Know all men by these presents, : that, [blank] held and firmly bound unto [blank] in the sum of [blank] to be paid to the said [blank] certain attorney, executors, administrators, or assigns: to which payment well and truly to be made, [blank] heirs, executors and administrators, [blank] firmly by these presents. Sealed with [blank] seal, dated the [blank] day of [blank] in the year of our Lord one thousand seven hundred and [blank] The condition of the obligation is such, that if the above bounden [blank] heirs, or administrators, or any of them, shall and do well and truly pay, or cause to be paid, to the above named [blank] certain attorney, executors, administrators or assigns, the just and full sum of [blank] without fraud or further delay, then the above obligation to be void, or else to be and remain in full force and virtue. Sealed and delivered in the presence of us, [blank]