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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> `i t : 4 claims to be the owner and entitled to payment of a certain <br /> '/103I and #r 0.o0 4.4•/ <br /> warrant number 110.3? dated I/OII4- for the sum of # goo.a0, 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, 30.re,.Fi< Tzetser 1 ,as principal,jointly and severally undertake, promise <br /> and agree to pay any amount of foss that may be sustained by Cass County by reason of the <br /> issuance of a duplicate in the said sum of I 10°60, 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 .3 day of 574, , 20 k <br /> ci,...„--e_____ ___ <br /> z` <br /> STATE OF 1\101(tL a <br /> Ca ---S ) SS <br /> COUNTY OF ) <br /> On this . day of-y1tiiii.CA.201 L, before me personally appeared a representative <br /> of-._Nlud) Tot , 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 /> MINDY ERP bKSON Lilt( � <br /> �kKat eS � <br /> Notary Nota y Put) <br /> State of North Dakota <br /> My Comm.Expires December 28,2015 <br />