Laserfiche WebLink
z-mac ' 7n/-,7o0-/6 33- <br /> Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> 6}et t,i P. K a_ , claims to be the owner and entitled to payment of a certain <br /> warrant number C 61 dated e748//4 for the sum of a77, 06 , 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, 6-ra at: P KUQ(i ,as principal,jointly and severally undertake, promise <br /> and agree to pay any amount of loss that maybe sustained by Lass County by reason of the <br /> issuance of a duplicate in the said sum of ,A-77,06, 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 I day of Cri -G- A,, 201'-f-. <br /> iff- <br /> STATE OF K - ) <br /> ) SS <br /> COUNTY OF �a-'--- s ) <br /> On this I day of 15b A, 20 14, before me personally appeared <br /> Cit Gr'a-v1 P. 4(M- U-- , 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 /> '-)A/LeL,ik: <br /> ti-1--c-c-- <br /> Notary Publ 6 <br /> 1 MARJORIE BRANDEN I <br /> 1 Notary ?ublic o <br /> o State of win Dakota o <br /> 0 My Commission Expires Dec. 14, 2016 0 <br />