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F E D E R A L R E S E R V E BA N K O F N EW YORK F iscal A g en t o f the U nited States r Circular N o. 4 6 9 7 1 L February 2, 1959 J OFFERING OF 3 % Percent Treasury Certificates of Indebtedness of Series A-1960, or 4 Percent Treasury Notes of Series D-1962 IN EXCHANGE FOR 2 y2 Percent Treasury Certificates of Indebtedness of Series A-1959, or 1 % Percent Treasury Notes of Series A-1959 T o A ll B anking In stitution s, and O thers Concerned, in th e Second F edera l R eserve D istrict : The subscription books are open fo r an offerin g o f— 3 % percent Treasury Certificates o f Indebtedness o f Series A-1960, m aturing February 15, 1960, or 4 percent Treasury Notes o f Series D-1962, m aturing February 15, 1962, in exchange fo r the 2*/> percent T reasury Certificates o f Indebtedness o f Series A-1959, m aturing F ebru ary 14, 1959, or the 1 % percent T reasury Notes o f Series A-1959, m aturing F ebruary 15, 1959, at the option o f the holders. H olders o f the m aturing securities should detach coupons b efore surrendering the securities in exchange. The new certificates and notes w ill be issued at par fo r the notes m aturing F ebru ary 15, and at 99.993 fo r the certificates m aturing F ebru ary 14. The discount allow ed holders o f the m aturing certificates has the effect o f continuing the interest on those certificates to F ebru ary 15, the issue date o f both new securities. The terms o f these offerings are set forth in T reasury D epartm ent Circulars Nos. 1021 and 1022, both dated F ebru ary 2, 1959; a cop y o f each is printed on the follow in g pages. Subscriptions w ill be received b y this Bank as fiscal agent o f the U nited States. Cash * subscriptions w ill not be received. Subscriptions should be submitted in triplicate on official subscription form s, copies o f which are enclosed, and should be m ailed im m ediately; i f filed by telegram or letter, the subscriptions should be confirm ed im m ediately b y m ail on the form s provided. The subscription books will rem ain open fo r th ree days only, F ebru ary 2 through -F eb ru a ry 4. A n y subscription addressed to a F ederal R eserve Bank or B ranch or to the T reasury D epartm ent and placed in the mail b efore m idnight W ednesday, F ebruary 4, w ill be‘ considered timely. A lfred H ayes, President. FORM A UNITED STATES OF AMERICA 33/4 PERCENT TREASURY CERTIFICATES OF INDEBTEDNESS OF SERIES A-1960 D ue February 15, 1960 Dated and bearing interest from February 15, 1959 1959 D epartm ent C ircular N o. 1021 TREASURY DEPARTM ENT, O ffic e o f th e S e cre ta ry , F isca l S ervice B ureau o f the P u b lic D eb t I. O FFERIN G O F CERT IFIC A T E S 1. The Secretary o f the Treasury, pursuant to the authority o f the Second L iberty B ond A ct, as amended, invites subscriptions from the people o f the United States fo r certificates o f indebtedness o f the United States, designated 3 % percent Treasury Certificates o f Indebtedness o f Series A-1960, at 99.993 percent of their face value*, in exchange fo r a like face amount o f 2 Y2 percent Treasury Certificates o f Indebtedness o f Series A-1959, m aturing February 14, 1959, and at par in exchange fo r 1 % percent Treasury Notes o f Series A-1959, m aturing February 15, 1959. In the case o f the m aturing certificates, a cash adjustment representing the discount from the face value o f the new certificates will be made in favor o f the subscriber as provided in Section IV , P a y m e n t , hereof. The amount o f the offering under this circular will be limited to the amount o f m aturing certificates and notes tendered in exchange and accepted. The books w ill be open only on F ebruary 2 through F ebru ary 4 fo r the receipt o f subscriptions fo r this issue. 2. In addition to the offering under this circular, holders o f the m aturing securities are offered the privilege o f exchanging all or any part o f such securi ties fo r 4 percent Treasury Notes o f Series D-1962, which offering is set forth in Department Circular No. 1022, issued simultaneously with this circular. II. D E SC R IP T IO N OF CERTIFICATES 1. The certificates w ill be dated February 15, 1959, and will bear interest from that date at the rate o f 3 % percent p er annum, payable semiannually on A ugust 15, 1959, and February 15, 1960. They will mature February 15, 1960. They will not be subject to call fo r redem ption p rior to maturity. 2. The income derived from the certificates is sub je ct to all taxes imposed under the Internal Revenue Code o f 1954. The certificates are subject to estate, inheritance, g ift or other excise taxes, whether Federal or State, but are exempt from all taxation now or hereafter imposed on the principal or interest thereof by any State, or any o f the possessions o f the United States, or b y any local taxing authority. 