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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> ERICKSON, JOSHUA BLAIR, claims to be the owner and entitled to payment of a certain <br /> warrant number 269174 dated 2/14/2013 for the sum of$ 29.00, 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, ERICKSON,JOSHUA BLAIR, 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$ 29.00, 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 16 day of 7pr l , 20 ill . <br /> Signature/Title <br /> 1;(1C.Soin <br /> STATE OF 4/0()A1 hur , <br /> SS <br /> COUNTY OF S ) <br /> /61"-day� <br /> On this of /r� l , 20 , before me personally appeared a representative <br /> of ERICKSON,JOSHUA BLAIR,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 /> MICHAEL wILLSON <br /> Notary Public /State of North Dakota ► /� <br /> My Commission Expires June 4,2019 Notary Public <br />