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<br />3254---INDEMNITY BOND FOR LOST INSTRUMENT- (Sec. 21-06-03. 32-02-01. N. P. C. C.1 a~oac a e .weHre o~, w o. -
<br />INDEMNITY BOND ON LOST INSTRUMENT
<br />;Jacob or Tricia Larson
<br />Whereas,-__. __~____._- _____ __________hereinafter designated as claimant,
<br />claims to be the owner and entitled to the payment of a certain.__SI<ate-_-Bank. Fargo___check. ~~26733_--_•_--_-
<br />December 30, 2008 December 30, 2008 -
<br />dated----------------------------------------- - -----due--------------------------•------------
<br />---
<br />payable to___-._.__Jacob or Tricia Larson
<br />One Thousand Seventy-nine and 29/100---------------------------------
<br />for the sum of----------------------------------------------------------------•--••------------------- -----------------------------Dollars, .,
<br />--------- --------------------------------------
<br />executed b Cass County Government
<br />Y--------• -----•----• ------------------- •----------• ---- • -----------•-----------
<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-----------------------------------•----------------------- - -------------------------------------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 thereo}, 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 />Dated this------~1.!___lG,~~_~~.1----------------day of-------------------------------------•---------
<br />Si ed a livered in the Presence of __._____(SEAL)
<br />--------------- ---- ----- --------- -- ------------------------------------------------ -----------------------`- --------(SEAL)
<br />~--_
<br />-------~-l~f-~- ----------------------- ~~'---------------------------------------- '--------------------------------------------------------------------------------------(SEAL)
<br />STATE OF NORTH DAKOTA
<br />C,a.y c? t ss.
<br />County of----------------------------------------------- J
<br />On this-------•----- ~-1----------•----------------•-----------day of---------M--°-`'~----------------•----•----------------in the year 1mo'~ before me,
<br />personally appeared---•-------------------~~-~~'--~---•---------Z..a.,._S.se-!'~-------•--•------------•-----------••----------------....---•----------•--------
<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 />My commission expires_.___~~-~Y__._.~_r__?_r.~.._~--_____. _--
<br />CTATF (1F T~T(1RT~T TIAK(lTA 1
<br />ADAf~ ,f MASS
<br />NOTARY PUBLIC SI'~TE f~F NORTH DAKOTA
<br />- ,_....- -~n~n
<br />----I~-~,~~s----------------- ''
<br />SUGGESTED MOTION•
<br />Move to receive and file Indemnity Bond on Lost Instrument for Jacob and Tricia
<br />Larson; and authorize the county auditor and county treasurer to issue a duplicate
<br />check.
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