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<br />--1i____~ . _.._ _ --::::.--=::::=:=.....-~-=--.:=-=--___ . _ _ H_ <br />---~;,.-.-~-----32~INDEMNITY BOND FOR LOST INSTRUMENT. (Sec. 21.06.03. 32.02.01. N. D. C. C.) <br /> <br />;: <br /> <br />C1LOIl! a...Z(TTE'.WAHPtTO.... H.D. <br /> <br />~'..=~"-'''--'-'-.:.~~:..~-,.....-- <br /> <br />Ii <br />I' <br />Ii <br />i! <br />ii <br />Ii <br />Ii <br />I: <br />I: <br />I i C:U::;:.~~.~::..::~~~...)... <br /> <br />II Iv. On this.m..m.__....__......t~.~..m...m...m..__m__day of.........m..m....~~..mm................in the year .J~.1, before me, <br />Ii'! rp erson all y a ppea:-ed.... ...MA~.....4.~......~~.tf. .......... ....................000.......................... .:..............,. ................... ......... <br /> <br />,I and.........~.._.____....._.._.._..__.....____..__........._....._.._.......___....................______...____..........._...._....__. ....__.........____...._............_.........._........_..............._..........____....._...._.....__.........._.__..__...__............... <br />Ii <br />ii <br />!I <br />'I <br />'I <br />!I <br />I: <br />j' <br />Ii <br />q <br />I ~ <br />I <br />!i <br />il <br />I: <br />:: <br />, <br />i' <br />I' <br />il <br />I <br />!; <br />il <br />Ii <br /> <br />" <br /> <br />i: <br />I, <br />ji <br />!i <br />ii <br />!i <br />!! <br />II <br />,I <br />ii <br />II <br /> <br />" <br />'I <br />!i <br />" <br />il <br />II <br />I' <br />I! <br /> <br />-..~-~- ,-, .~_..-. <br /> <br />INDEMNITY BOND ON LOST INSTRUMENT <br /> <br />whe"",.........,.,c,.JV!I1l.dtcL.'4.../fu.....0_:.....L............:........he"in.!t" designa tod .s daiman t, <br />claims to be the owner and entitled to the payment of a certain......W~.a..J:.....~~oo.i~L........m.....n........____..... <br />datod..._..._..~.~..~0c6............................du'-..__.tk~a.3~.;~D.~....................................... i. <br />p 'Y' ble to............is.'.........--...~..ct.~,....-1....%i;t......_..~........... .................,'............... !, <br />for the sum Of.0.m...~/t;..i)....~~:~...~rJ.....:s.a........................................__..~.....m.......Do11ars, :: <br />execu ted by............... ............ .n......... .m.~..~.. .'{2.~..... ....~......... .. ........ on... m ...... ........... __..... ...... ..... ............. m.. "____. ........... I , <br />. (j <br />but is unable to produce or surrender said instrument upon s h payment on account of its loss, destruction, or Ii <br />I; <br />otherwise. () . ' ! <br /> <br />dO'ig~~:' a:':~~~~~~~a ~.:;~~.~;~-;~.~~.;.:;~~.:';~;;~;~.;.;:.;~;.;:~~:.;.~~:;~~;~.~;.~;~~~i:::~: I, <br /> <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- 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 />ment thereof, in whole or in part, and from any and all damages, remote or proximate, sustained by virtue of said !I <br />payment, including all attorney's fees, costs, expenses, charges, or liabilities assumed, incurred or expended, and will I: <br />at any time up.ondemand payor 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 oL..__.oomper cent <br />per annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary ii <br />or requisite to save said obligee harmless from further liability, cost, expense or damage in the premises. ! <br />~ 'b 7 ;: <br />'I-.. D"od thi,_.._~...\.3..._:.._........._daY O!.....::?:.':1':...:~...:...t._~:.... i <br /> <br /> <br /> <br /> <br />:::::~~:~~s:.g~~o~:~~~:~~I.~~,:O;:.":.:t;~:~':e':~":~e::":!::_~:~:: ) :?~:?-:::~"::::::::':~:~~~~::~~~:::::::::::::::( ::~))) i I <br />H <br />i: <br />1.1 <br />!i <br />I' <br />!i <br />I' <br />i1 <br />II <br />Ii <br />i! <br />Ii <br />i! <br />l( <br />If <br />i ~ <br />!1 <br />I <br />Ii <br />" <br /> <br />known to me to be the persons who are described in and who executed the within instrument, and, who, each for <br /> <br />himself, personal ecuted the same. <br />J , <br />Notary PubliC <br />State 01 North Dakota <br />My commission MVlGommisslQn.EXp.~~~ Fec, 10, 2012 <br /> <br /> <br /> <br />I' <br />H <br /> <br />......-------...-.......................--.........-...........................-...............-........-..................--....----......--.............. <br /> <br />STATE OF NORTH DAKOTA ) <br />Coun ty of.. ............. ..... ........... __................. ss. <br /> <br />il <br />i: <br /> <br />..-...... -- ........ ..---......- -- -- ....-.. ....--........ -..-.............. ....-.... --.. --...... ..~~. .....-.......- ~._. ._....~... -....... -. _....~..... -. - ~ -..-.... -.. - - -... -.. -~. --- -...... -- --... ..-. -...... - --- - -----.... --.. -...... ...-.......-. ..... --. ----............. .......... ....-.. -. .-- <br /> <br />1\ <br />[1 <br />I, <br />i: <br />I <br />I' <br />;! <br />if <br /> <br />-.... --..-- -. ......-... -.. -- _..~. -- -- ~_........ -.......... --.... -..--... -- _..........-. ...-. -... --........ -.. -..-. .._..-.- -...... - - -.. -..-....-... - - --... -. - -... - --.. -... ..--.. -. ..--.. -. _.. -..... -.. --.. ..--...... ..~-_... --.. -. --.......... -_.... -....-... -. ..-.. .-........ --....-.. .~- <br /> <br />and..........m.......................................m......m...................n.............mmbeing first duly sworn, upon oath, each for himself <br />doth 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.......................m................__.................., North Dakota. <br />Th a the is worth the sum of... ............ ..........-............. ......m. ........ ........000......................... ..000...... __..... .:...... .... ...... ........... Doll ars <br /> <br />,; <br />jj <br />11 <br />i' <br />If <br />!i <br />