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<br />OJI=:r' .... ':32~jNDEMN!!YBCl~FORoLOsTINS~~~~~NI~;;~c~~~J~~~~~~_~~=C'~:~:::'c:c"=':c:',~c'o'~=="~"':o:::~~~;:::'::::~:~:.T~'~
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<br />l' -INDEMNITY BOND ON LOST INSTRUMENT Ii
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<br />II Whereas,.............~~.~:...:~~~..:~................____.....__................h...............h.h...........h....hereinafter designated as claimant, Ii
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<br />Ii claims to be the owner and entitled to the payment of a certain....~.~.":~!".hJl.~.!lth.f.".':g9...~b."'~k...I!.?Hl:'!.(l.....h.h........... il
<br />i I da te'd......!.~.~.::~':.Y.L~.~~...~~~:~~.................................__......d ue......__.........J."::~,,.r:?:...z.~.'...~?.o.~......... ....h..................h.........h i I
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<br />i I pa ya hie to.---n-_._~..___h.__.h..___._n~______....u______un_._____..._.nuuU__...hnn..._.__..u__nn______ uhh.nn...._.n.___....Oh.___________.___n_....____n_____..___._... Ii
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<br />i :::ct::e:u;.~~:::::::~:~~:;::~.~;.~.~;~.~:~~.:.~;~~~~..~~~:~~~:~~~.~~~:~~.~:~~~.~~~:~~~~~~:~.~~:~~~:~~~:~~~.~~.~:~~~~~~I~~".S, Ii
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<br />II but is unable to produce or surrender said instrument upon such payment on account of its loss, destruction, or ii
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<br />I othe;~~, THEREFORE, IL....h...........h....__....h...................................h..............................................................hereinafter II
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<br />I designated as obligee, will payor cause to be paid to said claimant, or order, the amount demanded by him by virtue Iii,
<br />II thereof, we, the undersigned, do jointly and severally promise, undertake and agree to and with said obligee, his or
<br />Iii its successors, heirs, administrators and assigns, that we will save said obligee, his or its successors, heirs, administra- ii
<br />tors and assigns, harmless from any and all claims of any person or persons in and to said instrument, or to the pay- II
<br />Ii, ment thereof, in whole or in part, and from any and all damages, remote or proximate, sustained by virtue of said Ii
<br />payment, including all attorney's fees, costs, expenses, charges, or liabilities assumed, incurred or expended; and will i_
<br />Ii at any time upon -demand payor cause to be paid to said obligee, in addition thereto, the amount so paid to-~said Ii
<br />II, clai-mant by said obligee with accrued interest thereon from the date of such payment at the rate OLmmhnper cent II
<br />- i: per annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary Ii
<br />ji J or requisite to save said obligee harmless from further liability, cost, expense or damage in the pre~ises. Ii
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<br />II! Dated thiSn........~-----..n..---..__n.n...---...n.day Of.---9U(ld...---.n...h.......................h. OfJ.. Ii
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<br />c:~;:,;:~q~';:~=~)~',., oLllik_m__'" ","" d!, b,'ore m"
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<br />persoIlallyappeared.h.--.......z::yLS....E.,...ht1.1((Y.yyJ..o.3l~::::::...-..........h...____............__...__..____........__..h__......"'____""'''h.
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<br />and.____.....____.._____........___......._____m...__........__......h......--........--.____h.h..............__.._____.h___.......____....__....__..h.h...___....__.............n......__...
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<br />known to me to be the persons who are described in and who executed
<br />himself, personally acknowledged to me that they executed the sa
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<br />the within instrument, and, who, each for
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<br />My commission expires.___~~--.d~.j~--
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<br />..... C{.~.
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<br />County_oL
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<br />} ss.
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<br />JAN CUMMINGS
<br />Notary Public
<br />State of North Dakota
<br />My Commission Expires Mar. 22,2012
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<br />STATE OF NORTH DAKOTA
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<br />SUGGESTED MOTION:
<br />To receive and file Indemnity Bond for Lost Instrument to Lois Thomas and to
<br />authorize the county auditor and county treasurer to issue a duplicate check.
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