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<br />INDEMNITY BOND ON LOST INSTRUMENT
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<br />Whereas,...U1H.G.....S?.t~.~...'.H~.~.;.........................-..:.......J~.hereinafter designated as claimant, Ii
<br />1:1 b ' h d.t1 d h . VAIrViI'\t\J'T ~. /) /1 uGo . .' \:
<br />c aJms to _ e t e owner an entl e to t e payment of a certam............_.....m.....;;......n..........c........l.........m...mn.............. i!
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<br />fo;"the sum of....f.*}.~.:..~)......L"!:!.q,...h.~.~~.~~~...!.~.~~":.tX...1..~~X...-t~.........~....,.............Dollars, Ii
<br />exec. u ted by...... ~0:-.ir......d.<?m;.... ..........~.....~. ...... ..... ...... ..0.... ...... .....m.... ........ .......... ~~............... ................n... on. ..... ....... .m...~... \!
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<br />but' is unable to produ,ce or surrender said instrument upon such payment on account of its loss, destruction, or
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<br />. NOW, THEREFORE, IL...n~l.~o....f~~ll~....l.N...c.:............_..........n...................n.-....hereinafter.
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<br />designated as obligee, will payor cause to be paid to said claimant, or order, the amount demanded by him by virtue ii.
<br />thereof, we, the undersigned, do jointly and severally promise, undertake and agree to and with said obligee, his or ii
<br />its, successors, heirs, administrators and assigns, that we will save said obligee, his or its successors, heirs, administra-
<br />tor~ and assigns, harmless from any and all claims of any person or persons,in and to said instrument, or to the pay-
<br />me,;\1t thereof, 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 liabilities assumed, incurred or expended, and wiU
<br />at ~ny time upon'demand payor eause to be paid to said obligee, in addition thereto, the amount so paid to said
<br />clai';mant by said obligee with accrued interest thereon from the date of such payment at th.e rate oLon.......per cent
<br />pe~'i:annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary
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<br />O<i:~~:::e t:iS.:~~~~~..::._h:':~~:.f~::f:;e:i.li.Cr: C~'.t:_ex~en'e. 0'. d..m:..:in .the.!"emi,e,: . !i
<br />:'~ Signed and Delivered in the Presence of r..... '''n ' . .........m..... ...n..............(SEAL) 1\
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<br />:'; n t iSm..................... V ..heV.~..........i7f. ay 0 SELJ..~~~I...................n...........lU t e yeaOl ........, e ore me, Ii
<br />per.~on ally a p p eared.. n ..0........ ........ n.. ....!j......H-:-flf.ln.. ........ ......,. ~.L....... ...... ...... '''''' ........ m............ ...... ............ ....... ......... ' ,
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<br />knoyvn to me to be the personf who are described in and who executed the within instrument, and who, each for !i.
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<br />himself, personally acknowledged to me that they executed the same. \1
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<br />My. commission expires....../.f.:.../.'f2.."':../.t............,
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<br />'STATE OF NORTH DAKOTA }
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<br />Coti:n ty oL.........................-......... no.........
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<br />..... '''j!:f'ItN t. ~'G""'" ...... .......
<br />Notary Public
<br />state of North Dakota
<br />My Commission Expires Nov. 15, 2011
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<br />and.....................................m.............-................o........m.................m..being first duly sworn, upon oath, each for himself
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<br />cloth say: 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 oL..n..................................................,......., North Dakota.
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<br />That he is worth the su mot.. ............ ........... ............. ........ .............. .._.... ...~.. ............. ,n", ...... ...... ...... ......... .....m. .... ....... D all ars
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