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<br />Ii 1 . 32~INDEMNI+Y BOND FOR-LOST INSTRUMENT. (Sec. 21.06-03. 32-02.01. N. D. C. C.)
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<br />QL-O.~ QAZETTE.WAHI'I!:TON. N.D.
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<br />INDEMNITY BOND ON LOST INSTRUMENT
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<br />whe.<a"---h:i?~h__J.______?~---------h-----------------------------____________ he.eina!te; deoigna ted as ,Jaiman t,
<br />claims to be the owner and entitled to the paynUnt of a certain-...m__.iJ_~_.~__n~_.~~Q1S~_.nm_unn_m___.n
<br />datedn--m..--4!F-m.J~-.-i1.{)/)..7.-......-.----..---...---.---n--.--due---..n.-------.~~-.--Sit.u-f)QI)?---------.-.--._._______..__.____.
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<br />Payabletn_______h_______f:~h~___~~--m-----------------------------~----_0._0.__
<br />foe the ,urn uL(..f)-~-<j.-d(q)..-~--~~-~-"~--"'-"-~c:::r~---,------Dollan,'
<br />"<ou ted hy -h-----------------_________(2~______~~---- _________________ _ __________________ ______________________________________
<br />but is unable to produce or surrender said instrument upon such payment on account of its loss, destruction, or
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<br />othe;;~~, THEREFORE, If.--h-m---f~---..g---_f~h--------------------------------------------_____________heceina!te.
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<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-
<br />tors and assigns, harmless from any and all claims of any person or persons in and to said instrument, or to the pay-
<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 upon demand 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 oLm_____nper cent
<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, cqst, expense or damage in the premises.
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<br />M \.-~ o-"'\V\-
<br />STATE OF :NORTH D1.Ko:..l"A )
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<br />County OLJ?.:?::-::,.~~~n__mm..n__.. ss., k1 _ _ ~ 0
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<br />On this..__m._.n. -----m____nu.umu_n_mn__.___.nmday oL--~-~~.mm--u.m-----unu--jn the year~, before me,
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<br />known to me to be the persons who are described in and who executed the within instrument, and, who, each for
<br />him..lf, pmonally "knowledged to me that they e.<outed ~j)w ~
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<br />My commission exPires_..____..J.l_~IJ~~-I.-~.------n.m-. ::__::::::::::::::::::::::::::::::::::::::::::::::::___:::::::::::::::::::::::::::::::::::::::::
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<br />DOREENKAYSCHWARZROCK
<br />NOTARY PUBLIC-MINNESOTA
<br />My Commission expires Jan. 31. 2011
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<br />STATE OF NORTH DAKOT~
<br />County of____m______=.::.=_.m___________...._ -
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<br />SUGGESTED MOTION:
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<br />Rec,eive and file Lost Instrument Bond for Patrick B. Kenney and authorize the county
<br />audItor and county treasurer to issue a duplicate check.
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