3. The certificates will be acceptable to secure de posits o f public moneys. They will not be acceptable in payment o f taxes. 4. Bearer certificates with interest coupons at tached will be issued in denominations o f $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000 and $500,000,000. The certificates will not be issued in registered form . * The amount o f the discount is approxim ately equivalent to one d a y ’ s accrued interest on the m aturing certificates. W ashington, F ebru ary 2, 1959. 5. The certificates w ill be subject to the general regulations o f the Treasury Department, now or here after prescribed, governing United States certificates. III. SU B SC R IPT IO N A N D ALLO TM E N T 1. Subscriptions will be received at the Federal Reserve Banks and Branches and at the Office o f the Treasurer o f the United States, W ashington. Banking institutions generally may submit subscriptions for account o f customers, but only the Federal Reserve Banks and the Treasury Department are authorized to act as official agencies. 2. The Secretary o f the Treasury reserves the right to reject or reduce any subscription, and to allot less than the amount o f certificates applied f o r ; and any action he may take in these respects shall be final. Subject to these reservations, all subscriptions w ill be allotted in full. Allotm ent notices will be sent out prom ptly upon allotment. IV . PAYM ENT 1. Paym ent for the face amount o f certificates allotted hereunder must be made on or before Feb ruary 16,1959, or on later allotment, and may be made only in a like face amount o f Treasury Certificates o f Indebtedness o f Series A-1959, m aturing February 14, 1959, or Treasury Notes o f Series A-1959, maturing February 15, 1959, which should accom pany the sub scription. Coupons dated F ebruary 14 and February 15, 1959, should be detached from the m aturing securi ties b y holders and cashed when due. The discount of $0.07 per $1,000 on certificates allotted w ill be paid to holders o f certificates m aturing Febru ary 14 follow ing acceptance o f the certificates. V. G E N E R A L PR O V ISIO N S 1. A s fiscal agents o f the United States, Federal Reserve Banks are authorized and requested to receive subscriptions, to make allotments on the basis and up to the amounts indicated by the Secretary o f the Treasury to the Federal Reserve Banks o f the respec tive Districts, to issue allotment notices, to receive payment fo r certificates allotted, to make delivery of certificates on full-paid subscriptions allotted, and they may issue interim receipts pending delivery of the definitive certificates. 2. The Secretary o f the Treasury m ay at any time, or from time to time, prescribe supplemental or amendatory rules and regulations governing the offer ing, which will be communicated prom ptly to the Federal Reserve Banks. R O B E R T B. ANDERSON , S ecretary o f the Treasury. FORM B UNITED STATES OF AMERICA 4 PERCENT TREASURY NOTES OF SERIES D-1962 D ated an d b e a rin g interest fr o m F e b ru a ry 15, 1959 1959 D epartm ent C ircular N o. 1022 D u e F eb ru a ry 15, 1962 TREASU RY DEPARTM ENT, O ffic e Fiscal Service Bureau of the Public Debt I. O FFERIN G OF NOTES 1. The Secretary o f the Treasury, pursuant to the authority o f the Second Liberty B ond A ct, as amended, invites subscriptions from the people o f the United States fo r notes o f the United States, designated 4 percent Treasury Notes o f Series D-1962, at 99.993 percent o f their face value*, in exchange fo r a like face amount o f 2 % percent Treasury Certificates o f I ndebtedness o f Series A-1959, m aturing February 14, 1959, and at par in exchange fo r 1 % percent Treasury Notes o f Series A-1959, m aturing February 15, 1959. In the case o f the maturing certificates, a cash adjust ment representing the discount from the face value o f the new notes will be made in favor o f the sub scriber as provided in Section IV , P a y m e n t , hereof. The amount o f the offering under this circular will be limited to the amount o f maturing certificates and notes tendered in exchange and accepted. The books will be open only on F ebruary 2 through F ebru ary 4 fo r the receipt o f subscriptions fo r this issue. 2. In addition to the offering under this circular, holders o f the m aturing securities are offered the privilege o f exchanging all or any part o f such securi ties fo r 3 % percent Treasury Certificates o f Indebted ness o f Series A-1960, which offering is set forth in Department Circular No. 1021, issued simultaneously with this circular. II. D E SC R IP TIO N OF NOTES 1. The notes will be dated February 15, 1959, and will bear interest from that date at the rate o f 4 per cent per annum, payable semiannually on August 15, 1959, and thereafter on February 15 and A ugust 15 in each year until the principal amount becomes p ay able. They will mature February 15, 1962, and will not be subject to call fo r redemption prior to maturity. 