Know all men by these presents: That we, A. B. as principal and E. F. as surety, are held and firmly bound unto the C. D. Company in the sum of

-------- dollars ($---------), for which payment well and truly to be made we bind ourselves firmly by these presents.

Dated this --------- day of ---------, 19-.

The condition of this obligation is such, that, whereas, a certificate for

--------- shares of the capital stock of said the C. D. Company, being certificate number ---------, owned by and standing on the books of said corporation in the name of said A. B., has been lost or destroyed, and can not be produced by him; and whereas, at his request, and upon his promise to indemnify and save harmless said the C. D. Company in the premises and to surrender said certificate when found to said the C. D. Company, to be cancelled, said the

C. D. Company has this day issued to said A. B. a new certificate for --------shares in lieu of said certificate so lost or destroyed:

Now if said A. B. shall well and truly indemnify and save harmless said the C. D. Company, its successors and assigns, from and against said certificate of stock and from and against any and all damages, costs, charges and expenses, including attorney's fees, and all actions and suits, whether groundless or otherwise, by reason of said certificate of stock, and shall surrender or deliver the same, as soon as the same shall be found, to be cancelled, then this obligation shall be void; otherwise to remain in full force and effect.

In witness whereof, etc.

For effect of loss, see Sec. 2342.