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Indemnity Bond on Lost Instrument <br /> NDCC21-06.03 <br /> Ladina Sanders,claims to be the owner and entitled to payment of a certain warrant <br /> number 279209 dated 06/30/2014 for the sum of$2520.00,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,Ladina Sanders,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$2520.00,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 15 Clay of■. A 20 . <br /> Signature/Title <br /> toi4isr <br /> Di <br /> STATE OF t\1& 4( ko I <br /> SS <br /> COUNTY OF 04 SS ) <br /> On this (0 day ofd 1A..i1 ,20 r4,before me personally appeared a representative <br /> of Ladina Sanders,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 /> JENNI KRIEG 4� <br /> Notary Public <br /> State of North Dakota <br /> 1 My Commission Expires Nov. 15, 2017 No Ty Pu► is <br />