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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> JOHNSON, BRITTA, claims to be the owner and entitled to payment of a certain <br /> warrant number 271891 dated 6/14/2013 for the sum of$ 58.88, executed by Cass <br /> County Government but is unable to produce or surrender said instrument on account of <br /> its loss, destruction, or otherwise. <br /> I/We,JOHNSON, BRITTA, as principal,jointly and severally undertake, promise and <br /> agree to pay any amount of loss that may be sustained by Cass County by reason of the <br /> issuance of a duplicate in the said sum of$ 58.88, 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 o42 day of 20 11j. <br /> Signature/Title <br /> %A/ <br /> STATE OF , i�a�. w„. ) <br /> ) SS <br /> COUNTY OF C1S5 ) <br /> On this ' day o 2014, before me personally appeared a representative <br /> of JOHNSON, BRITTA,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 /> JENNI KRIEG <br /> Notary Public <br /> State of North Dakota ► N. �'ublic <br /> 9 My Commission Ex fires Nov. 15, 2017 <br />