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<br />(Sec. 21.06.03. .>2.02.01. N. D. C. C.)
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<br />INDEMNITY BOND ON LOST INSTRUMENT
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<br />Whereas'_"h_......m...........~....Q~......m..._.._......_......_..._..._u._.......hereinafter designated as claimant,
<br />claims to be the owner and entitled to the payment of a certain.....m....QlQ.~~D..mhm"..----.....--.u...m..u..m.....m..u...
<br />dated... ..J~ -0-- .~- r ..&.()Q1..--........ """"'.m.. ...--.. d u e..--...--- J~q' ...é?¡) ¡-. .ii/.QQ'!/h"" ........ umm...... 00",
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<br />::::: : ',::~~::éJ:1~;i3j~~;¿:¥:~;;¡¿¡¡m;;~;;: ::,
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<br />executed bY.....--................o.......----..........--mC.~...r!.d2m2.~.......~m......--..m_""""""""""-"'----.mu......--....---...
<br />but is unable to produce or surrender said instrument upon such payment on account of its loss, destruction, or
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<br />othe;~~, THEREFORE, IL._--..................."m"",~..--..~u............mo--.......u..................u..-_...hereinafter
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<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 all damages, remote or proximate, sustained by virtue of said
<br />payment, including all attorney's fees, costs, expenses, charges, or liabilities assumed, incurred or expended, and will
<br />at any time upon demand payor eause to be paid to said obligee, in addition thereto, the amount so paid to said
<br />claimant by said obligee with accrued interest thereon from the date of such payment at the rate OL_--m'h_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.
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<br />D. "d 'hi".._..¿":¿.~.._m.mm.d.y oL--An":~-1c-...].. 'ð. '/ .
<br />Signed and Delivered III the Presence of ¡ ..x.'V'--u_--......~-;tf.A......--u...J?_...A:;(SEAL)
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<br />:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~:::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::~::::::::::::::::::::::::::::::::::~:::~~
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<br />c:~~:~ ~éA~~~~:~:~-- ) .. ()-1.
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<br />On this......m..u~.:3--:-::-:......--...m"h""",uh...day o~--.H.Llúl.Hs._(.;...--.......--m....._u.......--in the yearaCÞ.{ before me,
<br />p~rsollall y a ppeared..u ....----œ.a_o....--.5ej:f:e.tlu.. .....- -~.u--.__m...-----..._u--...._--....--u...mu........._....u.m_u...u._um_..m....
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<br />an d...... m. ..".. ..--.. ""--""""'m------.--.. --... --00--." -......... _... --.m.. ...m .......-.. _.. m.... um.......--.... _m..... u. m. --.00.00", -"m. -- --.. --m... 00.. 00 00 m......
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<br />known to me to be the persons who are described in and who executed the within instrument, and, who, each for
<br />him,d'. p,,"on.lly .<knowl,dg,d to m, th" th,y mouted ::;¡S!~;él~V__d:iUÇ¿L.l______-----------------------------_._--
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<br />My commission expires--.LD..::.~.2..~.Q.Lo.......m....-- "'m-- .m.......
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<br />C:::;:..~.~..~.~.~~:..~.~.~~~~m.. } ss.
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<br />
<br />"'m.__...........--.
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<br />"...m.......-- _um.......... ...... ""-h..... ....-- """" --h """"""'h- h.m"-n" "h" m m -----... .m"h'" --.--.. ------""--.... ""--"""'--...................-- .m-.....u....
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<br />.m----.. m"...mu. --m""""'h.-- 00...... ---"'h U"...m "00"............ """'.n.. ...... ..00...... 00 h_- h _m. m.. "--..m......_--- --..m.. """"" --...--....... m....... .........
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<br />and...........----...--.....o--..--..........m..um......._m_.........:_....m.-----.........m..--being first duly sworn, upon oath, each for himself
<br />cloth say: The he is one of the sureties on, and whoexecuted the within and foregoing bond. That he is a freeholder of
<br />the State of North Dakota and a resident of the said County eLm_m_..----.....--.............--.........--...........-..., North Dakota.
<br />That he is worth the sum oL--..o.................m............m--""'.....--.--_--........m"'_--"""_h"'U_""'......---------.--....._u.-----.--......Dollars
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<br />SUGGESTED MOTION:
<br />Move to receive and file Indemnity Bond for Lost Instrument for Helen Sapa; and authorize the county
<br />treasurer and county auditor to issue a duplicate check.
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<br />:1.
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