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• <br /> Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> GADEN, KASSIE, claims to be the owner and entitled to payment of a certain warrant <br /> number 271886 dated 6/14/2013 for the sum of$ 29.44, 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, GADEN, KASSIE, 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$ 29.44, 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 day of , 20 . <br /> Signature/Title <br /> -L4a--cul(c0 <br /> STATE 0 '�) ) <br /> ) SS <br /> COUNTY OF GCd-Z— ) <br /> On this/ day offlgit 20/ before me personally appeared a representative <br /> of GADEN, KASSIE, known to me to be the person(s) described in and that executed the <br /> within instrument and severally acknowledged to me that they executed the same. <br /> CHAP[o r ,aNDvIK • <br /> • <br /> StatP Dakota <br /> mniia w�-�:.",r2, Oct. 12, 2014 <br /> Nota ^ ..�� <br />