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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> Jon Lipp, claims to be the owner and entitled to payment of a certain warrant number <br /> 259276 dated 12/14/2011 for the sum of$31.45, executed by Cass County Government <br /> but is unable to produce or surrender said instrument on account of its loss, destruction, or <br /> otherwise. <br /> I/We,Jon Lipp,as principal, jointly and severally undertake, promise and agree to pay <br /> any amount of loss that may be sustained by Cass County by reason of the issuance of a <br /> duplicate in the said sum of$31.45, 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{ day of TA . , 20-1-27 <br /> ae1�} <br /> STATE OF\ <br /> ) SS <br /> COUNTY OF C__5:>.S ) <br /> ao� <br /> On this 1 day o\ 2Ot2, nefore me personally appeared Jon Lipp, known to <br /> me to be the person(s) described in and that executed the within instrument and severally <br /> acknowledged to me that they executed the same. <br /> ''nn OK ba WO- <br /> Notary Public <br /> 1 BARS i 'CDERMOTT i BARB S. MCDERMOTT <br /> Public ► Notary Public <br /> Sta th Dakota ► State of North Dakota <br /> My Commis;, ,pires Nov. 17, 2016 I My Commission Expires Nov. 1 ,, <br />