2. The income derived from the notes is subject to all taxes imposed under the Internal Revenue Code of 1954. The notes are subject to estate, inheritance, gift or other excise taxes, whether Federal or State, but are exempt from all taxation now or hereafter imposed on the principal or interest thereof by any State, or any o f the possessions o f the United States, or by any local taxing authority. 3. The notes will be acceptable to secure deposits o f public moneys. They will not be acceptable in pay ment o f taxes. 4. Bearer notes with interest coupons attached will be issued in denominations o f $1,000, $5,000, $10,000. $100,000, $1,000,000, $100,000,000 and $500,000,000. The notes w ill not be issued in registered form. * The amount o f the discount is approxim ately equivalent to one d a y ’ s accrued interest on the m aturing certificates. o f th e S ecreta ry , W ashington, F ebruary 2, 1959. 5. The notes will be subject to the general regula tions o f the Treasury Department, now or hereafter prescribed, governing United States notes. III. SU BSCRIPTIO N A N D A L L O TM E N T 1. Subscriptions will be received at the Federal Reserve Banks and Branches and at the Office o f the Treasurer o f the United States, W ashington. Banking institutions generally may submit subscriptions for account o f customers, but only the Federal Reserve Banks and the Treasury Department are authorized to act as official agencies. 2. The Secretary o f the Treasury reserves the right to reject or reduce any subscription, and to allot less than the amount o f notes applied f o r ; and any action he may take in these respects shall be final. Subject to these reservations, all subscriptions will be allotted in full. Allotm ent notices will be sent out prom ptly upon allotment. IV . PA Y M E N T 1. Paym ent fo r the face amount o f notes allotted hereunder must be made on or before February 16, 1959, or on later allotment, and may be made only in a like face amount o f Treasury Certificates of Indebtedness o f Series A-1959, m aturing February 14.1959, or Treasury Notes o f Series A-1959, maturing February 15, 1959, which should accom pany the sub scription. Coupons dated February 14 and February 15.1959, should be detached from the maturing securi ties by holders and cashed when due. The discount o f $0.07 per $1,000 on notes allotted will be paid to holders o f certificates maturing February 14 follow ing acceptance o f the certificates. V. G E N E R A L PRO VISIO N S 1. A s fiscal agents o f the United States, Federal Reserve Banks are authorized and requested to receive subscriptions, to make allotments on the basis and up to the amounts indicated by the Secretary o f the Treasury to the Federal Reserve Banks o f the respec tive Districts, to issue allotment notices, to receive payment for notes allotted, to make delivery o f notes on full-paid subscriptions allotted, and they may issue interim receipts pending delivery o f the definitive notes. 2. The Secretary o f the Treasury may at any time, or from time to time, prescribe supplemental or amendatory rules and regulations governing the offer ing, which will be communicated prom ptly to the Federal Reserve Banks. ROBERT B. ANDERSON, S ecretary o f the Treasury. (Please type or print legibly and submit in triplicate) Subscriber ’u Reference No. Subscription No. C-l EXCHANGE SUBSCRIPTION For United States o f America 3 % Percent Treasury Certificates of Indebtedness o f Series A-1960, Dated February 15, 1959, Due February 15, 1960 I m p o r ta n t I n s tr u c tio n * . 1. S e c u r itie s o f d iffe r e n t issu e s s u r r e n d e r e d in e x c h a n g e m a y b e lis te d t o g e t h e r on the s a m e s u b s c r ip t io n fo r m , e x c e p t th a t a s e p a r a te fo r m s h o u ld b e u s ed f o r e a c h g r o u p o f n e w s e c u r itie s f o r w h ich d iffe r e n t d e liv e r y in s tr u c t io n s a r e g iv e n . 2 . S ig n a tu r e s a r e r e q u ir e d o n o r ig in a l o n l y ; a ll o t h e r fille d -in m a tte r sh ou ld a p p e a r in t r ip lic a t e . 3 . I f c e r t ific a t e s a r e s u r r e n d e r e d in e x c h a n g e , p a y m e n t o f th e d is c o u n t o f $ 0 .0 7 p e r $ 1 ,0 0 0 on t h e c e r t ific a t e s a llo t t e d w ill b e m a d e to s u b s c r ib e r s f o l l o w i n g a c c e p t a n c e o f th e m a tu rin g c e r t ific a t e s a n d in a c c o r d a n c e w ith th e ir in s tr u c t io n s in d ic a t e d o n th is fo r m . F ed era l R eserve B ank o f N ew Dated a t ....................................................... Y ork, Fiscal Agent o f the United States, New York 45, N. Y . ................................................................ 