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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> Loraine Fleeman claims to be the owner and entitled to payment of a certain warrant <br /> number 34248 dated June 17, 2014 for the sum of$46.70 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, Loraine Fleeman,as principal,jointly and severally undertake, promise and <br /> agree to pay any amount of loss that may be sustained by Cass County by reason of the <br /> issuance of a duplicate in the said sum of$46.70 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 t day ofNi\c ∎S-V 2014. <br /> I <br /> I'A <br /> STATE OF A 0✓ L ,k % <br /> SS <br /> COUNTY OF Cet SS ) <br /> On this l67" day of -144, 2014, before me personally appeared Loraine <br /> Fleeman, known to me to be the person(s) described in and that executed the within <br /> instrument and severally acknowledged to me that they executed the same. <br /> DAVID NEMER <br /> Notary Public ► Notary Public <br /> State of North Dakota <br /> My Commission Ex Tres Set. 2, 2011 <br />