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<br />ji <br /> <br />-----c--d--~ . .. . .. "--'::--.=~'=;___-'----__________ _..._.,___. __ _.:;:=.-=-=:==---=--=:..______.___~- <br />-...-ll--f-..---32~INfjEMNITY-BOND-POR LOST INSTRUMENT. (Sec. 21.06.03. 32.02.01. N. D, C. C.) O'O"omm,WAH'UON.N,O. i' <br />'=~I'~'~== "..~ ." ..-. -.-..~=..". " -.,...,,-.-----~- -'" . --=~='~.~~~,,,'-.. -.-", ... '-' -'r= <br />)l " :1 <br />!. I' <br />ii <br /> <br />, <br />; ~ <br />I: <br /> <br />i! <br />11 <br />I: <br />I! <br />I <br />,I <br />,I <br />II <br />:1 <br />I! <br />,I <br />I' <br />Ii <br />II <br />1i <br />I, <br />I; <br />i, <br />" <br />Ii <br />il . <br />I: ' <br />Ii <br />I ~ <br />i: <br />'I <br />il <br /> <br />" <br />Ii <br />il <br />II <br />II <br />II <br />II <br />ff <br />I, : <br />II <br />Ii <br />i) <br />I, <br />II <br />Ii <br />I: <br />il <br />Ii <br />I: <br />II <br />Ii <br />II <br />II <br />ii <br />:1 <br />ji <br />Ii <br />I, <br />f; <br />II <br />Ii <br />I' <br />iI <br />!i <br />\! <br />\1 <br />I' <br />:1 <br />'i <br />I! <br /> <br />INDEMNITY BOND ON LOST INSTRUMENT <br /> <br />:1 <br />,; <br />" <br />! ~ <br />:J <br />I: <br /> <br />il <br />I <br /> <br />I, <br />Ii <br /> <br /> <br />Wh,,,.,,.--.._...._"_...I?w_~__....__.._.....................m.___..........._..... h "in.lt" deoigna "d .. <laim.n t, '. <br /> <br />claims to be the owner anI entitled to the payment of a certain........W.~~..........__.~PQt~..9.........__.......__......n <br /> <br />da"d......J;;/...~.-t~_.........dUO__.._....g~...~__Q1!;l2~.m..m..__..mm....... I] <br /> <br />p a ya bl e to......m.(_.;;......~__..._..___... . .m'7f;..........m.............m......:.......-:~...._...............m..m...""'..m.m..._ i <br />for th e su m of... ..... :.~.1.).....J.~.....~........J/)()....__...........m...n. .... ...n............n.. ....n........... ..000............. Doll a rs, <br /> <br />:::~,t:dn~~;~.~._;;:~~.~:..:;-::;;S~;;~~:::1.~-:~:::::~_.;;;:~~~.::.:~~:~.~.;..:;-.;;;..;:~;:..~~:;;:;;:;;::::~ II <br />otherwise. . I: <br />14 ~ I' <br />dnsig~~:' .:~~~~~~~E:a~.:;-~~~.;:.~:.~~-;:;;:;-~-;I:-.,;;~;,?l-:;~.;~:;~~.;::~:.;.~;:.:~~:~.~;~;::;i:::~: II <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- 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 1: <br />payment, including all attorney's fees, costs, expenses, charges; or liabilities assumed, incurred or expended, and will ii <br />at any time up!Jndemand payor cause to be paid to said obligee, in addition thereto, the amount so paid to said 1j <br />claimant by said obligee with accrued interest thereon from the date of such payment at the rate oL.__.......per cent !i <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 /> <br />1-. Da tnd thi...._..l.4..:L._Q..7.-.......:__..........da y oL...;Z..ti;~..:"i.;;:il ~;;--... <br />..._......__S.ig:_~~::~~oli::r:~.i~.~~:_~:.o:o.n:'.:ln..mn ) .....n~.................................n.....~...............~~ ~ <br /> <br /> <br /> <br />..... .............. ...m.......... .................. ...:.............. .................. ...... 000" ... ...... ............ 000.............. m............................ __............... (S EAL) <br /> <br />" <br />i <br /> <br />Ii <br />Ii <br />,I <br />,. <br />il <br />il <br />Ii <br />Ii <br />Ii <br />Ii <br />Ii <br />i: <br />Ii <br />II <br />,I <br /> <br /> <br />C:u:~:::~FC~~S;~~~~~m. ) ... ~/ ~ . V~ ! <br /> <br />On thl8.........../S...7T.:/.S--..............)7....day oL~~:.__..~...........__..m.........m the year......., before me, if <br />person all y a ppeared.... ..~.....~...........>S.-12.~.s.m.__..........__.... ............ ......__................:.... ......... .,....... ........,.....--....... i <br />ji <br />I ~ <br />an d ... . ...... ....n...... .. ................... "000' .................. 000'" 'm' ..... .................... .................. ...........'. .m...... ".000000 .,.. ......... ! ! <br /> <br />kno::..;:..:~-;:..~~ ;~; po~'ons ~~o or< d",rib,d io and who U within in"rumont, and, who, ,"oh lor !: <br /> <br />::~::~~::::..::P:~:...O;;;;:6:;~t~.O~~X"U:~.d t;o::sa:n..n:.~:~~:~ <br /> <br /> <br />I, <br /> <br />DEANN K. BUCKHQUSE !' <br />Notary Public : <br />l State of North Dakota Ii <br />My Commission Expires Dec. J 8, 20J 2 (i <br />!: <br />Ii <br />i: <br />i' <br />H <br />(i <br />Ii <br />Ii <br />it <br />ii <br />H <br /> <br />STATE OF NORTH DAKOTA ) <br />Cou n ty of.. 000"''''''' ...... .............................. ss. <br /> <br />.......----...--..-........----........------.......--.....------...........----...........----..-----........--...-------...........--...................-----.............-...----.....---..---.....--......----......-..........----..-..---.........------..----.........--------.....---..............,... <br /> <br />......------.....---------.........-..-.........-...............-..-..--..--....-......................-..-..---......-....--..--..--..-...-........---............-....-......--..-----......---...---.-----....-..---..-..-......---..-....--..-.........-............-........----...---............- <br /> <br />and.........................m...............m....onon.............._..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 />Tha the is worth th e sum of... ......................................... ............ ............. ........on......................... ...... .;.......... "'''' ...........DolI ars <br />