1959 Attention: Government Bond Division D e \r S ir s Subject to the provisions of Treasury Department Circular No. 1021, dated February 2, 1959, the undersigned hereby subscribes for United States of America 3 % percent Treasury Certificates o f Indebted ness o f Series A-1960, in the amount o f $........................................... * and tenders in payment therefor a like par amount of the securities— Delivered to you herewith ......................................................................................... $................................. To be withdrawn from securities held by y o u ...................................................... $................................. T o be delivered b y ....................................................................................................... $................................. •(Please fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” ) SE C U R ITIE S SU RRENDERED (L ilt serial numbers on reverse side) F a c e am ou n t 2>y%°/o Treasury C of Ps of Series A -1 9 5 9 (detach coupons).................... $. 1% % Treasury Notes of Series A -1 9 5 9 (detach coupons) .................... $. Total............................................................................................. $. ( I f certificates are surrendered, fill in below) Pay the discount ($0.07 per $1,000 on the certificates allotted), as follows: □ B y check □ B y credit to our reserve account (S iffn a t u r a (s ) re q u ire d a ls o o n D e liv e r y I n s t r u c t io n s b e lo w ) ( D o n o t fill in b o x e s b e l o w ) G overnm ent B ond D iv is io n Canceled Checked Beeeived (P lease print) B y ................................................................... .................. , B y .............................................. T itle ----A d d r e ss Subscription No. D ELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION For United States of America 3 % Percent Treasury Certificates of Indebtedness of Series A-1960, Dated February 15, 1959, Due February 15, 1960 C E R T IF IC A T E S D E SIR E D IN E X C H A N G E Pieces Dispose o f securities issued as follow s: □ Denomi nation Face amount (L ea ve this space blank) □ 1,000 □ 5,000 □ □ 10,000 1. Deliver over the counter to the undersigned 2. Hold in safekeeping (for member bank only) 3. Hold as collateral for Treas ury Tax and Loan Account 4. Ship to the undersigned 5. Special instructions: 100,000 , 1 000,000 TOTAL T h e u n d e r s ig n e d h e r e b y c e r tifie s th a t th e s e c u r it ie s t o b e d is p o s e d o f as in d ic a t e d in ite m 2 o r 3 a b o v e a r e o w n e d s o le ly b y t h e u n d e r s ig n e d . ( I M P O R T A N T : N o c h a n g e s in d e liv e r y in s tr u c tio n s w ill be a c c e p t c d . A s e p a r a t e s u b s c r ip t io n fo r m m u st b e s u b m itte d fo r e a c h g r o u p o f s e c u r it ie s f o r w h ic h d iffe r e n t d e liv e r y in s tr u c tio n s a r e g i v e n .) Submitted by (P le a se print) By................ The subscription books will open on February 2, and close at the close of business February 4, 1959. Title. B y. (A u th orized sig n a tu re (s) required) ........................ T itle.................... Address ( S p a c e s b e lo w a r e f o r th e u se o f th e F e d e r a l R e s e r v e B a n k o f N e w Y o r k ) S a f e k e e p in g R ecord Received Checked and delivered Received from F e d e r a l R e s e r v e B a n k o f N e w States obligations in the amount subscribed for. D ate.............................. Y ork the above described United B y ....................................................................................................... ( I f space is insufficient in schedule* below, attach separate listing) List of Accounts Included in this Subscription (Indicate amount of each Issue surrendered by each customer and by yourself) ( Leave this space blank) Name and address o f account (Please print or typewrite) 2 % % C o f I ’s (A -1 9 5 9 ) 1 % % N otes (A -1 9 5 9 ) T otal $ ........... . Our own account ........................................... Total subscription ................................. $ ........................ $ ..................................... $ ................................... Denominations and Serial Numbers of Securities Surrendered I ssu e 2 % % C o f I ’s (A -1 9 5 9 ) 1% % Notea (A -1 9 5 9 ) Subscriber’* Reference No. DUPLICATE— SECURITY RECORDS “ IN TICKET” subscription No C-2 EXCHANGE SUBSCRIPTION For United States o f America 3 % Percent Treasury Certificates of Indebtedness o f Series A-1960, Dated February 15, 1959, Due February 15, 1960 F ed er al R eser ve B a n k op N e w j Dated a t ....................................................... Y ork, Fiscal Agent o f the United States, New York 45, N. Y . ................................................................ 