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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> BROWN &CROUPPEN PC, claims to be the owner and entitled to payment of a certain <br /> warrant number 273141 dated 8/21/2013 for the sum of$ 15.50, 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, BROWN &CROUPPEN PC, as principal,jointly and severally undertake, promise <br /> and 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$ 15.50, 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 1 1 day of`9r■ I , 20 ILI . <br /> Signature/Title <br /> r <br /> Sc' IC`s CCO ...V1-k CE )A <br /> STATE OF JA ( 3socv, ) <br /> COUNTY OF 9 <br /> urs , SS <br /> On this 7. day of 20 67, before me personally appeared a representative <br /> of BROWN&CROUPPEN PC, 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 /> o�p• G,; MARY JO HAYDEN � � <br /> 2.NOTARY cl_ My Commission Expires i..��1 �� ,` <br /> July 13,2014 Notar Put is <br /> ')A".. SEAL rg St.Louis Cit Notary <br /> Commission#10995018 <br />