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<br />___1.'__.___________________,_ .___ ______.. <br />---;,-.-32~nrDEMNjTyBC)ND PORLOSTINSTRUMENT. (Sec. 21.06.03. .12.02.01. N. n, C. C.) <br /> <br />~~I.;,i~'.__,~.~~._ <br /> <br /> <br /> <br /> <br /> <br />" <br />(i <br />-~-----'----j:p==. <br />GLOB!: QAZUT['. WAI1P!TOH. N.l). i: <br />--..-,.- ._-~~~~-_.. .-..___ __"0- ___._u____ "j; <br />II <br /> <br />=---'"--~~~~'~=a:o.:.a.~_~ <br /> <br />INDEMNITY BOND ON LOST INSTRUMENT <br /> <br />" <br />" <br />i' <br />!, <br />i ~ <br />l! <br /> <br /> <br />Ii <br /> <br />~ iI <br />J it <br /> <br />Wh ere as,. .............: .~A..t..._.~.m~...m..m................__..__. ...m.__.............~.n...._ herein after d esigna ted as claiman t, I: <br />6 r i! <br />claims to be the owner and entitled to the payment of a certain.....J,J.,J.~....~r::a.'1~..l7..m...m...............m...... I' <br />i <br /> <br />da t,d.........-1.Q.7jt,....20f2k............................,.......d uo................'IlJ.~.l~.~.~.b........................................... i. <br />payablo to.......r:i.................42~~~........01....................................................................................:;................... !i <br />In' tho sum OI.~..'l..().1)._...'Ifmu....."-!I.4..~..................................._....:.:............................... . Dollan, i i <br />11~~ I. <br />::~st~o~~;~.-;;;..~.;:~~.~:.:;..:=;;~:~:;.:;~:;tnl::t~ ~:~ :d~..;:;:;:~..::.:~~:~:;..:;.:~.;::;:..~::;;:;;:~::..~~ II <br /> <br />:::::~:' a:~~~~~~~E;a~.:;:~=;:..;~.~:f~~~::::;;;~:.;~;~::::.;.~.;:~:~;~.~;~;:~:i:i::~: I, <br /> <br />thereof, we, the undersigned, do jointly and severally promise, undertake and agree to and with said obligee, his or i: <br />its successors, heirs, administrators and assigns, that we will save said obligee, his or its successors, heirs, administra- I!i <br />tors and assigns, harmless from any and all claims of any person or persons in and to said instrument, or to the pay- I' <br />ment thereof, in whole or in part, and from any and all damages, remote or proximate, sustained by virtue of said it <br />payment, including all attorney's fees, costs, expenses, charges, or liabilities assumed, incurred or expended, and will Ii <br />at any time up~:mdemand payor cause to be paid to said obligee, in addition thereto, the amount so paid to said . ii <br />claimant by said obligee with accrued interest thereon from the date of such payment at the rate oL..........per cent 1,1 <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 liability, cost, expense or damage in the premises. <br /> <br />'/- Dated tbis.~~..LtJ'..... '"', ..t.._.........~.:........c.?!t?O.2... <br /> <br /> <br />......_......_S.i~O_O~.~~~.~:I~::,.O~..i:..t~:~'.o:O:::..~f...mm ) .::..:::::::....:..:..2:~t::::::::::::: ;::~ ~ <br /> <br /> <br /> <br />..... ......"............... ....... ....... .............. .:.. no............... ..000.................. ... ...... .................. moo.........:...... 00.................................... (S EAL) <br /> <br />C:U:;:;~:~:~~f~~:~~:.::}..:..day, Of..~k.................in tho y'a~2 bolo," mo, <br /> <br /> <br />personally a ppe ared.... ...~-.br:0:-::,.....~(]d.m........_..... ............ ...... ....000.......... ...................:..............,. "'000",,,,, ............... <br /> <br />and.... ....................... ............ ........................ _...... no...m............. u............ __............... m........ ._............ __.. .. __...................... __.. .,...... "'" <br /> <br />known to me to be the persons who are described in and who ex the within instrument, and, who, each for <br />himself, personally acknowledged to me that they executed th same. r- ~ . ~ <br />hfL)~ ' <br />My oommission OXPi",.f)tP.mhdt..~cz.1::?. ........::::::~:~::::::::...:....::.:::..::::...~::::::: <br /> <br />ii <br />II <br />,1 <br />II <br />II <br />I' <br />'I <br />I, <br />I: <br />Ii <br />Ii <br />Ii <br /> <br />Ii <br />li <br />I' <br />" <br />ii <br />'I <br /> <br />Ii <br /> <br />,I <br />ii <br />l' <br />, <br />I: <br />I, <br />" <br /> <br />j! <br />i: <br />" <br /> <br /> <br />!: <br />Ii <br />" <br />!1 <br />j: <br />I' <br /> <br />I: <br />Ii <br />l' <br /> <br />I: <br />Ii, <br />II <br />!i <br />I, <br />i; <br />11 <br />i: <br />I' <br />H <br />ii <br />., <br />I: <br /> <br />STATE OF NORTH DAKOTA ) <br />Coun ty of............_.. ..............................00... ss. <br /> <br />DEANN K. BUCKHOUSE <br />~otary Public <br />State of North Dakota <br />My Commission Expires Dec, 18, 2012 l <br /> <br />..~._---_.~ -.-..-.... ---.......- ----------------..--....---..----------------------..----.. -....-- ............----.....----......--.....---....------......-. --..--....... .-..--_.._.. _......-... --.......---.......---....--..... -----... ---........-.....---..-..-...... <br /> <br />...--....--..---------.....-.....-----......---...---...-----------...-------........---....-----.......--.......--......----.--------.-..--..-...----______a______...__.._______._____a.._________.--..-.-_.._..___.___aa___.....________....___.. <br /> <br />and.m.......m.__.......m....m....__.................m.m............m.............m.........being 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. Th~t he is a freeholder of <br />the State of North Dakota and a resident of the said County oL..............__.............................................., North Dakota. <br />Tha the is worth th e su m of... ........... ....00...000 ............. 00 .000........... ............. ........__....000 m............... . ...... .,.............__ ....m.....Doll ars <br />