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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> ND DEPARTMENT OF CORRECTIONS, claims to be the owner and entitled to payment <br /> of a certain warrant number 272170 dated 7/1/2013 for the sum of$1,822.51, executed <br /> by Cass County Government but is unable to produce or surrender said instrument on <br /> account of its loss, destruction, or otherwise. <br /> I/We, ND DEPARTMENT OF CORRECTIONS, as principal,jointly and severally <br /> undertake, promise and agree to pay any amount of loss that may be sustained by Cass <br /> County by reason of the issuance of a duplicate in the said sum of$1,822.51, or payment of <br /> 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 /1 day of 4a_, 20 /y. <br /> Signature/Title <br /> 611/, 9-4(00 <br /> a D//ififl&Z (9 <br /> STATE OF-116Y`" <br /> SS <br /> COUNTY OA LQ 6k ) <br /> On this t day of ' fI" `k , 20 before me personally appeared a representative <br /> of ND DEPARTMENT OF CORRECTIONS, known to me to be the person(s) described in <br /> and that executed the within instrument and severally acknowledged to me that they <br /> executed the same. <br /> SIOZ'9Z Qj sendx3 Joissiwwoo A I' <br /> tllO HvaH11:10N4031V!S-viand AUV1ON Notary Public <br /> 1:131SNI1 'l 71-13H9101 <br /> • MICHELLE L. LINSTER <br /> NOTARY PUBLIC-STATE OF NORTH DAKOTA <br /> ��'� ` My Commission Expires Feb 26,2015 <br />