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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> MURRAY,JAKE, claims to be the owner and entitled to payment of a certain warrant <br /> number 274229 dated 10/22/2013 for the sum of$ 9.01, executed by Cass County <br /> Government but is unable to produce or surrender said instrument on account of its loss, <br /> destruction, or otherwise. <br /> I/We, MURRAY,JAKE, as principal,jointly and severally undertake, promise and agree <br /> to pay any amount of loss that may be sustained by Cass County by reason of the issuance <br /> of a duplicate in the said sum of$ 9.01, 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 22, day of "// , 20/V . <br /> Signature/Title <br /> , ., /.61—„------, <br /> STATE OF Noa- ) <br /> ) SS <br /> COUNTY OF 0.---(- ) ) <br /> On this day of I' i' L ,_201 , before me personally appeared a representative <br /> of MURRAY,JAKE, 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 /> DEBRA J. KRUPICH Q ( atr�D-, <br /> Notary Public Notary Public 1 <br /> State of North Dakota Y <br /> 4 M Commission Ex Tres Feb.25,2017 <br />