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<br />-_________1,,__ <br /> <br />=='1---.------- -------------- .. - -, ----'-__.____,___._,__._________, . - ...__ ___,_ <br />;:. 32~INDEMNITY BOND FOR LOST INSTRUMENT. (Sec. 21.06.03. 32.02.01. N. 0, C. 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N.b. <br />.._._~- - - .-.. <br /> <br />I, <br />II <br />II <br />" <br />!! <br />II <br />I' <br />:1 <br /> <br />a 1: <br />T ~ <br />P <br />Whmas,........ -.. t.l-.t-..-~ll~..-.-_....-........m-.;..T...............hminaltee deoign"od .. d,imon t, i i <br />claims to be the owner and entitled to the payment of a certain........~~.~...~....~..lL1L;),.~.........m............. r: <br />dated... ....Q.DikV..-8.f.....~lI2fa................................d u e.......... ...~....d~...~O.b......... ............... .............. i i <br />P a ya bI e to........................ ...,QJ.l~...~~.....__.. "''''''000 ........................................... ...m.......m...m..........m ........ i: <br /> <br />~~ ~ I <br /> <br /> <br />otherwise. . j) . I! <br /> <br />NOW, THEREFORE, If..............m....CiJ..I..~.....__~-1..~......m.........................m...............herein 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 Ii <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- I, <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~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 of............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 />INDEMNITY BOND ON LOST INSTRUMENT <br /> <br />Dated this...J"~_._~._..m.m....m.._..........day of........Od<1!..ym.m....~ <br /> <br />....m..........~.i.~:~~..~.:~..~ ~.~~~:~.~ ~..~:..~~~.:~.~:~.~:~..:~. ........__.. ) ~.:~:::~::~:.::...:::.::.:._..:u:.u::::-:::::::: ;::~; <br /> <br /> <br /> <br />... .................. ........ .............. --.... --' - m:...............m.......... --. ............ ......................m.......................... .................... on............ (S EAL) <br /> <br />I: <br />ii <br />" <br />" <br />Ii <br />:1 <br />'I <br />II <br />Ii <br />Ii <br />,I <br />!i <br />I! <br />it <br />If <br />Ii <br />Ii <br />II <br />II <br />i! <br />II <br />!I <br />" <br />Ii <br />I' <br />:' <br />i, <br />n <br />i: <br />I: <br />I' <br />\; <br />I! <br />Ii <br />" <br />II <br />I! <br />Ii <br />Ii <br />ii <br />n <br />I, <br />il <br />If <br />I: <br />l' <br />I <br />II <br />II <br /> <br />c:u:~::~~C1s~u~~~~~~_m ) os. A.I I_ <br /> <br />On this.............1..~..........._...........mm........day oL.~6v.;.e.r....__............____......min the year Zo:::Tlbefore me, <br />person all yap peared..&f...AXJ......8[.o!:Vl{r~.O.V)...................... ....................................:..... .........'...000. .......~... ........... <br /> <br />and................ .......... ...... ....... ............................. ................... ............................................ __...................................................,........... <br /> <br />knowo to mo to be the pmons who aee desoribed iu and who exoMod tbe within iostromoot, and, G'Oh loe <br />him.<II, pentmally "kno;dgod to m~hat they exocuted t~ousa~o..~_I/~'..mu. <br /> <br /> <br />My commission expires.......__.U~....2.....I'.........__...... C Q"2... .....000........__...............000.....__............. ... .. .. ....................... <br />U ALICIA HOr:LLEIN <br />Notary Public <br />State of North Dakota <br />My Commission Expires AUQ, 28, 2012 <br /> <br />STATE OF NORTH DAKOTA ) <br />ss. <br />Cou n ty of......... ........... ...... m......... ..000....... <br /> <br />..~.. .............. ..........-.... -........... ............ -......... --........ -......... -..--- .................. ..-_.... ....-........-.... ----........ ............ -.... ...- ........ --..-................ --..-....................-...... ....-...... --.-.. ..----.... -..-....... --.... -.. -.... --....-... ----.... -..-...... ....-.......... --.... ...... <br /> <br />........................-........................----...............--.................-----............-...................----.....---.............---------------------------------------------------------------..-----------....-------..--...-...-----.----..---- <br /> <br />and................................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. That he is a freeholder of <br />the State of North Dakota and a resident of the said County of....m..'...............m..........._m....................., North Dakota. <br />Tha the is worth th e su m of............... 000........ ............. .................. ..000........................__.............. ........ ..:......_......... __... ...... Doll ars <br /> <br />j, <br />" <br />!i <br />li <br /> <br />j, <br />