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INDEMNITY BOND ON LOST INSTRUMENT
<br />
<br /> Whereas,. ............i.[ ..~..e~.~-~ ...................................................................hereinafter designated as claimant,
<br /> claims to be the owner--and entitled to the payment of a certain ......... U.~521~n~....~...[~zg~_.O...~.,~. ................................
<br />dated ........ ........................... due ......... ......................................
<br /> .............................. .................. ....................................................................................
<br />payable
<br /> to
<br /> re;if he sum of......?..'~'..~.O..).-..~._..~..~.~..~ ........... -/---~------:~ .......................................... ~rs,
<br />
<br /> but is unable to produce or surrender said instrument upon such payment on account of its loss, destruction, or
<br />otherwise.
<br />
<br /> NOW, TttEREFORE, If ........................ .~-~t...~..~ ................................................................... hereinafter
<br />designated as obllgee, will pay or cause to be pa'Jd~to said claimant, 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 said obllgee, his or
<br />its snccessors, heirs, administrators and assigns, that we will save said obllgee, his or its successors, heirs, 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 in part, and from any and all damages, remote or proximate sustained by virtue of said
<br />payment, including all attorney's fees, costs, expenses, charges, or liabl it es assmned, incurred or expended, and will
<br />at any time upon demand pay or cause to be paid to said obligee, in addition thereto, the amount so paid to said
<br />claimant by said obligee with accrned interest thereon from the date of such payment at the rate of ........... per cent
<br />per annum and undertake and perfor~n any and all steps, actions or proceedings which said obllgee may deem necessary
<br />or reqnisite to save said obligee harmless from further liability, cost, expense or damage in t.~remises.
<br /> Dated this .......................................................... day of ....................... "----7 ............ ~- ........(- .......
<br /> · . .
<br /> S~gned and Dehvered m the Presence of ......................................... (SEAL)
<br />
<br />.......................................................................................................................................................................................... (SEAL)
<br />
<br />.......................................................................................................................................................................................... (SEAL)
<br />
<br />personally appeared ........... ~.-.~ _....~/~.._~.,~ .............................. iii.iiii iiiiiiiiiiiiiiiiiiiiiiii ....................... ii ..........................
<br />
<br />known to me to be the persons who are described in and who executed the within instrument, and, who, each for
<br />himself, personally acknowledged to me that they executed the s~., r~/~//? ' \~ /]
<br />
<br />My commission expires ......... [~l_~.~m~l,~t~.~jE_y_,~ g,~: '] .................................................................~ ..................... ~
<br />
<br /> STATE OF NORTIt DAKOTA
<br />
<br />County of ..................................................
<br />
<br />and ........................................................................................................ being first duly sworn, upon oath, each for himself
<br />doth saT: The he is 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 properts; 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 />My commission expires .....................................................
<br />
<br />
<br />
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