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<br />INDEMNITY BOND ON LOST INSTRUMENT
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<br />Whereas,.._.m__h..~..m.ra..j~\LJ..ut___. .m.....___..__.._....___..._...._.._____.___.:'_.__..__...___.herein after design a ted as claimant,
<br />cl~,lms to be the owner and entitled to thepayment'cif a certain.---_.War(a.O.t~.Lq.~.1.qt.m.__m___..m__..__m__.____
<br />d'€eL,-Jl:J,{4jJ.,~Llp,2ilD.~--------n-"'----n-ndu'--~-Ifv,qU.S:i::-l,--d.a2_2____n__~_n_nnn_nnn___
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<br />P'ra hIe tu---__n____UtnnjL\:v'J!&:~_____ ----'-r--n-----------------------------n--------------'_____n__n________________
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<br />fot;: .the sum oL...:1b!.-t.!1tt::JJJ~rJ~....::t.~Hat.....(~.~~1:.l1.f) .__._.__.....__.._m..._______.___..._.._ ___'" .____~..------.. _ Dollars,
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<br />exe'~u ted by .m--..-....ili~f..--Q.J),.Q.N...--...--,-. ..__~m..____..__._____ ..__...m__.._____ .'__...m___.__..___.. _......_.__._._.______... .____. _.___. _..m.m____._.
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<br />but is unable to produce or surrender said instrument upon such paY1llent 'on account of its loss, destruction, or
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<br />otherwise. . . .
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<br />N OW, THE RE FORE, If......__./{tQ....e~w.1_~)~............._. _..m._____..n...__....__.._.___....._....___._____..__..__..___..___herein after
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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
<br />thereof, we, the undersigned, do jointly and severally promise, undertake and agree to and with said obligee, his or
<br />its. successors, heirs, administrators and assigns, that we will save said obligee, his or its successors, heirs, administra-
<br />tors and assigns, harmless from any and all cI.aims of any person or persons in and to said instrument, or to the pay-
<br />me*t thereof, in whole or in part, and from, any and all damages, remote or proximate, sustained by virtue of said
<br />parment, including all attorney's fees, costs, expenses, charges, 'or liabilities assumed, incurred or expended, and will
<br />atliny time upon demand payor eause to be paid to said obligee, in addition thereto, the amount so paid to said
<br />cIai,mant by said obligee with accrued,Interest thereon from the date of such payment at the rate oL_m..n._per cent
<br />pe~':'annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary
<br />or T,equisite to save said ob~e harmless from further liability nost, exp<;nse or damage in the premises.
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<br />., D,t:~g:~:-::~--~:;::~~~~:-;~~;:e:::::-::'y Of-------i.::~:i---:.::::---:::.~-.-.-.---.(SEAL)
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<br />S'i.fATE OF NORTH DAKOTA )
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<br />Co~ty UL--____oo=________________ ", ()"f1t I '111
<br />> On this..m-..n---.......~....\T;;:::.--lYnu--.nnu.-day oL.u..~~.&.t.---.n___.-__.---m---.---.noin the year d't/a.l, before me,
<br />persbn all y a pp~~red.... ..--.-_.__f::~U-.. rL1U1).lL.l.(;.m. 'hu...._... __.... ----..-n......~..__:_.___......_.__._.__.u._._.:...........__.....m. _. m. .m....~_.....
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<br />an ~,~. -..... --.:.. -' ..... --.--..--.. '...__ '.m" ... -.. n._.. __ __. _._m... .... ..... "'u. _....... no._.. m"n.', __ no _ .___........._... _ .~.... n__. _ __ _... n_'" 'm.. n" _..... _ _.___.._ _... ...m...
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<br />known to me to be the persons who are described in and who executed the within instrument, and, who, each for
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<br />himself, personally acknowledged to me that t
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<br />HEATHER WORDEN
<br />Notary Public
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<br />My commission expl etfY:CO~~~~sT~~~~gV~~tW~'6;'2010' ...-- .u._m.__...um..._._.______....._______m.....___....._.___..__._..'_'_n'_'m"'.m__..
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<br />ted t~~~. ~ AI1_ I 1\ \.1) () /I .
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<br />'STATE OF NORTH DAKOTA
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<br />SUGGESTED MOTION:
<br />Move to receive and file Indemnity Bond on Lost Instruments for Ken Pawluk and
<br />Amanda Henrickson; and authorize the county auditor and county treasurer to
<br />issue duplicate checks.
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