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IN~..~EMNITY, BONDON LOST INSTRUMENT <br /> ............... 7 ..40 Z .............................. -c: / <br /> ..................................................... <br /> ......... ~ . . .................. ~,. .............. ~ ................. ~ .......................... <br /> <br /> ~'--'7 ........... r' '"'5" ................................. ~ .......................... ~, <br /> ........................................... 5.._... ~ ................... ~ .......................................... <br />but i* unable to produce or ~urrender said instrument upon such payment on account of its loss, destruction, or <br /> <br />otherwise. <br /> <br /> NOW, THEREFORE~ If ......................................................................................................... hereinafter <br />designated as obligee~ will pay or eau*e to be paid to *aid clalmant~ or ordeG the amount demanded by blm by virtue <br />thereof, we, the undersigned do jointly and severs y prom ~e, undertake and agree to and with ~aid ob <br />its succe~snru, heirs, administrators and ass~gns~ that we w I save said obllgee, his or its successors, heirs, administra- <br />tors and a~slgns~ harm[ess from any and all claims of any per,on or persons in and to said in~trument~ or to the pay- <br />mens thereof, in whole or in part, and from any and all damages, remote or proxbnate, sustained by virtue of <br />payment, nc udingaB attorney's fees, eo~t~, expenses, char~es, or I{abilltles assumed, incurred or expended, and will <br />at any time upon demand pay or cause to be paid to *aid ob gee, n add t on thereto the amount so paid to said <br />claimant by said obligee with accrued interest thereon front the date of suc ~ payment at the rate of ....... per cent <br />per annum and undertake and perform any and all steps, actions or proceedings which said obllgee may deem neces*ary <br />or requisite to ~ave said obligee harmles* from further liability, cost, expense or damage in the premises. <br /> <br /> Dated this ..... day of <br /> <br /> Signed and Delivered in the Presence of <br /> (s~aD <br />....... ......................... <br /> ................................................................................ (SEAL) <br /> <br />............................................................................................................................................ (SEAL) <br /> <br /> STATE OF I)~RTH DAKOTA <br />County of...... ~.~ .......... <br /> <br /> ..................................................... <br /> <br />known to me to be the persons who are described in and who executed the within instrument, and, who, each for <br />himselt, personally acknowledged to me that~eFexeauted~e same~ <br /> <br />My corem ss on exp re ~gfi~mmksi0u~UkY ~t.~ ~ ................................... <br /> <br /> STATE OF NORTIi DAKOTA / ss. <br />County of ................................. J <br /> <br />and ........................................................................................... being first du[y sworn, upon oath, each for himself <br />doth say: The he is one of the sureties on~ and who executed the within and foregoing bond. That he is a freeholder of <br /> <br />the State of North Dakota and a resident of the said County of ....................................................... , North Dakota. <br />That he is worth the sum of. .............................................................................................................Dollars <br />in property within this state over and above all his debts and liabilities and exclusive of all his property exempt by <br /> <br /> Subscribed and sworn to before me this .................. <br /> <br />day of <br /> <br />SUGGESTED MOTION: <br />Move to receive and file the Indemnity Bond on Lost Instrument for Peter Fredrikson, and <br />authorize the county treasurer and the county auditor to issue a duplicate check. <br /> <br /> <br />