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<br />~ <br /> <br />. alO'1!: QAlnTl[.WAH"I[TON. N.D. ~ I <br /> <br /> <br />I <br />II <br />I' <br />II <br />I' <br />II <br />Ii <br />Ii <br />,I <br />II <br />II <br />'I <br />II <br />j' <br />'i <br />I, <br />I' <br />,I <br /> <br />I' , <br /> <br />ccirl--",1=32~iNDEMNItY':BONDCFOR-::-LOST-iN;';;UMEN-T ~-(S~~~-2i-::06~o3~-32~O;:~;:' N _'n_ c_ c.) <br /> <br />-lW'-~. _ . _. __. _ . . _~_r." <br /> <br />'i ~ <br />Ii <br /> <br />; <br />II <br />if <br />:i <br />!: <br />Ii <br />I; <br />1I <br />j; <br />:i <br />'I <br />;) <br />:[ <br /> <br />INDEMNITY BOND ON LOST INSTRUMENT <br /> <br />Whereas, ..-....J;:~9.YsLIhg.I.I:E_~~!?__....._.._._.___m_..___._m.m........m-.--___..__..m..._._.m._.m_..h erein after d esigna ted as c1ai m an t, <br />State Bank Fargo check #26507 <br />claims to be the owner and entitled to the payment of a certainu.--------.._...u....._______._.___.__m__.m._...m_m___mm_._m..____..___._... <br /> <br />October 28, 2008 d October 28, 2008 <br />date dm ___a -- ...----- - --. u -..- ..-. ---..--, -..- --....__ .__... __.u. _____. """""" ,u,", u e.__.m.u.._ __.,.. ..._.m_m __" ._. ""_" '_m _ .__. _. _'__" ___. _. __. _. """ '_'_u _" _ __ _.. u.._ <br /> <br />I' <br />,I <br />i <br />:! <br />'I <br />I, <br />'i <br />!! <br />,i <br />:! <br /> <br />pa ya bl e to___. ..__..b~9.Y.~.J'h__~!"!.lP_~ ~!?--..m---..--.......-..----.mm..__~:')OO...OO-.-------- m..--m..-...--..--..u.m.___..__..__u.____.._..._._._____._._mu_m.. <br />Five Hundred-_ and 00/100'---------------------------------------------- <br />fo r th e sum of... - ____u -- -.. -.----.-...--.-.. ..--. ..-...-..--... ..--.. --..__ .___.__.._____.... _..u ...__.. ____.... .u. __..__..._.. '__" _ u. __...__.. __ _.. _ .__.. _ __ u. .._______ __ _ Doll a rs, <br /> <br />" <br />ii <br />:: <br />II <br />II <br />il <br />I! <br /> <br />exe cu te d by.... -- ---- --.. .GaSB.__ C.o.Ull.t.y-._G.Qj[g XJ11l1.~.n t_....__.__.__.. _ _ _... _ __ .__.......__. _. u .m...._.__.._..._ _.._ """__'''__' .... u... _ _. u.. u._. _..__.. ..._. ""_' <br />but is unable to produce or surrender said instrument upon such payment on account of its loss, destruction, or Ii <br />otherwise. il <br />I, <br />II <br />d <br />,I <br />Ii <br /> <br />NOW, TH E RE FORE, If -- --.---- 'um___ ...--. .... -- .---. - --.... ._.._. ._____....u _. m __......______. u. .__..__...._______. '__'" ...__. ..u____ u..._.__ h ere in after <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 <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 sald <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 " <br />claimant by said obligee with accrued interest thereon from the date of such payment at the rate oL_____._.uper cent j' <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, expense or damage in the premises. :1 <br /> <br />, ; Dated this..ml.~.:~.__..2.L=...f2._.L._____..day oL.mm._.._______.__._____.__._.____.____.__________m. ________. Ii <br />Ii Ii <br /> <br /> <br />ii :~~~:~~f:::::::::::) ::=~::~::::::::::~::::=::::~::~::~::::::::::::::::::::::::::::!::~i 11 <br />II <br />I' <br />II <br />II <br />Ii <br />Ii <br />.1 <br />Ii <br />I' <br />II <br />II <br />II <br />I[ <br />II <br />Ii <br />q <br />I <br /> <br />I <br />I' <br />II <br />" <br />iJ <br />II <br />II <br />!i <br />" <br />!i <br />]j <br />Ii <br />Ii <br />ii <br />'i <br />i/ <br />i! <br />n <br />Ii <br />:j <br />ii <br /> <br />j ~ <br /> <br />STATE OF NORTH DAKOTA ) <br />ss. <br />countYOLn_~-mn---- ~ ;1~ <br />On thiS..----....__.JJ.t____~.___...___......._~u__.__u_.__.__.._u_...---.-.....-.-._______...___..._in the year~.-, before me, <br /> <br />::~,~,,~ll~_.~~_ea:e_d-::~~=~:=::~::=:t::===::::::::::=:::::::::::::=:::::::::::::::::::::-_:::::::::::: <br /> <br />known to me to be the persons who are described in and who executed the within instr <br />himself, personally acknowledged to me that they executed the <br /> <br />i <br />I; <br />I! <br /> <br /> <br />il <br />'I <br />:1 <br />'I <br />Ii <br />I <br />II <br />I <br />I[ <br />" <br />I <br />!I <br /> <br />CHARLOTTE SANDVIK <br />..- --. __.m. - ..-- 'Notory-?l:lblie'-- <br />State of NorthOakota <br />My Commission Expires Oct, 12, 2014 <br /> <br />My commission expires___... <br /> <br />- ~--~- - -- --- ~ -- ~- --..~--- ----~-- - ~---- ----- ----~- - -----. ----- - ------ -~-- ---- --- - ----- --- ------- <br /> <br />it <br />:1 <br />11 <br />'I <br />I- <br />I <br /> <br />SUGGESTED MOTION: <br />Move to receive and file Indemnity Bond on Lost Instrument for Lloyd Thompson; and <br />authorize the county auditor and county treasurer to issue a duplicate check. <br /> <br />" <br />;i <br />\1 <br />I: <br /> <br />d <br />" <br /> <br />'I I _. <br />