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<br />y 3214-INDEMNITY BOND FOR LOST INSTRUMENT. (Sec. 21-06-03. 32-02-01- N. T). C. C_1 OLOlL OALETTE. AN EETON. N.O. '
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<br />INDEMNITY BOND ON LOST INSTRUMENT
<br />Whereas,___..-Curtis &_-Jan.Zejdlik __ ___hereinafter designated as claimant,
<br />claims to be the owner and entitled to the payunent of a certain__._S_tate_..Hank__of__Faxga._~he_ck__~2.4.949_____________
<br />dated-------------Apxi,~---~~-~---2Q08-•-----------------------------------------due--------------April-_22, 2008 -
<br />payable to__._______Curtis & Jan Zejdlik
<br />for the sum of_..._._~118.56) One hundred eighteen dollars and fifty six cents Dollars,
<br />executed bY--------------•----•--Cass County--Treasurer ----------------•-------------------------------------------------------------------•--------•--•------
<br />but is unable to produce or surrender said instrument upon such payment on account of its loss, destruction, or
<br />otherwise.
<br />NOW, THEREFORE, If______________Curtis & Jan _Zejdlik_ _ _ _ _ _ _ ___-_____--_---_hereinafter
<br />---------------------------------
<br />designated as obligee, will pay or 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
<br />payment, including all attorney's fees, costs, expenses, charges, or liabilities 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 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.
<br />a~ ~U
<br />Dated this--------------~---__..-----------~--•--------------day of_----------------------------------------------------------- --------•
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<br />Si a 'and elivered in the Pre ence of --------------------------------------•--------------.__..-,---------------------.._--(SEAL)
<br />------------------- ---- ------•~---~-=-~--- ---v~'~--------------.._._..----- -----------------------'---------------------------------------------------------------(SEAL)
<br />--------------------- ----------------------------------------------------------------------------- '------------------------------------------------------------------------------------..(SEAL)
<br />STATE OF NORTH DAKOTA
<br />} ss.
<br />County of-----~~----------------------- J ,
<br />On this------••----~ ~~'L---------------•----••-------_day of-•----•--- •--~~~--•---------•---••-------•------._in the year~~~before me,
<br />personally appeared------~~•-~~y-~--------~~~~~-------------------------------------------------------------------------------------------------------------
<br />and--•-----------------------------------•----•---------•---•---------•----•-------•-• •-•------• --------------------•-• -----•-----•----•• ------• •---•------• •--•-------• -----•-----------•----•--------
<br />known to me to be the persons who are described in and who execut th wi hin instrument, and, ho, each for
<br />himself, personally acknowledged to me that they executed the sa
<br />SUGGESTED MOTION:
<br />Move to receive and file Indemnity Bond on Lost Instrument for Curtis & Jan Zejklik; and
<br />authorize the county auditor and county treasurer to issue a duplicate check.
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