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<br />I' , <br />,I I. <br />~iO==32~r~DEMNI~yCBOND -FO~7LOS0;;R;-~!~S;~~'21~3~j;_02:~;. ~~ n. c. c.) <br />: ~ ir <br />, !: <br />i! <br /> <br />I <br />iI <br />,I <br />P <br /><i <br />'I <br />if <br />i! <br />" <br />if <br />Ii <br />il <br />ii <br />:! <br /> <br />otherwise. _ ~ <br /> <br />NO W, THEREFORE, If.m!i[~lCir.n.aXlo.__J-__~__~n___m__.c~___n_____._nn__________u_____----h_hereinafter <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 i' <br />its successors, heirs, administrators and assigns, that we will save said obligee, his or its successors, heirs, administra- 'i <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 i: <br />payment, including all attorney's fees, costs, expenses, charges, or liabilities assumed, incurred or expended, and will Ii <br />at any time upon 'demand payor cause to be paid to said obligee, in addition thereto, the amount so paid to said i! <br />claimant by said obligee with accrued interest thereon from the date of such payment at the rate oL._u______per cent i <br />per annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary :1 <br />or requisite to save said obligee harmless from further liability, cost, expense or damage in the premises. I, <br />Ii <br /> <br />f, D":~.:~:.:~~~;;:~:~~_;~:~~:::~::.~:ay Of.__._~:=~.::p- ..=~:~---n(SEAL) II <br />) ~ ;! <br />Ii <br /> <br />~~~~~~~~~ ~ ~~~~~~~~~~~~~~~~~~ ~~~~ ~ ~ ~~~~~~~~~~~~~~~~~~ ~~~~~~~~~:~~~~ ~~~:~::~: ~~~:~~ :~~~:~:~~::~ ~~~:~~ ~: :~~~~:~:~~::~~:~~:~:::~ ~~~: ~::~~:~~:~:: ~:: :~~:::~:~:: ~::~ :~~~~~~~~:~~:~:~~~:~ ~~~::~~ ;: :~~; II <br />if <br />I' <br />II <br />II <br />Ii <br />Ii <br />;1 <br />II <br />II <br />II <br />II <br />!I <br />J, <br />It <br />i <br /> <br />,-,.--..-.......". ~c <br /> <br />'I <br />II <br />i' <br />I! <br />/' . II <br />wh"m,.nELL'1Yr:n\~na.t..-.\l::f1'L0_Pa\A.Lnn____.._h"ein:" de,i.nated a. claimant, II <br /> <br />claims to be the ow~er and entitled to the payment of a certain-j'~~.aLCan+___uh__n____c9-.j_o.Gt\_~________'__'_h_ II <br /> <br />datedn.-..Lhl~.'JnL;c,'a--.-.-n_..=_._n....__lJ.duL._n.1Dj6TltJ.~n_-n-.n_n_nn_._n_n.._.n. II <br /> <br />payable to.hbJ.~\Yt.rnena.f.-,l:ea.j~L.-Ld~;x;n._.n._~::n....hn__n___n__.___--~....---.....-. ii <br /> <br />for the sum oL..--ay.I-D-Dn---n~-..~.-or;tu-n.n~hbu-mmm---------------m----m-u--u------___.___.h__.__Dollars, Ii <br /> <br />execu ted by -... n.___._n______ .---~~h.-nc..D_\Afi~n-n..nn---..-- _n__n_m______ --u-.--n-___.___..________n____nn..___ ._m_.h_______________.___.___.._ i i <br />but is unable to produce or surrender said instrument upon such payment on account of its loss, destruction, or ii <br />Ii <br />II <br />Ii <br />I <br /> <br />INDEMNITY BOND ON LOST INSTRUMENT <br /> <br />!; <br />ji <br />II <br />I; <br />! ~ <br />I: <br />il <br />j: <br />'j <br />'I <br />;1 <br />1; <br /> <br />:i <br />" <br />:i <br /> <br />:1 <br /> <br />if <br />[j ALICIA ULBERG <br />:1 ~ c:U:;~;~:~~~~;I;:~~~~::.:L,,:....dah OLOff~b......~_:~:~~~~~f.~~ko~:; 201.:.., belo,e me, <br />:! person all yap peared.._. ~e.a..r.J----J?~______C.iQ.~l(l_YY\@n~_._.______ ___n..n_...______.._ <br />:! V <br /> <br />i, I an d__ -- --.- - - n ---. __n - - n' - --- --- -...-. .___n____. - -. -- n. .n_.. --.-. __n_. - _.m - _m - ---...- -----. nm - -- -- -..- ___ ___n.______ ___ n. .__._._ ____..._ ___. _.__.. _ m...n __ n n._. __ .__. _m _ ._____.. <br /> <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. _ ~ <br />' ~ <br />My commi"ion exPi'e'....Au~.~L--.:.n- Z8 t:::zo(tiz:::::::::::::::.__:::::::::::::::::::::::: <br /> <br />Ii <br />II <br />" <br />;I <br /> <br />'I <br />I! <br />II <br />Ii <br />" <br />I <br />'I <br /> <br />i <br /> <br />,I <br />[I <br />il <br />II <br />[I <br /> <br />" <br />~ ~ <br />L <br />:1 <br />:I <br />[J <br />!I <br />:1 <br />iI <br />!1 <br />I! <br />,I <br />ii <br />,I <br /> <br />SUGGESTED MOTION: <br /> <br />Move to r~ceive and file Ind~mnity Bond on Lost Instrument for Jean Paul Bigirimana; <br />and authorize the county auditor and county treasurer to issue a duplicate check. <br />