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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> MACKOFF KELLOGG LAW FIRM, claims to be the owner and entitled to payment of a <br /> certain warrant number 271029 dated 5/14/2013 for the sum of$ 6.00, executed by <br /> Cass County Government but is unable to produce or surrender said instrument on account <br /> of its loss, destruction, or otherwise. <br /> I/We, MACKOFF KELLOGG LAW FIRM, as principal,jointly and severally undertake, <br /> promise and agree to pay any amount of loss that may be sustained by Cass County by <br /> reason of the issuance of a duplicate in the said sum of$ 6.00, or payment of such <br /> 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 (r day o aflin.ii20 )4 <br /> Si nat e/Title ��)1\/hfi kiii c kl, i IcE A-;-fryy 4 � <br /> _ lei! -1YW� <br /> ' <br /> STATE OF I<1.00 k�` ) <br /> Clwr---- ) SS <br /> COUNTY OF ) <br /> On this 11O 7iay o1 t i lt/1P 20 J47before me personally appeared a representative <br /> of MACKOFF KELLOGG LAW F M, known to me to be the person(s) described in and that <br /> executed the within instrument and severally acknowledged to me that they executed the <br /> same. <br /> RITAA MCCLELLAN / �� <br /> Notary Public <br /> State of North Da u ti Notary Public <br /> My Commission Expires February 13,2014 <br />