Know all men by these presents: That we, A. B., of the City of ---------,

State of---------, and E. F., of the City of---------, State of ---------, are held and firmly bound unto C. D., of the City of ---------, State of ---------, in the sum of

----------dollars, to be paid to the said----------, his executors, administrators or assigns, for the payment whereof well and truly to be made we jointly and severally bind ourselves, our heirs, executors and administrators, firmly by these presents.

Signed by us this --------- day of ---------, A. D. nineteen hundred and ---------.

The condition of the above obligation is such' that [insert as conditions the performance to secure which the bond is given], then this obligation shall be void; otherwise it shall be and remain in full force and effect.

In witness whereof, etc.

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