Form 3a - North Dakota Coal Exploration Compliance Bond printable pdf download

FORM 3A

North Dakota State Industrial Commission

COAL EXPLORATION

COMPLIANCE BOND

KNOW ALL MEN BY THESE PRESENTS, that ____________________________________________________________

a ________________________________ of ___________________________in the state of __________________________

as principal and _______________________________________ a corporation of __________________________________

a corporate surety company authorized to do business in the State of North Dakota, as surety, for and in consideration of the

granting of a permit to drill pursuant to Chap. 38-12.1 NDRC and amendments thereto, and the rules and regulations adopted by

the Industrial Commission of the State of North Dakota, under the authority of the said law, are held and firmly bound unto the

State of North Dakota in the sum of ten thousand ($10,000) lawful money of the United States, to be paid to the State of North

Dakota, for which payment, well and truly to be made, we bind ourselves and each of us, and each of our successors and assigns,

jointly and severally, by these presents.

The condition of the foregoing obligation is such that, whereas the said principal is desirious of exploring for coal within the State

of North Dakota, and has made application for permit so to do.

NOW THEREFORE, if said principal, in its operations after the execution of permit by the State Geologist of the State of North

Dakota shall fully comply with said Chap. 38-12.1 NDRC and amendments thereto, and the Rules and Regulations of the Industrial

Commission of the State of North Dakota prescribed to govern the filing of basic coal exploration data obtained from exploring on

State and Private lands within the State of North Dakota, then and in that event the above obligation shall be void, otherwise to

remain in full force and effect.

WITNESSES:

_______________________________________________

______________________________________________

_______________________________________________

By____________________________________________

ITS ____________________________PRINCIPAL

COUNTERSIGNED/WITNESSES:

_______________________________________________

By____________________________________________

_______________________________________________

ITS ______________________________SURETY

STATE OF ______________________

COUNTY OF ____________________

On this ____day of ____________, before me, the undersigned, a Notary Public, within and for the County and State aforesaid,

personally appeared, _______________________________________, known to me to be the _____________________ of

the ___________________________________________ and acknowledged to me that he executed the within and foregoing

instrument on behalf of said corporation.

NOTARY PUBLIC _________________________________

_________________________________________________

My Commission expires______________________________

(Attached acknowledgment of surety)

Form 3a - North Dakota Coal Exploration Compliance Bond