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INDEMNITY BOND <br /> <br />LOST INS'TRUMI~NT. (Sec:. 21-06-03. $2-02-0'1. N. D. <br /> <br />ON LOST INSTRUMENT <br /> <br /> Whereas, ........~...~~ .................................................................. hereinafter designated as claimant, <br /> claims to--~~be the owner~and entitled to the payment of a certain ....... ~..W~...~ ..... ..~.._Z~.~...~.~..~. ........................... <br /> ................. ....... ......... .............................. <br /> <br /> sum of....~...~....~]..-....O~...~. ...... ~.-....~....~....~~...':'. ........................ ; .................. Dollars, <br />for <br /> the <br /> <br />executed <br /> by <br />but is unable to produce or surrender... tlsaid instru~nent upon such payment on account of its loss, destruction, or <br />otherwise. <br /> NOW, THEREFORE, If ..................... ~ ~ ..... ~--~ ....................................................... ~ ............ hereinafter <br />designated as obligee, will pay or 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 claims of any person or persons in and to said instrument, or to the pay- <br />ment 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 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 accrued interest thereon from the date of such payment at the rate of ........... .per cent <br />per annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary <br />or requisite to save said obligee harmless from further liabilixy, cost, ~xpense or damage in the ~mises. <br /> <br /> 'g el ivered in the Presence of ~~' J.-~~-~S EAL) <br />.......................................................................................................................................................................................... (SEAL) <br /> <br />.......................................................................................................................................................................................... (SEAL) <br /> <br /> STATE OF I~)2TH DAKOTA ] <br /> <br /> .......... ........ r¢ ........ - <br />County <br /> of <br /> <br /> On this } ~ 'a of ..~.~.~... in the yeaZ~)~ , before me, <br /> ...................................... 7'~ .... . .................................................... <br />personally appeared ............ ~~...~[~. ................................................................................................................... <br />and ................................................................................................................................................................................................... <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 same.[ ~ ~ ~ /Q <br /> <br />My commission expires ...... ~'~J~; . <br /> <br /> STATE OF NORTH DAKOTA ~ <br /> SS. <br />County of .................................................. <br /> <br />SUGGESTED MOTION: <br />Move to receive and file the Indemnity Bond on Lost Instrument for Keith Bemdt, and authorize the county <br />treasurer and the county auditor to issue a duplicate check. <br /> <br /> <br />