|
__
<br />_.
<br />'~ 9 3255--INDEMNITY BOND FOR LOST INSTRUMENT. (Sec. 21-06 03 32-02 01 N D C C.1 nLO~COALETTE.wA~1QOM.M.O. '
<br />INDEMNITY BOND ON LOST INSTRUMENT
<br />Tim Runcorn or Amy Qvammen
<br />Whereas,.--- ---~-____-- _---- -------=-----._ -------------__-. -----------------------------____-- ___---hereinafter designated as claimant,
<br />----
<br />State Bank ck~~25318 '
<br />claims to be the owner and entitled to the payment of a certain____________________________________________________________________________________________
<br />dated______May_-5, _2008 May 5, 2008 -
<br />- -------------------------------------------------------------due_---------------------------------------------------------------------------------------------------
<br />Tim Runcorn or Amy Qvammen
<br />payable to------------------•------•-------------.._..----._.------------------------------
<br />i --------~-X96-:-00-------------------------------------------------------------------------------
<br />' for the sum of___ Fi_y_e--Hundred__Thirt.y-six and 00/100 ----------------------------------Dollars,
<br />t executed by____-Cass County Government
<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_.._..___._~~__.__~^w~^ ______________hereinafter
<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 />i
<br />Dated this--------------3`~-------------------------------------day of---------n!~r' ~-----------------------•:------------- -~~---• ~I
<br />Sigma%y~n3~~"i~`livered in the Presence of l ------•---------------------------------------(SEAL) ''.,
<br />--------------------------------- ---------------- ------------ ---------------NIEk~NIE-flfSli~------------- -----......(SEAL)
<br />Notary Public
<br />-----------------------------------------------------------------------------------------------•---• '------------ -------------~kffet>€IVortFr-©akQtcx------------ -----•-----(SEAL)
<br />My Commission Expires Feb, 25, 2015
<br />STATE OF NORTH DAKOTA
<br />r ss.
<br />County of------------------------------------------------ J
<br />______________________________________in the ear .______ before me
<br />nthis--•--------------•-•--------•-------------•-•----•----------day of.--------------------- Y >
<br />persoially appeared--------------•-------•-•-----•-------------------------------•-----------------•---------------------------------•-------------•--------------------•-----•--•---••----
<br />a n d-------------------------------------------------- -------------------•---------------------------------...---- ------------------------ --------------------------------------- __...------------------
<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.
<br />
<br />My commission expires--------------------------•---------------------- -------- -----------------------------------------------------------------•-----------------------------
<br />SUGGESTED MOTION:
<br />Move to receive and file Indemnity Bond on Lost Instrument for Tim Runcorn or Amy
<br />Qvammen; and authorize the county auditor and county treasurer to issue a duplicate
<br />check.
<br />
|