HomeMy WebLinkAbout770449.tiff DUPLICATE
WARRANT NO, DUP 10143 GENERAL FUND
WHEREAS, GENERAL FUND Warrant No. 10143 ,
dated 12-29-76 , in the amount of $ 60.00
has been misplaced, lost or destroyed and said Warrant No. 10143 has not
been presented in the Office of the County Treasurer of Weld County,
Colorado, and
WHEREAS, satisfactory affidavit and bond necessary to indemnify
and hold Weld County harmless on account of the alleged loss of the original
warrant has been filed in the Office of the Board of County Commissioners.
NOW, THEREFORE, BE IT RESOLVED, by the Board of County Commissioners,
Weld County, Colorado, that the aforementioned duplicate GENERAL FUND
Warrant No. 10143 , in the amount of $ 60.00 , be issued.
The above and foregoing resolution was, on motion duly made and
seconded, adopted by the following vote on the 18th day of May ,
A.D. , 1977.
THE BOARD OF COUNTY COMMISSIONERS
COUNTY, COLORADO
„a , tt,.2.-c.ka 2__
1
Al'1'EST: i
C(UNTY CLERK AND RECORDER
AND CLERK TO THE BOARD
i
BY:
--- O-puty County Cl
El
APP ASTOFORM: /
ty Attorney
Acoota
770449
i
AFFIDAVIT
/
STATE OF COLORADO ) ss.
COUNTY OF WELD
It XEROX CORPORATION , of Weld County and State of Colorado,
being first duly and legally sworn upon my oath, depose and says that I am the iden-
tical person to whom was issued a county warrant, numbered 10143 . in the sum of
$ 60.00 and drawn upon the County Treasurer of Weld County, dated 12-29-76
, 197E . That said warrant has been misplaced, lost or destroyed and after
the most careful and diligent search, I cannot find the same, nor can I produce the
same for presentation for payment. That I have not assigned or disposed of this war-
rant to any other person or persons, and that I am still the legal owner of said war-
rant and the money to be drawn from the County Treasurer of Weld County, thereby.
That I make this affidavit for the purpose of including the county commissioners of
said Weld County, toissued to me a duplicate of said warrant: upon the condition that
I indemnify said county for and on account of said ostva
rra�ntt...�
X Xerox Corporation .
...1'�.≥4
Address'"°,,Y,.,
4lirmeapolis, Mn 55483
Subscribed and sworn to before me this
if,
/0 day of /11"--/4/, , 197.7
BOND
KNOW ALL MEN BY THESE PRESENTS, That I, . .., XRROX...C.ORP.ORAT.ION -- --
in the County of Weld and State of Colorado, as principal, and
of the County of WELD and State of Colorado,
and of the County of WELD
and State of Colorado, as sureties are held and firmly bound unto the County of Weld,
State of Colorado, in the sum of $6.0...0.0 , lawful money of the United States
of America, for the payment of which well and truly to be made, we bind ourselves,
each of us, and our heirs, executors and administrators, jointly andseverally, firm-
ly by these presents.
Sealed with our seals, and dated this ...__.._ , day of ........................ A. D. , 19.........
The condition of this obligation is such that: WHEREAS, a certain Warrant was
drawn upon the County Treasurer of Weld County, and was issued and made payable tc
XEROX CORPORATION dated 1,2-Z9- A. D. 197.6., in the sum of
$ 60;.00 , said Warrant being Numbered ..101,4.3 the same being lost, and having
established by proof said loss to the satisfaction of the Board of County Commission-
ers of Weld County, Colorado, they have by proper order entered a record authorizec
the issuance of a duplicate warrant in the said sum of $ 60.00
NOW, THEREFORE, If the said Obligors shall save and keep harmless the County of
Weld and all of its officials from all damages, suits and claims of whatsoever nature
occasioned by the issuance of said duplicate warrant without the surrender of the
original, then this obligation to be void, otherwise to remain in full force and ef-
fect.
X _c. . 7)
Signed, sealed and delivered in the Principal
Corporation
NW 1624
Address Minneapolis, Mn 55485
Witness
Surety
Witness Address
Surety
Address
Hello