is to cPrtify that Wayne A. Dauwalter. Master Plumber License <br /> No. PM00335U, re �senting Wayne Dauwalter Plumbing has filed a 525,000 bond <br /> with the Secreta; of State on November 24. 2003 and provided evidence of <br /> Public �iability �nsurance, including Products Liability Insurance of at least <br /> 550.000 per person and $100.Q00 per occurrence and Property Damage Insurance <br /> of at least $10,000 for the year 2004 in accordance with the provisions of <br /> Minnesota Statutes, Section 326.40. • <br /> BONo NU. RLi 370946 POLIr.Y No. cCXo232813 <br /> Old Republi� Surety Company Gener�al Casualty Insurance Company <br /> Des Moines, Iowa Lee L. Hennen, Minnesota Agent <br /> Shakvpee, Minnesota <br /> MR WAYNE A DAUWALTFR <br /> WAYNE DAUWALTER PLUMBING <br /> 15525 GREEN MEADOW5 CIRCLE �--;.. �. ,��. <br /> CARVER MN 55315 <br /> Patrlci� A_ Bloonx�rert, Director <br /> Division of Enviror�rnental Health <br /> Uiar�ne Manciernach, Commissioner <br /> �t�te ot �i�YYe�ota : <br /> �iinneguta �8e�artment of ��eaCt�j : <br /> Pur�nv� �vrr, BGtX 64975 � <br /> 121 FAS'r SEVIIV'I�i F1L�►CE, SI'• PAUL, P�1 55164-0975 <br /> Master Plu��xr Licer�ee <br /> LI(�ISE NO 003350PM BF TEST�2 ID NO O L381T <br /> �0. . � <br /> wayne A. Daur�ralter � � <br /> 15525 Greeri Meadow Ci��cle <br /> Carver, NN 55315- . <br /> ;y1 ,� � <br /> EFFECTIVE DATE EXPIRATION DAT� <br /> O1/O1/20Q4 12/31/200� <br /> , <br />