RUSSELL, CLERK OF COURTS, ORANGE CO
`
`ROCHE SURETY AND CASUALTY CO., INC.
`4107 N. Himes Avenue • 2nd Floor
`• Tampa, FL 33607
`ROCHE (813) 623-5042 •
`(800) 789-3899 • Fax (813) 623-5939
`
`SURF,
`
`AND CASUALTY CO INC
`
`GENERAL SURETY
`APPEARANCE BOND
`
`SEND ALL COURT NOTICES TO EXECUTION AGENTS ADDRESS:
`Paz Bail Bonds
`100 S Bumby Ave
`Orlando FL 32803
`407-458-4579
`TRANSFER BOND CONTACT:
`
`STATE OF FLORIDA
`vs.
`
`-
`
`L
`
`Court
`
`County
`
`Power No.
`
`Arrest No.
`
`CO.,
`
`Z. ,1 00 y 0 5 0
`IN THE
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`STATE OF FLORIDA
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`the above captioned Defendant, as Principal, and ROCHE SURETY AND CASUALTY
`KNOW ALL MEN BY THESE PRESENTS: That we,
`INC., a Florida Corporation, as Surety, are held and firmly bound unto the Governor of the State of Florida, and his successors, in the penal
`0
`Dollars, for the payment whereof well and truly to be made we bind
`sum of $
`ourselves, our heirs, representatives, successors, and assigns, jointly and severally, firmly by these presents.
`
`The condition of this obligation is such that if the said principal shall appear on
`or Special term of the above captioned Court only and shall submit to the said Court to answer a charge of POSS C53104 Oc
`pgi2 Pt-1 G01/4143nly and shall submit to orders and process of said Court and not depart same without leave, then this
`obligation to be void, else to remain in full force and virtue.
`This bond is not valid for pre-sentence investigation, pre-trial
`/ 3
`day of
`SIGNED AND SEALED this
`
`at the next Regular
`
`•
`
`trvention or countermeasure program unless specifically authorized by surety.
`A.D., Zazq
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`Taken before me and approved by me:
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`By:
`
`(
`
`Sheriff
`
`D.S.
`
`pre,
`-4.0)°'°i'N, s
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`SEAL
`,ZORIDN
`
`Principal
`ROCHE SURETY AND CAS
`
`CO., INC.
`
`c....•.....---,--..-
`Attorney-in-Fact (Surety)
`
`(L.S.)
`
`(L.S.)
`
`STATEMENT OF THE BONDSMAN Lorena Mohammed
`I, THE UNDERSTATED, AM A DULY LICENSED BAIL BOND AGENT PURSUANT TO Chapter 648, Florida Statutes, or a duly licensed general
`lines agent pursuant to Part II of Chapter 626, Florida Statutes, and have registered for the current year with the office of the Sheriff and Clerk
`of the Circuit Court of the aforementioned County, and have filed a certified copy of my appointment by Power of Attorney for the Surety with the
`office of the Sheriff and Clerk of the Circuit Court of the aforementioned County.
`
`That the Principal named in the foregoing bond, of (Address)
`
`has
`ez2,
`/00
`11,t,,701A-e--e7
`) Dollars
`(given or promised to give) the sum of
`($
`as consideration for the foregoing bond, filed with the Clerk of the above captioned Court, located in said County, together with the (promise or
`receipt) of security belonging to:
`of (address):
`as follows: (Detail description of collateral security) (If none, so state)
`
`Promissory Noto & indemnity Agreement
`
`That a duly signed receipt has been given to the said principal for the consideration given and/or that the said indemnitor has (also been) given
`a receipt for the security described above.
`Paz Bail Bonds
`
`Agency
`Form FL-1 Rev. 6/15
`
`WHITE - COURT COPY
`
`Agent's Signature
`YELLOW AND / OR PINK - AGENT'S COPY
`
`