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<br />Ii ! . ... 32~fNDEMNITY BOND FOR-LOST INSTRUMENT. (Sec. 21.06-03. 32-02-01. N. D. C. C.)
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<br />G1LOal: G1AZtTTE. WAHI'ETON. H.t).
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<br />INDEMNITY BOND ON LOST INSTRUMENT
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<br />Wh ereas, -.. .n...nR..tJt,. .....~. ......n.... n.. ...m .h........m. _ _.... ..hUOn.n...... n..m.h erein a fte~ des ign a ted as cl ai m an t,
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<br />claims to be the owner and entitled to the payment of a certain-n--..-.oJe.M.~n.~n__~!.??__?:.Cf-7-n'_'_hn____.__.___n__.__.
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<br />for the su m of.... nh~.1~:.~.5"h__nn~~. ___ tk!l.cL.."~9 ..m_ _ 00__.__. n. _ __ .00. __ _no _m _ _moo. n. __ mh"__ __ _ _ ...... 0000 _ __00'__ ___. _ Doll a rs,
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<br />execu ted byn..n.......____.._ ."'00' n..c..~..n...--c...4_. __..00 _ .____. ..._._.m..._ 00_. _. ._..00.._..00._ _ __ ._...n.___n_..__. _.. _._... _. .'" _._.____ __. ..__._ __....
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<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 />otherwise. ~ :
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<br />N OW, TH EREFO RE, I Ln..___......n_.n......._. ~. n__.. c..~. a1..J___..._.__ _._... __m.....____. .._. 00_.....00 _.._... .0000__.. n. herei n after
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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 jn 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 of.__........_per 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, cost, expenrr damage in the premises.
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<br />'f.. Dated this.....;?3_.!nm...._..hh_____.__.__m.m_nday oLI!P..~~Lnmn._0!!._._......n......nmn:- h_nn.. ~~
<br />Signed and Delivered in the Presence of ! X~.:-:-:.\.?~.G:~hn---...n(SEAL) i
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<br />STATE OF NORTH DAKOTA I
<br />Coun ty OLh...nW~nn.__mm.h.h_m_h.. ss. ,
<br />On this...mm.n..__.mn.;?~~____hn__hmn.n_....__.d a y of.. nhn_.n...A/':?O../.n.hhmn.__..n__n__mn__ in the year JQ.c.f.., before me,
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<br />p erSOIl Ii II yap p ea red_... n n. _ n n. .n.. € ~_ _..,~ r.\.~ r. n"", __ _. _ n n. _. .n_. 00." _ _.._. _ _ _ 00 _. n._.. 00 00 _ _.. _'" _m. _.... _ _ _ _ __.. n 00 _ _ __ __... _ _ _ _ _. _ _ _.. _ _ _ _.. __ _. _ _ _ _. _ _ _'..
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<br />an dh n -- "00 nnh 00--. ___ 00 ..nhhn_______ ..n_.. n.._n .m__ n__ ..___m _.m. __00.. .n_n.nhn____..m. 00_ ....__m _ _.______ n. 'nh_. _.__'__''''_n _... _m... _ m. n__...m 00 ..__....m._
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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 />himself, personally acknowledged to me that they executed the same.
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<br />My commission expires--..n_...__.t)..'il~_~_!--?_~!.~hnn.n__
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<br />-"'. ..-- _nn .----.~~...t2f!Af:!~ ~__.__.. __00_ .____.. ._____ __ _..______. __.
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<br />STATE OF NORTH DAKOTA 1 ~~
<br />Cou n ty of.. __h"_mn. ..... 00'___ _'nn m.__ _ __h_'_n.~_
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<br />AARON OPHEIM
<br />NOTARY PUBLIC STATE OF NORTH DAKOTA
<br />My Commission Expires April 3, 2013
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<br />SUGGESTED MOTION:
<br />Move to receive and file Lost Instrument Bond for Pat Connor and authorize the
<br />county auditor and county treasurer to issue a duplicate check.
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