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<br />,~ 377{~YAYSL+y~NIxY~ONII~PDRI,ogTINSTRVMENT- (Ssc.71.06-03..ts-a7-o~.N. b. G.c.l
<br />INDEMNITY BOND ON LOST INSTRL7MENT
<br />Whereae,.._._~~1"" "",.„~-..~~hI,GI~ _ f~, 1,~1.k'`~" _---hereinafter designlated as claimant,
<br />claims to be the owner and entitled to the payment of a certain...t!L.1~.1._L`.f~!Y~,~__~~~~.~,(,~,,,,,•,,,,,,,,,,,,,,,,,,
<br />~q ~.~^~('" ,, I
<br />dated...----- ~rlAQlr......_. *...., ._.....1 .............~..~_..._du~----.,.`c/-:~---• ,.~, _oZOO~__.v....
<br />y ~. ~o r ._ ... ... ............. .
<br />nn ., •_ ,
<br />payable to.-------- ~-~~'--~Yl,-!.!~ ~!~'!:41.~..~lf=-e_-(..,~u;~'..~---- -----------°---_,..__.._..----------- .,,..
<br />for the sum of....1._~.J~..`-z'~_ QC7~ _~_~.__!;!-!ti!!`:-..>._~~~_.....,,___.._.--•---• .................•-------.._... llazs,
<br />executed by---•------~__4,~....._ ............._._............,,......................_.,..,,,,.............._....._..,,.,.,_ _........,-.:.,...
<br />but is unable to produce or eurrender said instrument upon such payment on accougt of its loss, destruction, or
<br />otherwise. ~/~I q.~ M
<br />NOViV, THEREFORE, If._.._,!~~,-1_! I,fA.yj,(~ '~~~ ~((:~l" f ...hereinafter
<br />designated a; obligee, will pay or cause to bt 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 agMe to and with said obligeaf hi3 or
<br />its successors, hCire, administrators and assigns, that wa will save said obligee, his or ids successozs, heirs, administra-
<br />tors and &aeigns, harmless from any and all claims of any parson or persona in and to said instrument, or to the pa~-
<br />ment thereof, to whole or in part, and from any and all damages, remote or proaimate, eustained by virtue of ea:d
<br />payment, including all attorney's fees, costs, expetASes, charges, or liabilitice assumed, incurred or expended and will
<br />at any time upon demand pay or 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 acrd undertake and perform any and nil steps, actions or proceedings which said obligee may deem necessary
<br />oz zequisite to sav o e armlessr~ram further liabil' cost, a pease a age in the premises.
<br />x band this-- - ~• ..........~.~,.,,,,.,.day of.....
<br />S~ and Deb+.,vered in the Presence of „_.,, ........ .: , ~ .. .___.._ .................(SEAL)
<br />.............-•-••---•---•-------•----------..-............................,,,......_....._.--- ----..__.. -----------------------~-----,.,......_....................,..,.,,.......(SEAL)
<br />(SEAL)
<br />STATE Ok' N
<br />County of_..~.~1
<br />On this..._....
<br />pcreoually appea,
<br />TA. ~ ss.
<br />~D~J
<br />known to me to be the
<br />hiruself, personally_et~
<br />who ere described in and who.ezec
<br />~ljrgj}tt that they caecuted the sam7
<br />~:~~`\`O~~ RY p~ss~~
<br />My commiss~ ez~,,,,,,,,,,,,,,,~!~e_-,
<br />STATE C~'.~.TQ~itTH DAKOTA
<br />County of., ~,~~..~/..._....__..._ .~ ~~\
<br />• --~-
<br />each foe
<br />and ............... ~'ylflllllllt~~~. ..:._being first duly sworn,' upon oath, each for himself
<br />doth say: The he ie one of the sureties on, and who executed the within and foregoing bond. That he is a freeholder of
<br />the State of North Dakota and a resident of the said County of ............................_....._........._........._-.,--, North Dakota.
<br />That he is worth the sum of_.,~,,,_,,,,,,,,,,,,,,,,,,,_,,,,,,,,,,-„_.,,,,,,., _,Dollazs
<br />Irt property within this state over and above all his debts and liabilities and exclusive of all his property exempt by
<br />the laws of this State from levy and halo on execution or attachment,
<br />Subscribtd and sworn to before me this ..............._..,.,
<br />day of ..................... ';
<br />SUGGESTED MOTION:
<br />Move to receive and file Indemnity Bond on Lost Instrument for Wahpeton Municipal
<br />Court; and authorize the county auditor and county treasurer to issue a duplicate check.
<br />
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