Laserfiche WebLink
Y <br /> Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> Carolyn Corwin, claims to be the owner and entitled to payment of a certain warrant <br /> number 257070 dated 9/6/2011 for the sum of$27.50, executed by Cass County <br /> Government but is unable to produce or surrender said instrument on account of its loss, <br /> destruction, or otherwise. <br /> I/We, Carolyn Corwin, as principal,jointly and severally undertake, promise and agree <br /> to pay any amount of loss that may be sustained by Cass County by reason of the issuance <br /> of a duplicate in the said sum of$27.50, or payment of such obligation. <br /> If there is more than one undersigned any liability hereunder and the representations <br /> and warranties made herein is joint and several and this agreement shall be binding upon <br /> the heirs, personal representatives, successors, and assigns of the undersigned and shall <br /> inure to the benefit of Cass County it's successors and assigns. <br /> In witness thereof, I/we have hereunto set our hands this I. day of`Y N7,V , 203. <br /> CLybkyV (.--0 VIA) 17/t----- <br /> STATE OFaO4'piA1e ) <br /> SS <br /> COUNTY OFa, ) <br /> i3 <br /> On this 1- day ofiV C V , 2e-±-2, before me personally appeared Carolyn Corwin, <br /> known to me to be the person(s) described in and that executed the within instrument and <br /> severally acknowledged to me that they executed the same. <br /> KATIE WINJE f(, ./(Ja./7&c - <br /> Notary Public Notary Public <br /> State of North Dakota <br /> My Commiss�siion Expires Sept, 8, 2014 <br />