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<br />GLOn GAZETTE.WAN"'O'. .... I
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<br />INDEMNITY BOND ON LOST INSTRUMENT
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<br />Whereas,....m__!!.~...~.~E.~.~.n~._~"~~.~.~~~._.....__.__u..mm....nu.___.__ ......m.__...u..____u...__.. hereinafter d e~igna ted as claimant,
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<br />claims to be the owner and entitled to the payment of a certain.--S.t.a.t.e...B.ank..&mTxJJ..s.t.__Cb.e.~k__{l2.5.9..4.6..mm______.u.
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<br />da ted... .m--__...u__AyilJ.~.L.~.t...fQ.Qan......m .mn__.m'm..nm... d u em.u..A~8.~ ~.L!i.L.?QQ5L.____m____..__u.m...n....__...n__...__....m__..
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<br />p a ya bl e tou..u.u._.!!~__ .'!:!!:.~-~n,~",~.~.?~.~~~u....__um__n..mn...m..um....____.____...unm.__.m.u__.m..m...__...___..__....u__.u__.u____..__....._____.
<br />($100.00) One Hundred and No/IOO
<br />for th e sum ofn. ...u.. u --.. __ ____..__. _____. n.u. .u______. __ .__.. ..uu...._........ __ ______u. .u.u.____ .. __.u. .u..u..... __ __.. __.n __u.u__ "" n.'" __ ____....__..... DoH ars,
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<br />exe cu ted by..u u.... ..__ u.____ __.u. .C.Q.S s.. .CQJJ.n.t.Y.... m ____.m.. ...__ __u.u mn...__. ______...u.. __ .,. u____. ....__ __. m .nuu..__. u.... _____.... __. __ m. __.m .u.u.____
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<br />but is unable to produce or surrender said instrument upon such paYment on account of its loss, destruction, or
<br />otherwise.
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<br />US Title & Closing .
<br />N OW, TH E REFO RE, If.m.-----..--.--.__..________m......__.u.___..__n.m....nn.....m.___..mun.--....uu..n.mu..____m__.mu__n.uherelO 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 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 ,:
<br />claimant by said obligee with accrued interest thereon from the date of such payment at the rate oL_________.per cent Ii:'
<br />per annum and undertake and perform any and all steps, actions or proceedings which said obligee may deem necessary !i
<br />or requisite to save said obligee harmless from further liability, cost, expense or damage in the premises.
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<br />Dated this.m__m____.mmu.~__u.____.m..mu__.n.uday oLJ.~:~.m __nu__.__...u...m.. __m__n.u~..?..
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<br />...m.__m____.~.i.~~:~..~.~~__~~.l.~~:~:~..~~.~~:.:~.~~~.:~.~..~~..____..__... ) _:_~__:_:______:__:_:-_:::~-:::=::::_:: ;::~;
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<br />............. ...... --.. --.... -..... ....... m.. '--"'"'''''' m....... ----.. ...... .__... 'u__'m __ __. __.... ...... ...... ...... ... __. __.__u____. m.__ ____.. ...... __""'''''' m... ___.. (S EAL)
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<br />STATE OF NORTH DAKOTA )
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<br />County of.......m....._____.___..........n......__n.. J
<br />On thiS..n--..--......--..-n...__.nfi!!____m.mjk__day of.... ..~.~0~~.7......--mm....m.--....n......in the yeaP-'o..1..., before me,
<br />p ers 0 nail yap p ea red__. .1.-:1!.!..fU 1.t:L.. J,. .......__._f:-I-~:::J::J __..... __m. ...m__.............m m__. __... ....... ...m __ ... ...... m.__....... ..... "'_'" __.... __.n.__.
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<br />an d...... --.. __ -- -- __....... _... .......... ............ __ m. m...___.__..... ...__ ....... __.. ".m" ...__......... __.. __.u u... ........ n_....m...........__ ...... __... m on ...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 />him,dl, p,,"onally ackoowl,dg,d to m, that thoy '",Cll t,d th,~'a_m'._ _._;_/___.____________________________________
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<br />My commission expires..u........__.n.......__m.............uu.... ""'" n:K.t..........__..__......u..............___n__...................
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<br />. J. l. ZIERKE
<br />Notary Public
<br />State of North Dakota
<br />My Commission expires Jan. 18, 2012 ~
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<br />STATE OF NORTH DAKOTA )
<br />ss.
<br />Coun ty of..._.m____.........__...__.......__.__.........
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<br />SUGGESTED MOTION:
<br />Move to receive and file Indemnity Bond on Lost Instrument for the U.S. Title & Closing;
<br />and authorize the county auditor and county treasurer to issue a duplicate check.
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