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INDEMNITY BOND ON LOST INSTRUMENT Whereas,......_..~P. ll~.~dl.~ ................................................................................ hereinafter designated as claimant~ claims to be the owner and entitled to the payment of a certain_ ~;.a!~tL..l~i31~_.~ll~.C.R..~1.~.0.~ .................... dated-----~9--n--P ~.EZ.. ~.~.Y.~PP~ .............................. due ......... .4.a~h!~ r2g..~.~z.._~ O.Q ~. ..................... payable to Cendanh ............................................................................... t;'~; ~ ~ ~':"~;~ ............................ for the sum of ~.br.~. ~)!.Qt!$;~.D.g]....~hl;~.~ ..hundred ti!.! ~t~X...~.~v.9!!...~.~.g]. 57/!.Q.Q~rr. Dollars' executed by ............ ~ ~.~ ~... f~P.~.n.!q.Y_.~p.v.9 r n ~!~9.~ ................................................................ but is unable to produce or surrender said instrument upon such payment on account of its loss, destruction, or otherwise. NOW, THEREFORE, ..................................... ,./.., ............ designated as obllgee, will pay or cause to be paid to said claimant, or order, the amount demanded by him by virtue .thereof, we, the undersigned do jointly and severally promise, undertake and agree to and with said obllgee, his or its sneeessor% heirs, administrators and assigns, that we will save said nbligee, his or its successors, heirs, admlnlstra- ment thereoi, in whole or in part~ and from any and all damages, remote or proximate, sustained by virtue of said payment, including all attorney's fees, costs, expenses, charges, or liabilities assumed, incurred or expended, and will at any time upon demand pay or cause to be paid to said obligee, in addition thereto, the amount so paid to said claimant hy said obligee with accrued interest thereon from the date of such payment at the rate of.. per cent per amlum anti undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary or requisite to save said obligee harmless from further liability, cost, expense or damage in the premises. Dated this.... ~.,~{ .............................. day of~...J.~ f~ .............................. Signed and Delivered in tile Presence of I ........../ ........... ~ ....... ~ ........... ~ .......... 7-"' (SEAL) ---~: ........................................................ [ .............................................('~ .............. (SEAL) STATE OF NORTH DAKOTA Onths f~[ da of ................ X: .................. ~- y ................................................ m the year .... ~, before me, personally appeared ........ ;.~!9 a ana~:/.....~.c<,.~.~o .............................................................................................. hi~nself, personally acknowledged to me that they executed the_~ /~ ~/'~/-;same' / ~) . My cumin ss o expres ~.-'/~/~ ..................... STATE OF NORTtt DAKOTA f County of ............................................... and ............................................................................... being first duly sworn, upon oath, each for himself doth say: The he is one of the sureties on, and who executed the within and foregoing bond. That he is a freeholder of thc State of North Dakota and a resident of the said County of ........................................ , North Dakota. That he is worth the sum of ......................................................................................................................... Dollars in propert}; within this state over and above all his debts and liabilities and exclusive of all his property exempt by the laws of this State from levy and sale on execution or attachment. Subscribed and sworn to before me this .................... day of ...................................................... My commission expires .........................................................................................................................