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/~2i~t-'INDEMNIT¥ BOND FOR LOST INSTRUMENT. (Sec. 21-06.03. 32-02-oi. N. D. C.C.I ..... : -: n .... :
<br />
<br />INDEMNITY BOND ON LOST INSTRUMENT
<br />
<br /> Washington MutuaL
<br /> Whereas,. ....................................................................... hereinafter designated as claimant,
<br /> claims to be the owner and entitled to the payment ofaeertaln Audltor's ek~173959
<br />
<br /> dated ~h.~p.~r~. 18~ 2003 ,7, February 18. 2003
<br />
<br /> payable to ...~.~.h.~.~ Lon ~u ~ ua 1
<br /> ............................................... $'~'3"~'0772 .......................................................................................
<br /> ~orthe~umof ~.O ~h~usand ~hree hundred sixty and 72/100 ...........
<br /> .......................................................................................................................................... ~o ara,
<br /> executed by ........ CaSS Countg Governmen~
<br />
<br /> but is nnable to produce or surrender said instrument upon such payment on account of its loss, destruction, or
<br /> otherwise.
<br />
<br /> NOW, TttEREFORE, If .................................................................................................................................... hereinafter
<br />designated a, obllgee, will pay or cause to be paid to said elalmant, or order, the amount demanded by him by virtue
<br />thereof, we, the undersigned, do jointly and severally promise, undertake and agree to and with ~ald obllgee h , or
<br />its *uccessors, helr~, administrators and a~signs, that we will save said obligee, his or its successors, ~e~rs, administra-
<br />tors and assigns, harmless from any and all claims of any person or persons in and to said instrument, or to the pay-
<br />ment thereol, in whole or iu part, and from any and all damages, remote or proxltnat% sustained by virtue of said
<br />payment, including all attorney's fees, costs, expenses, charges, or liabilities assumed, incurred or expeuded, and will
<br />at any time 0pon demand pay or cause to be paid to said obligee, in addition thereto, the amount so paid to said
<br /> claimant by said obllgee with accrued iuterest thereon from the date of such payment at the rate of ........... per cent
<br /> per annnm and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary
<br /> or requisite to save said obllgee harmless from further liability, cost, expense or damage in the premises.
<br /> o~
<br /> Dated th's ............... ~. .......................... day
<br /> Signed and Delivered in tile Presence of --~~~:---~~ .................... (SEAL)
<br />
<br />........................................................................................................................................................................................ (SEAL)
<br />
<br />.......................................................................................................................................................................................... (SEAL)
<br />
<br /> STATE OF ~
<br /> County of...~;:7.~.e, ff. ................ ~ ~s. . .
<br /> .......... 5 .... : ....... ...........................
<br /> On this ..... ~..~. day of ~(~ e~? ~7C~ in the year ~q~$., before me,
<br />personally appeared .......... ~.511_(.~ ........ ~tT.~.C~ .........................................................................
<br />and ...............................
<br />known to me to be the person~ who are described in and who executed the within instrument, and, who, each for
<br />himself, personally acknowledged to me that they executed the same~ .
<br /> A
<br /> ~ ~ ~ ,,
<br /> ~ ..~:~..:=.~ ............... ~.~.:.~,~. ,., ...
<br /> ...... ' <J O' ~ ~ *'~5 ...........
<br />~y=omm,.,o.=~,~. .............. ~ .... ;,g...~ ........... ~d~ d .E.=<~,~. ~=~,.
<br /> .............. r' ................. ~-' ~-T~::~- ...... v---,~---5- ......
<br />
<br /> S~aT~ O~ ~O~TH O~OTa ~ ~
<br />County of .................................................. ] ~
<br />
<br />....................................................................................................................................................................... ~/.~>~ ~.,~ ...........
<br />
<br />............................................................................................................................................................................................................
<br />and ........................................................................................................ being first duly sworn, upon oath, each for himself
<br />doth say: The he h one of the sureties on, and who executed the within and foregoing bond. That he is a freeholder of
<br />the State of North Dakota and a resident of the said County of ....................................................... , North Dakota.
<br />That he is worth the sum of ............................................................................................................................................ Dollars
<br />in propert] within this state over and above all his debts and liabilities and exclusive of all his property exempt by
<br />the laws of this State from levy and sale on execution or attachment.
<br />
<br /> Subscribed and sworn to before me this ......................
<br />
<br />day of .....................................................................
<br />
<br />SUGGESTED MOTION:
<br />Move to receive and file the Indemnity Bond on Lost Instruments for Washington Mutual and Ray
<br />Bauske, and authorize the county treasurer and the county auditor to issue duplicate checks.
<br />
<br />
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