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<br />=iJj-~ _ .. 32 ~!NDlfMNi:YBOND POR0ST~~:rR~~EN.;~~(S~~. 21:06.oi3-2-()2:~;:-N~' D~C. c.)
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<br />Ol.OBE. GAlETTIE.WAHPtTON. H.D.
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<br />Wh,,,.......At:\.cic.en....~ie.._.m__............_...m......mm.._.......m........mh,,,ina!t,, d"igna t,d .. claimant. II
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<br />claims to be the owner and entitled to the payment of a certain---J'-J.a'(fe..C)':t:.n.~_~fi_.B(1..Y.=L..____u______.____.___. I!
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<br />dated---.-:r'.A.\V-.~-...7._~_.I---.~~-...---.--......mmm.m.....due...:Su.\~--..-J'~-r.n:aoo8.___u._....______...._...____.______.._.__._.__.. !I
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<br />payabl, to....A~,....;;r~m...........~........~....-......-.......m..._;;:m;;;;;;..m_..........._=........... Ii
<br />for the sum oL~~.3-.--.-D-O~-_____._..._..__.__h.u:dce.d...:B:iC~' '-"~--.--...__n..____cn___.m_____._....._..___...________._.Dollars, il
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<br />execu ted by .--...-..c..a~...______..~y__.__.______.___....__..u_.______..____...----.u-........__________...m...___.__n_...__._.._.._.._.__._____.__u________ II
<br />but is unable to produce or surrender said instrument upon such payment o/1ccount of its loss, destruction, or [i
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<br />othe;;~~, THEREFORE, If--........-And:e..e...n.t-.-~.~.\.~.u__.m~.. . .4~mm.m...h",ina!t" I
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<br />designated as obligee, will payor cause to be paid to said claimant, r order, the amount demanded by him by virtue If
<br />thereof, we, the undersigned, do jointly and severally promise, un ertake 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- :1
<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 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 il
<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. -
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<br />X Dated this..-n__..J2....__.___...._....m__.....___.....day OL..m..~Y.\.\.A_CAAJ-.--.-m----.-___.--.. ___..m'
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<br />.ligned and D9tliver d ,'n the Presence of ) -...n-----u-...--.-..-----.-.~~~~;-~~~-;;-...m--.........mum__.__CSEAL)
<br />...--..--<:t'J...m(,).J .-... .._u.u......___. ._____.__.__..___u.._....._. -- '___m... ....m....--.-..-.Nolciry-PUE5ric--.-.-.--------.... __._._______ C SEAL)
<br />__.__._____.___....m___..__.___..u_u___. .-n_.__.___.._._____m.._..._.m...___u........... --..-.....-- 'MY'"CorJrm~~i6~~i~;~~P-~~~+~O:-20rzt ..n.._..._. C SEAL)
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<br />INDEMNITY BOND ON LOST INSTRUMENT
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<br />SUGGESTED MOTION:
<br />Move to receive and file Indemnity Bond on Lost Instrument for Julie Andeen;
<br />authorize the county auditor and county treasurer to issue a duplicate check.
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<br />On this____._....._...2.k_:.~n.n..n.___.......m....m.day oLn..;cq~yg(,"y........m..._.._.u.m.njn the year :??!Q-tt before me,
<br />person all yap peared..._ ....--~'jJ.!-~,-.-....A-:!.d:€!.f?:.~...n...n.._m... -.............__......._u_..___........._..__....._..........___.__._u _...._. '___'m
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<br />a n d. - -"'"'''' "" n m..... "--" u.......m. .._ -.. -._... _m -. .__........ - _..... u._.. _..... __._.. n_n...... _ _. _"'" m ....,.. u ._.. u._. _ _. _.. _ _. ._.. u, _.. _.m _ _ __... _.... .u._ ..___ n ........
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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......u_._'!..-:.?~:_..'7.:Q.!.1.___.."
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