|
<br />Ulf':'OfU'i TIßlI .1..<........ >°n..<>. IV.1. ..."'... VI..V
<br />
<br />~-=c=~~:~~:2~~~~~~MNr~Y BO~X: F~)l~~!~~s.~U~N.:~. ~~o!:'~~~ 3;'( ~~1. r::~~~~~~
<br />=1j.~ .
<br />I
<br />I :
<br />
<br />GLOU """,<.w""'G.. N.G.
<br />
<br />INDEMNITY BOND ON LOST INSTRUMfENT
<br />
<br />I '
<br />I :
<br />I :
<br />I :
<br />
<br />Wherea8,......._....__...W.~11.ê_f.~.rgQ..J~.~.~~....~.~~~.:t:-.~..........m.......---............hereinafter dc$ignated as claimant,
<br />
<br />claims to be the owner and entitled to the payment of a certain...s.t_q..t.ê..nJ3._~.nK_.Ç.h_~.ç)f!~.~~~J..~........n---_...---m....
<br />
<br />dated.. - - _¥.~È.£~ .'?E¥-~.9.!.. .. ~Q~.~.__......... ...... """'- -...-....... due_.. --- --. . _.Ee hr:Jla.r -y-_. -? Q.( ....f.Q.Q 9... .... ....... ..... ... .. """"" _.---
<br />
<br />pay a bl e to. ....LW.:e~l.s...F.ê_r.9.Q....R~ê.!._J;':"ê:t:.~.~.~...!!9.!!I.~....~.~~...... """"""m..._..... ............................-.....--..-...--.....--..... I
<br />
<br />for the sum of.....f.Q!J.~...!:-b-_Q.~.êp.n9....~!9....Þ..~.~.9.E~~---.~.~.~!:.!.Y..~.~.!~-~~.~.~.:.~~.[~.~.~=~~.=-_:_:.-::=:.....DOllar8, I
<br />
<br />execu ted by ...-.._.._...Qê.ê_§!....Ç9.~.~.~.¥._.~~.~.~E !:.!!1.~.~-~......-------_....._...._.. -. ....-. ...-.. """'-"" "'--m.'"",-, """'" ""'-""m".m......_-
<br />but is unable to produce or surrender said instrument upon such payment on account of its loss, destruction, or
<br />
<br />I
<br />
<br />I
<br />
<br />otherwise. J ,
<br />
<br />N OW.. TH EREF 0 RE, If.;.._~ _.~..u.S:... _.&+iJ__...._~.~. :'.... ..--. ~..P....~+j.'~'7-,;~- ...-......h erein after
<br />
<br />designated as obligee, will payor cause to be paid to said claimant, or order, the amount demanded by him by virtue
<br />thereof, we, the undersigned, do jointly and severally promise, undertake and agree to and with said obligee, his or
<br />its successors, heirs, administrators and assigns, that we will save said obligee, his or its successors, heirs, administra-
<br />tors and assigns, harmless from any and all claims of any person or persons in and to said instrument, or to the pay-
<br />ment thereof, in whole or in part, and from any and an damages, remote or proximate, sustained by virtue of said
<br />payment, includingallattorney's fees, costs, expenses, charges, or liabilities assumed, incurred or expended, and win
<br />at any time upon 'demand payor €ause to be paid to said obligee, in addition thereto, the amount so paid to said
<br />cJaimant by said obligee with accrued interest thereon from the date of such payment at the r¡,te oL......_...per cent
<br />per annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary
<br />or requisite to save said obligee harmless from further liability, cost, expense or damage in the premises.
<br />
<br />Dated this.....---..........?:-...Í.........-.-.-:-......_....day of........--_.~~.I.~~_...--_....---............ -
<br />
<br />
<br />--~;.~':~L<~:~:~~_.._, ) ==~:= ~~o :::=~:~:;::;
<br />....._._...~Iþ;<t..H;~._...~_dhÆ~g.~.l?!q~.. "'-"'-'-"""""" '-"'-"------'__00_'"""""" .......-- """""""""'" (8 EAL)
<br />
<br />C:u::;:_.~.:--:~~~:..~~:~~~.... } ss.
<br />
<br />
<br />On this.._..............-.--.-------.-..--.-................-......day of"""'---...................m.....---......-.-.--........in the yea:~ ....--.., before me,
<br />
<br />personal I y appeared.... .........-.-... '-'-". .00_--'___--.--................ ...... "-""'--"----'-' -"""'-"'--"'---""" ... --...........-......... ".-....-..-.-..--.---...---.-- -..
<br />
<br />.i and....................-..-...-.....-.....--.---.....-..........-----.----.......-...................---..-........-..."""""'-""""" """"-'.-.-.......n....--....................-.......
<br />
<br />known to me to be the persons who are described in and who executed the within instrument, and, who, each for
<br />himself, personally acknowledged to me that they executed the same.
<br />
<br />"'--""--""""""'" .........u.............-.......-.........-................"'m.. '"
<br />
<br />I My commission expires.......................-.----....--.........---...
<br />
<br />..n.... --.......-......-...-........-......-.....--.....................m...........--....-.....-.--.
<br />
<br />C:::;:_'~~":~'~~:_':~::=~"h } ss.
<br />
<br />"...-......-...--. .--...-.....-...---...- '-""...------...--.---....--... -- """" """---".---.-..-.. ..._- """'" -..--.--.............. ...-.. --'---"__00_.---.....-.. --.. ................... ""
<br />
<br />....-... ...-........ """--"'.......... '_m.........--.....-... ...--.......--.... .-.....- """------..-.--.,. ""'----.-.. -------"-""--""-""""'-- ..'- ..--- .....-......-.....--.-...-..-......
<br />
<br />; and",_--"""""","'-,'...--....-mum..........-.-.--.........-.......-m....-.--....---.......being first duly sworn, upon oati:., each for himself
<br />! cloth say: The he is one of the sureties on, and who executed the within and foregoing bond. That he is a freeholder of
<br />:: the State of North Dakota and a resident of the said County oL....m_.._....--...m__.._.......u...-...................., North Dakota.
<br />
<br />That he is worth the sum of...m_'_""""""'--'---'-"""-"'..--................_--m_.'---.......--.m----'--'-"""""""...........-.m--.-...-----Dollars
<br />
<br />in property within this state over and above all his debts and liabilities and exclusive of all his property exempt by
<br />the laws of this State from levy and sale on execution or attachment.
<br />
<br />1 ..--.---.-
<br />
|