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<br />INDEMNITY BOND ON LOST INSTRUMENT
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<br />. Wh,,,..,..____. ( ~...~..F.(.J~.L.Q!~u.......J;;;:u..uh;in:' d..~na"d a; daimant, !:
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<br />claims to be the owner and entitled to the payment of a certamm....................~____..~.....:f;R.........mm...................... Ii
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<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:
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<br />otherwise. i . I . . II
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<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
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<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... ...... :......................................,.....
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<br />an d.......................... ............. ...... ............................... ............................................... .................. ...... __... _ ...... ...... __............000.......... __..
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<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$~
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<br />My commission exp ires....a.llf7~!~.......... ... ............................................................ ...... ...........................
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<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
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<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
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