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Indemnity Bond on Lost Instrument <br /> NDCC 21-06-03 <br /> FIRST ASSEMBLY OF GOD, claims to be the owner and entitled to payment of a certain <br /> warrant number 268643 dated 1/22/2013 for the sum of$ 50.00, 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, FIRST ASSEMBLY OF GOD,as principal,jointly and severally undertake, promise <br /> and 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$ 50.00, 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 J - day of 20 14. <br /> Signature/Title <br /> 1).A.Loct& <br /> STATE OF-/ 611A <br /> en ) SS <br /> COUNTY OF ) <br /> On this ieLday of£ 4b v 20 , before me personally appeared a representative <br /> of FIRST ASSEMBLY OF GOD, 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 /> mil <br /> Notary Publ. / <br /> • <br /> Npietry Public <br /> d Noeth Jakob <br /> CpmrAss°f Ex res Jan.29,2015 <br />