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<br />" <br />---------_.~..:.~ <br /> <br />:JCt~ ~~~-I{r:~'I~'~~~B~~~LOST~~~!i~~.-~~~~~~~~~~:~~~==-~-~--':~=-"--___.. . <br /> <br />I <br />I <br />" <br />Ii <br /> <br />i <br />!I <br />Ii <br />Ii <br />j; <br />I' <br />'I <br />II <br />Ii <br />II <br />Ii I <br />Ii <br />i: <br />il <br />'I <br />!i <br />I! <br />!i <br />II <br />Ii <br />II <br /> <br />Ii <br /> <br />II <br />I: <br />,I <br />Ii <br />II <br />II <br />I <br />Ii <br />!I <br />II <br />I: <br />II <br />I' <br />ii <br />II <br />,I <br />ii <br />Ii <br />I: <br />,I <br />II <br />'I <br />Ii <br />1/ <br />:1 <br />!! <br />Ii <br />Ii <br />:: <br />ij <br />ii <br />I: <br /> <br />\' <br />i! <br />I, <br /> <br />" <br />" <br />11 <br />, <br />i; <br />Ii <br />I; <br />I' <br />I: <br />L <br />i1 <br />I, <br />Ii <br /> <br />QI.OII!:QAZ[TTE,WAH'ETON.N.D. I: <br /> <br />......._~-..._~... ___'po .___ . <br /> <br />INDEMNITY BOND ON LOST INSTRUMENT <br /> <br />ii <br />Ii <br />li <br /> <br />I' <br />;i <br /> <br /> <br />~ !i <br />' , ' <br /> <br /> <br />. Wh,,,..,..____. ( ~...~..F.(.J~.L.Q!~u.......J;;;:u..uh;in:' d..~na"d a; daimant, !: <br /> <br />claims to be the owner and entitled to the payment of a certamm....................~____..~.....:f;R.........mm...................... Ii <br />~ !f <br />dated.. ..m.~. m7.r....~.Q.h.........m..... .................:.......d u e............~.....2;....~C!.O'.(Q...__.. ...... ..... ..____.................... !! <br />payablo tn.....1!31l..............-...........-.~...q"rf....-..~.~:.."j.k.t.....~..............:......:;................. i: <br /> <br />~~~ : I <br />otherwise. i . I . . II <br />, '" _ ,p <:::::::i/'kvV it <br />d"ig~~:' ,:::~:~~~~:a~.:;~~.~s-. ~~:;;-:~~21=;.:;~.;~:.;~~.;::~:;~.;:.::~:~~;.~;::;i::::: I. <br /> <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- j: <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 <br />payment, including all attorney's fees, costs, expenses, charges" or liabilities assumed, incurred or expended, and will <br />at any time up~mdemand 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 of........__..per cent <br />per annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary <br /> <br /> <br />0' "~:i::~~::.~~~~:~:~2:.;~:~.:::::f.~i;:~,:d~,:,_~:O.~".O~:......(SEAL) <br />~::: ~~: ::::~:. ..~~. .::.::.: .::. ::.:::: .:::.:.:.:.::: :.. ..: .::.: ...: :::..: .:::. ..:::: ) :.:::~:. :::..:.:'.::-:::...:..::.::... .::. ..::..... .....:..:.... ~::~ ~ <br /> <br />i: <br />Ii <br />,I <br />:; <br /> <br />c:u::;5~~nc;~.~~~~~~.m ) ss. .' c k L A <br /> <br />On this..............9-?5'.t6:......,..-,.....mm........day oL..~~~L...............in the yea~~?before me, <br />p ers on all yap pea re d.......... fJ?..1.. Q!. ~....... &:'.;;?/l.. ..000........................... 000" .................. 000... ...... :......................................,..... <br />, , <br /> <br />an d.......................... ............. ...... ............................... ............................................... .................. ...... __... _ ...... ...... __............000.......... __.. <br /> <br />known to me to be the persons who are descr~bed in and wh: ZJ the within instrument, and, w~ each for <br />bimsoIf, p,,"onaIly ",knoWIOdge~ ~ mj'hat ,hoy meut<d t~~..k$~ <br /> <br /> <br />My commission exp ires....a.llf7~!~.......... ... ............................................................ ...... ........................... <br /> <br />;1 <br />Ii <br />I, <br />Ii <br />d <br />'I <br />II <br />I' <br />il <br />!i <br />II <br />" <br />!i <br />il <br />,I <br />I; <br />I' <br />,I <br />ii, <br />[! <br />Ii <br />d <br />!i <br />I' <br />,I <br />Ii <br /> <br />l[ <br />il <br />Ii <br />ii <br />I! <br />II <br />Ii <br />j: <br />H <br />h <br />Ii <br />iJ <br />i: <br />Ii <br />J1 <br />:i <br />I! <br /> <br />STATE OF NORTH DAKOTA ) <br />County oL.......ooom......ooo......m.................. ss. <br /> <br />DEANN K. BUCKHOUSE <br />Notary Public <br />State of North Dakota <br />My Commission Expires Dec. 18, 2012 <br /> <br />ii <br />d <br />1; <br />Ii <br />I' <br />I <br />; <br />!: <br />I, <br />I; <br />i: <br />p <br />1 ~ <br />J; <br />i: <br />I, <br />!' <br />!i <br />Ii <br />i' <br />" <br /> <br />..........--.......-...........--....-...-.......................-.....-..-_.._......._........_..-.-........._........................~....................._-.........-....--........-........-..................-.......-.................-........-............................-.......-...............-.- <br /> <br />......---.......................................-........................-...-.......-.................-............-......-...................................-.......-...............--...........................................................................-.......-.................................................................. <br /> <br />and.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. That he is a freeholder of <br />the State of North Dakota and a resident of the said CountyoL.....................m......................................, North Dakota. <br />Tha t he is worth the su m of... ........................ ........................ ...... ................ ........ ..........................no. .:.......... ..... ...:........D 011 ars <br />