HomeMy WebLinkAboutS Purchasing - Dedication Form Southern Orange Senior Center & OWASA• Orange Water and Sewer Authority
Dedication Form
3/6/2008
Orange Water and Sewer Authority
400 Jones Ferry Road
Post Office Box 35
Carrboro, NC 27510
Re: Southern Orange County Senior Center
Dear Sirs:
Orange County, North Carolina the current owner of Robert and Pearl Seymour Center,
according to Plat Book 102 at Page 99 Orange County Registry, does hereby dedicate
and convey unto Orange Water and Sewer Authority, its successors and assigns, all of
its right, title and interest in and to the water and sewer lines constructed in accordance
with plans titled "Utility Plan As-Built, Sheet Number CD S.OA" prepared by Coulter,
Jewell, Thames, PA, and dated May 3, 2007.
IN WITNESS WHEREOF, this letter is executed by the duly authorized officers of
• Orange County, North Carolina and its corporate seal to be hereunto affixed, all on the
day and year first above written.
Orange County, North Carolina
ATTE T:
Donna S. Bake'
Clerk to the Board of County Commissioners
NORTH CAROLINA
ORANGE COUNTY
I, ~n c/a ~onr .ScYI~ ~a~k~~ , a Notary Public, hereby certify that Barry Jacobs
per Wally appeared before me this day and acknowledged that he is the Chair to the
Board of Orange County Commissioners, a corporation, and that by authority duly given
as the act of the corporation, the foregoing instrument was signed in its name by its
Chair to the Board, sealed with its corporate seal, and attested as its Secretary.
(Notary Public)
My Commission Expires: ~-/~a0 / 3 q~
d~.oar~gr
tNycat~x~Mor+lfagaMrt ~ ~'•~0/3