1959 D ear Sir s : Subject to the provisions of Treasury Department Circular No. 1021, dated February 2, 1959, tlie undersigned hereby subscribes for United States of America 3% percent Treasury Certificates o f Indebted ness o f Series A-1960, in the amount of $........................................... * and tenders in payment therefor a like par amount o f the securities— Delivered to you h e re w ith ......................................................................................... $................................. To be withdrawn from securities held by y o u ...................................................... $................................. To be delivered b y ....................................................................................................... $................................. ease fill in on the reverse side the schedule “ List o f Accounts Included in t-h™ Subscription.” ) SE C U R ITIE S SU RRENDERED (L ist serial numbers on reverse side) F ace am ount To Treasury C of I't of Series A -1 9 5 9 (detach coupons).................... $ ............................. ~fo Treasury Notes of Series A -1 9 5 9 (detach coupons) .................... $............................. Total............................................................................................. $ ............................. ( I f certificates are surrendered, fill in below) r the discount ($0.07 per $1,000 on the certificates allotted), as follows: □ By check Q B y credit to our reserve account Submitted by Address ............................................................................................................................. 1 | Subscription No. SECURITY RECORDS “ OUT TICKET” DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION nited States o f America 3 % Percent Treasury Certificates o f Indebtedness o f Series A-1960, Dated February 15, 1959, Due February 15, 1960 C E R T IF IC A T E S D E SIR E D IN E XC H A N G E Pieces Denomi nation Dispose o f securities issued as follow s: □ Face amount (Leave this space blank) □ $ 1,000 □ 5,000 □ □ 10,000 100,000 1,000,000 TOTAL Submitted by Address 1. Deliver over the counter to the undersigned 2. Hold in safekeeping (for member bank only) 3. Hold as collateral for Treas ury Tax and Loan Account 4. Ship to the undersigned 5. Special instructions: i (If space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate amount of each issue surrendered by each customer and by yourself) ( Leave this ipace blank) Name and address of account (Please print or typewrite) $ 2V j % C o f I ’8 1 % % N otes (A -1 9 5 9 ) (A -1 9 5 9 ) $ T otal $ ........................ Our own account ........................................... $ ........................ $ ........................ Denominations and Serial Numbers of Securities Surrendered ISSUE 2 % % C o f I ’s (A-1959) 1 % % Notes (A -1959) TRIPLICATE— TREASURY REPORTS COPY Subscriber’s Reference No. C-3 Subscription No. EXCHANGE SUBSCRIPTION For United States of America 3 % Percent Treasury Certificates of Indebtedness o f Series A-1960, Dated February 15, 1959, Due February 15, 1960 F ederal R eserve B ank op New Y Dated at ork, Fiscal Agent o f the United States, N ew Y o r k 45, N . Y . D ear \ .1959 S ir s : abject to the provisions o f Treasury Department Circular No. 1021, dated February 2, 1959, the led hereby subscribes for United States of America 3% percent Treasury Certificates of Indebted6 Series A-1960, in the amount o f $........................................... * and tenders in payment therefor a like lount of the securities—• jlivered to you h e re w ith ................................. i f be withdrawn from securities held by you be delivered b y ................................................ lease fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” ) SE C U R ITIE S SU RRENDERED (L ist serial numbers on reverse side) F a c e am ou n t n Treasury C of Fs of Series A -1 9 5 9 (detach coupons).................... $. Treasury Notes of Series A -1 9 5 9 (detach coupons) .................... $. Total............................................................................................. $. ( I f certificates are surrendered, fill in below) the discount ($0.07 per $1,000 on the certificates allotted), as follows: □ By check □ By credit to our reserve account Submitted by A ddress NONNEGOTIABLE RECEIPT To Subscriber: Subscription No. F e d e r a l R e s e r v e B a n k o f N e w Y o r k , Fiscal Agent o f the United States, hereby acknowledges receipt of securities tendered with subscription numbered as above in exchange for 33/i PE RCEN T TRE A SU R Y C E R T IF IC A T E S OF INDEBTEDNESS OF SERIES A-1960. Securities allotted on this subscription will be delivered on February 16,1959, in accordance with your instructions. ....................................................................................... Teller Government Bond Division— Issues & Redemption Section C E R T IF IC A T E S D E SIR E D IN E XC H AN G E □ D e n o m i n a tio n P ie c e s Dispose o f securities issued as follows : (Leave this space blank) F a ce am ount □ $ 1,000 □ 3. □ 4. 