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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> Ann K Jesser, claims to be the owner and entitled to payment of a certain warrant <br /> number 34228 dated 05/15/2014 for the sum of$1,289.56, 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, Ann K Jesser,as principal,jointly and severally undertake, promise and agree to <br /> pay 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$1,289.56, 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 .2 day of'- - S , 20(I. <br /> Signature/Title <br /> STATE OF/ /L Am( <br /> SS <br /> COUNTY OF aZ201 ) <br /> On this 4 day of .(, , 20/Y, before me personally appeared a representative <br /> of Ann J Kesser, 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 /> eawillorillbsidOWyrilbraNiaftwelbeale <br /> JULIE SAULSBURY 1 tar Publir <br /> Notary Public i y <br /> State of North Dakota <br /> Comm iaslon Ex fires ril 30,2019 <br />