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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> Northern Engine &Supply, claims to be the owner and entitled to payment of a certain <br /> warrant number 275946 dated 01/22/2014 for the sum of$118.34, 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, Northern Engine &Supply, as principal,jointly and severally undertake, <br /> promise and agree to pay any amount of loss that maybe sustained by Cass County by <br /> reason of the issuance of a duplicate in the said sum of$118.34, 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 30 day of ivy , 20 /f. <br /> Signature/Title <br /> STATE OF m Vitt,I/4(MI ) a.�..,� 4H;,rzow L JAROS <br /> Notary Public <br /> SS State of Minnesota <br /> COUNTY OF,�� QZ.-ut ) :,` �� � My Cammission Expires <br /> January 31, 2018 <br /> On this day of / 20 /4/before me personally appeared a representative <br /> of Northern Engine&Supply,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 /> )7-)a7)crk, Cam?(A- <br /> Notary Public <br />