5,000 □ 10,000 1. Deliver over the counter to the undersigned 2. Hold in safekeeping (for member bank only) ury Tax and Loan Account Ship to the undersigned 5. Special instructions: 100,000 1,000,000 TO T A L To F ederal R eserve B ank of N ew Y ork, Submitted by ................................................................................................. Fiscal Agent o f the United States (Date) You are hereby authorized to deliver to (Name of representative) whose signature appears below, $.......................................... par amount o f securities issued pursuant to this subscription. (Please print) To Subscriber: (Official signature required) (Signature of authorized representative) I f securities are to be delivered over the counter at this Bank to your representative, the authority in the box to the left should be executed on the date o f delivery. ( I f space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate amount o f each issue surrendered by each customer and by yourself) ( Leave this space blank) Name and address o f account (Please print or typewrite) 2%% Cof I’a (A -1 9 5 9 ) 1 % % N otes (A -1 9 5 9 ) $ ........................ $ ................... T otal $ ....................... Our own account ........................................... Total subscription ................................. $..................................... $..................................... $ ................................... Denominations and Serial Numbers of Securities Surrendered Isstrx 2%%Cof I'a (A-1959) 1 % % Notes (A -19 59 ) (Please type or print legibly and submit in triplicate) Subscriber's Reference No. N-l Subscription No. EXCHANGE SUBSCRIPTION For United States o f America 4 Percent Treasury Notes of Series D-1962 Dated February 15, 1959, Due February 15, 1962 I m p o r ta n t I n s t r u c tio n s . 1 . S e c u r itie s o f d iffe r e n t issu es s u r r e n d e r e d in e x c h a n g e m a y b e lis te d t o g e t h e r o n the sa m e s u b s c r ip t io n f o r m , e x c e p t th a t a s e p a r a t e fo r m s h o u ld b e u s ed f o r e a c h g r o u p o f n e w s e c u r it ie s f o r w h ic h d iffe r e n t d e liv e r y in s tr u c t io n s a r e g iv e n . 2 . S ig n a tu r e s a r e r e q u ir e d o n o r ig in a l o n l y ; a ll o t h e r fille d -in m a tte r sh ou ld a p p e a r in t r ip lic a t e . 3 . I f c e r t ific a t e s a re s u r r e n d e r e d in e x c h a n g e , p a y m e n t o f th e d is c o u n t o f $ 0 .0 7 p e r $ 1 ,0 0 0 on th e n o t e s a llo t t e d w ill b e m a d e t o s u b s c r ib e r s fo l l o w i n g a c c e p t a n c e o f th e m a tu r in g c e r t ific a t e s a n d in a c c o r d a n c e w ith t h e ir in s tr u c t io n s in d ic a t e d o n th is fo r m . F ed era l R eserve B an k o f N ew Dated a t ...................................... Y ork , Fiscal Agent o f the United States, New York 45, N. Y . ~ D „ ear S ir s ........................................................ .1959 Attention: Government Bond Division : Subject to the provisions of Treasury Department Circular No. 1022, dated February 2, 1959, the undersigned hereby subscribes for United States of America 4 percent Treasury Notes o f Series D-1962, in the amount of $........................................... * and tenders in payment therefor a like par amount o f the vered to you herewith ......................................................................................... $................................. '»e withdrawn from securities held by y o u ...................................................... $................................. >e delivered b y ....................................................................................................... $................................. ise fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” ) SE C U R ITIE S SU RRENDERED (L ist serial numbers on reverse side) F a c e am ou n t , Treasury C of Ps of Series A -1 9 5 9 (detach coupons).................... $. Treasury Notes of Series A -19 59 (detach coupons) .................... $. Total............................................................................................. $. ( I f certificates are surrendered, fill in below) the discount ($0.07 per $1,000 on the notes allotted), as follows: □ By check □ By credit to our reserve account (Signature(s) required also on Delivery Instructions below) o n o t fill in b o x e s b e l o w ) IVERNM ENT B O N D D IV IS IO N Submitted by Canceled Checked I (Please print) By............... T itle................. By- (Authorized signature(s) required) .......................... T itle ................. A d d r e s s ......... Subscription No. D ELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION For United States o f America 4 Percent Treasury Notes o f Series D-1962 Dated February 15,1959, Due February 15, 1962 NOTES D E SIR E D IN E XC H A N G E Denomi nation Pieces $ Dispose o f securities issued as follow s: □ 1. □ 2. □ 3. □ □ 4. 