|
<br />"
<br />I; ___~.
<br />:~Tt==~:===--=---~2J~.:t~TDEMNfT'YBONDFOR-L6sTINSTRUMENT. (Sec. 21-06-03. 32..02-01. N. D. C. C.)
<br />
<br />=~.l~=_:.-~."
<br />:j
<br />,
<br />
<br />.'~- ~~~.. --."~ ,'~
<br />
<br />,......~......~~-
<br />
<br />. --.-------.----~~1.--
<br />. __ ,.~.L~I~. ~.~Z~I:fTE:.~A;~~.~. N_~~.._ L~~_.
<br />i,
<br />
<br />i:
<br />:i
<br />i!
<br />I
<br />II
<br />i
<br />jl
<br />
<br />INDEMNITY BOND ON LOST INSTRUMENT
<br />
<br />
<br />i
<br />
<br />~ '!i
<br />Whereas,.. .................. ..~.Ijd.....~.V................m....................n.................hereinafter designated as claiman t, Ii
<br />claims to be the owner nd entitled to the payment of a certain.....__...d..a.!J!J..~....Ql.15:l:If.........................,...... Ii
<br />dated... .~.J:w/.tJ.J4.....~)..4... 0.0..7-...................., .......d u e......J.~.aIJ&f.,.....~~'f....d2QO.?............... ..00................
<br />o ~. (j " Ii
<br />p ayablo <O............i._............. ... ~...........~........--;%............_.--::.....--......... -...--...--..;..........--.. Ii
<br />10' th, .um uL~...<2f'..r2.L)..d4.=...~...t!!J...........AfJ.., .....-..--.----.--.......__.__... .Do~", i
<br />
<br />:::O~,t:dn~~;~.-;;;.;;:~:~;.:;.~:;~;:~;;.:;;~.;::;~::~:~..~~~-S=a:.:;~:~:;.:;.;;;..;:~;:..~;~;;:;~:~::~ 11
<br />
<br />otherwise. ~ . Ii
<br />
<br />N ow, TH ERE FO RE, IL................ .......ISJ....AJn.~.....mn...... .~............... ................. ................00 ............herei n after I:
<br />
<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- !,',i
<br />tors and assigns, harmless from any and all claims of any person or persons ill 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 11
<br />payment, including all attorney's fees, costs, expenses, charges, or liabilities assumed, incurred or expende,d, and will !:
<br />at any time up~>n 'demand payor cause to be paid to said obligee, in addition thereto, the amount so paid'to said !i
<br />claimant by said obligee with accrued interest thereon from the date of such payment at the rate oL..........per cent Ii
<br />per annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary!:
<br />
<br />..Y- 0' "~:~::' :..:~.~..::I.;~~~:=~~:.~~~.=.::;e:f.li:b~~:.~7em;".. II
<br />M~~ Ii
<br />......_..__._Si.:::~.a.:~_~oli~:,.O.d..;:..'~:::.o:o:.O.:..:I....__'. ) :~~::~~......:.._~.:.~:::.:.~:~.:::~..:=:~:::::::;::~~; III'
<br />
<br />
<br />
<br />.. ........... ........ .......~..". ~C~'................ ...~.. ........... ....... ............ ........... ........ ......................... ..................... 00..........,. ........00......... (S EAL) ! i
<br />
<br />Ii
<br />Ii
<br />I!
<br />I'
<br />i ~
<br />Ii
<br />i:
<br />II
<br />.1
<br />ii
<br />P
<br />I,
<br />1:
<br />
<br />C:U:(~.;::~~~~5;~;;~;:::)..~......d.Y oL.~k...........__..,jn tho yea'~?,bdo" mo,
<br />
<br />
<br />
<br />p ers 0 II all yap pe a red.... L/.e6.t.J.1:.... 6J. od.................... ..................00.00....... ............ ....................00.. :..... ........ .,.............. .,........000...
<br />
<br />an d................................ ....... .000............................... ............. 00._................ 00........ .............. 000....... .m.... __............................ 00.. .c...........
<br />
<br />known to me to be the persons who are described in and who ex ted the within instrument, and, who, each for
<br />Mm,,!f, pmonaUy aoknowlodgod to mo th" tb'J' "o'uted tho "me. ? ~
<br />
<br />My oomm;,,;on "P;,.._.1J.rc._...!.t.~€.:......::::::::::=::::::::~....::::::::.::::::::._::~:::::
<br />
<br />
<br />Ii
<br />!:
<br />I,
<br />I,
<br />;t
<br />
<br />
<br />
<br />STATE OF NORTH DAKOTA ) ss.
<br />Coun ty of............... ...... ...... .......................
<br />
<br />DEANN K. BUCKHOUSE
<br />Notary Public
<br />State of North Dakota
<br />My Commission Exolres Dee, 18, 2012
<br />
<br />-
<br />
<br />"
<br />,
<br />"
<br />'i
<br />L
<br />!;
<br />. 11
<br />I:
<br />q
<br />ri
<br />
<br />....__..w.................._....____.............................___.._..........................................___............................_.._____..................__...._..__............_.....__....___....._..___.........._...._....................................._...._.._..______........__................_.............__........
<br />
<br />Ii
<br />i!
<br />i'
<br />!:
<br />i:
<br />j;
<br />Ii
<br />,J
<br />Ii
<br />:'
<br />"
<br />ii
<br />il
<br />
<br />........-...............................-....--............................--...........--................-.......--....................--................----....-............---.....-____............_...._......_____....._w.._._...._._____.__.___.____......_._._.___..._____._...___.._.______._...._
<br />
<br />and.............m........u..n.m.................n....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. That he is a freeholder of
<br />the State of North Dakota and a resident of the said CountyoL..............m.........m...............................__, North Dakota.
<br />Th at he is 'worth th e su m of... ............ ........m............. '"''--''''' ................__............................__...... ....__ .:.......... ..no. .......__.. D o!Ia rs
<br />
<br />i:
<br />H
<br />!:
<br />
|