5. (Leave this space blank) Face amount 1,000 5,000 10,000 Deliver over the counter to the undersigned Hold in safekeeping (for member bank only) Hold as collateral for Treas ury Tax and Loan Account Ship to the undersigned Special instructions: 100,000 1,000,000 TO T A L T h e u n d e r s ig n e d h e r e b y c e r t ifie s th a t th e s e c u r it ie s t o b e d is p o s e d o f a s in d ic a t e d in ite m 2 o r 3 a b o v e a r e o w n e d s o le ly b y th e u n d e r s ig n e d . ( I M P O R T A N T : N o c h a n g e s in d e liv e r y in s tr u c tio n s w ill b e a c c e p t e d . A s e p a r a t e s u b s c r ip t io n fo r m m u st b e su b m itte d fo r e a c h g r o u p o f s e c u r it ie s f o r w h ic h d iffe r e n t d e liv e r y in s tr u c tio n s a r e g iv e n .) Submitted by (P le a se print) B y .................... The subscription books will open on February 2, and close at the close of business February 4, 1959. T itle ................. B y. (A u th o rize d s ig n a tu re (s) required) ........................ T itle.................... Address ( S p a c e s b e lo w a re f o r th e u s e o f th e F e d e r a l R e s e r v e B a n k o f N e w Y o r k ) S a f e k e e p in g R eco rd Received Checked and delivered Received from F e d e r a l R e s e r v e B a n k o f N e w States obligations in the amount subscribed for. Y ork the above described United (If space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate amount of each issue surrendered by each customer and by yourself) <Leave this 2%%Cof I ’s Name and address o f account ( P lea se print or ty p e w r ite ) space blank) 1 % % N otes (A -1 9 5 9 ) ( A -1 9 5 9 ) $ ........................ $ ........................ Total $ ........................ ................................................................................... Our own account ........................................... 1 $........................................ D en om in ation s and Serial N um bers o f Securities Surrendered I ssu e 2 % % C o f I ’s ( A -1 9 5 9 ) 1 % % Notes (A -1959) DUPLICATE— SECURITY RECORDS “ IN TICKET” Subscriber'. Reference No. Subscription No. N-2 EXCHANGE SUBSCRIPTION For United States o f America 4 Percent Treasury Notes of Series D-1962 Dated February 15, 1959, Due February 15, 1962 F ederal R eserve B a n k of N e w Dated a t ................................. Y ork, Fiscal Agent o f the United States, New York 45, N. Y . ................................................................ 1959 D ear S ir s : Subject to the provisions o f Treasury Department Circular No. 1022, dated February 2, 1959, the undersigned hereby subscribes for United States of America 4 percent Treasury Notes o f Series D-1962, in the amount o f $........................................... • and tenders in payment therefor a like par amount o f the securities— Delivered to you h e re w ith ................................. To be withdrawn from securities held by you ) be delivered b y ................................................ 'lease fill in on the reverse aide the schedule “ L ist o f Accounts Included in this Subscription.” ) SE C U R ITIE S SU RRENDERED (L ist serial numbers on reverse side) Face amount i) Treasury C of I’s of Series A -1 9 5 9 (detach coupons).................... $. o Treasury Notes of Series A -19 59 (detach coupons) .................... $. Total............................................................................................. $. ( I f certificates are surrendered, fill in below) the discount ($0.07 per $1,000 on the notes allotted), as follows: □ B y check □ B y credit to our reserve account Submitted by Address Subscription No. SECURITY RECORDS “ OUT TICKET” D ELIVER Y INSTRUCTIONS— EXCHANG E SUBSCRIPTION •United States o f America 4 Percent Treasury Notes o f Series D-1962 Dated February 15, 1959, Due February 15, 1962 N OTES D E S IR E D IN E X C H A N G E Denomi nation Pieces Dispose o f securities issued as follow s: □ Face amount (Leave this space blank) □ $ 1,000 □ 5,000 □ □ 10,000 1. Deliver over the counter to the undersigned 2. H old in safekeeping (for member bank only) 3. H old as collateral for Treas ury Tax and Loan Account 4. Ship to the undersigned 5. Special instructions: 100,000 1,000,000 TOTAL = ........ ....... ............................... — Submitted by Address ....... =3 ( I f apace is insufficient in schedule* below, attach separate listing) List of Accounts Included in this Subscription (Indicate amount of each issue surrendered by each customer and by yourself) ( Leave this space blank) 2 % % C o f I ’s (A -1 9 5 9 ) Name and address o f account (Please print or typewrite) $ 1 % % Notes (A -1 9 5 9 ) $ T ota l $ Our own account ........................................... Total subscription ................................. $ ..................................... $..................................... $ ................................... Denominations and Serial Numbers of Securities Surrendered I ssu e 2Yn% C o f I ’s (A -1 9 5 9 ) 1% % Notes (A -19 59 ) TRIPLICATE— TREASURY REPORTS COPY Subscriber’s Keference No. Subscription No. N-3 EXCHANGE SUBSCRIPTION For United States o f America 4 Percent Treasury Notes o f Series D-1962 Dated February 15, 1959, Due February 15, 1962 \ Dated a t ....................................................... F e d e r a l R e s e r v e B a n k op N e w Y o r k , Fiscal Agent of the United States, New York 45, N. Y. .................................................................1959 D ear S ir s : Subject to the provisions of Treasury Department Circular No. 1022, dated February 2, 1959, the undersigned hereby subscribes for United States of America 4 percent Treasury Notes o f Series D-1962, in the amount o f $........................................... * and tende^ in payment therefor a like par amount o f the securities— Delivered to you herewith .............................................................................................$. To be withdrawn from securities held by y o u ..........................................................$. To be delivered by . . ................................................................................................. ....$. * (Please fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” ) SE C U R ITIE S SURRENDERED ( L i s t serial num bers on r e v e rs e sid e) F ace am ount ^ 2 1/& % Treasury C of I’s of Series A -1 9 5 9 (detach coupons).................... $ ............................ . Treasury Notes of Series A -1 9 5 9 (detach coupons) .................... $ ............................ . Total............................................................................................. $ ............................ ( I f certificates are surrendered, fill in below) 'ay the discount ($0.07 per $1,000 on the notes allotted),- as follows: □ B y check □ B y credit to our reserve account Submitted by A ddress NONNEGOTIABLE RECEIPT Subscription No. To Subscriber: o f N e w Y o r k , Fiscal Agent o f the United States, hereby acknowledges receipt o f securities tendered with subscription numbered as above in exchange for 4 .PE R C E N T TR E A SU R Y NOTES OF SE R IE S D-1962. Securities allotted on this subscription will be delivered on February 16,1959, in accordance with your instructions. ....................................................................................... F e d e ra l R eserve B an k Teller Government Bond Division— Issues & Redemption Section N OTES D E SIR E D IN E XCH AN G E Pieces Denomi nation Dispose o f securities issued as follow s: □ (Leave this space blank) Face amount □ $ 1,000 □ 5,000 □ □ 10,000 1. Deliver over the counter to the undersigned 2. Hold in safekeeping (for member bank only) 3. Hold as collateral for Treas ury Tax and Loan Account 4. Ship to the undersigned 5. Special instructions: 100,000 1,000,000 TO T A L To F ederal R eserve B a n k op N e w Y o k e , Submitted by ....................................................................................................... Fiscal Agent o f the United States (Date) You are hereby authorized to deliver to (Name of representative) whose signature appears below, $ .............. .......................... par amount o f securities issued pursuant to this subscription. (Please print) To Subscriber: (Official signature required) (Signature of authorized representative) I f securities are to be delivered over the counter at this Bank to your representative, the authority in the box to the left should be executed on the date o f delivery. ( I f space ia Insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Indicate amount of each issue surrendered by each customer and by yourself) ( Leave this space blank) Name and address of account (Please print or typewrite) 2 % % C o f I ’s (A -1 9 5 9 ) 1 % % N otes (A -1 9 5 9 ) T otal $ ........................ $ ........................ $ ........................ Our own account ........................................... Total subscription ................................. $ ..................................... $ ..................................... $.................................... Denominations and Serial Numbers of Securities Surrendered I ssu e 2 * 6 % C of I 's ( A -1 9 5 9 ) 1 % % Notes (A -19 59 )
@FedFRASER