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FEDERAL RESERVE BANK
OF NEW YO RK
Fiscal Agent of the United States

rCircular No. 5 7 5 6 1
L January 6,1966 j

CASH OFFERING
4% Percent Treasury Certificates of Indebtedness of Series A -1966

To All Banking Institutions, and Others Concerned,
in the Second Federal Reserve D istrict:

The subscription books will be open on Monday, January 10, for a cash offering, at
99.92, of 43/i percent Treasury Certificates of Indebtedness of Series A-1966, dated and
bearing interest from January 19, 1966, and maturing November 15, 1966.
The terms of the offering are set forth in Treasury Department Circular No. 1-66,
Public Debt Series, a copy of which is printed on the following pages.
All subscribers are required to agree not to purchase or to sell, or to make any
agreements with respect to the purchase or sale or other disposition of the certificates
subscribed for at a specific rate or price, until after midnight, January 10, 1966.
A commercial bank submitting a subscription direct to the Federal Reserve Bank
of its District may, if it is a qualified depositary, pay by credit in its Treasury Tax and
Loan Account for certificates allotted on such subscription; however, a commercial bank
submitting a subscription through a correspondent bank may not pay by credit in its Tax
and Loan Account for certificates allotted on the subscription of the correspondent bank.
Subscriptions from commercial banks, for their own account, will be restricted in
each case to an amount not exceeding 50 percent of the combined capital (not including
capital notes or debentures), surplus, and undivided profits of the subscribing bank.

Only commercial banks may submit subscriptions fo r account o f customers, provided
the names of the customers are set forth in such subscriptions. On subscriptions for
account of customers other than individuals, their location (City and State) must also be
furnished. On subscriptions fo r account of customers of correspondent banks, the names

of such customers, and if not individuals, their locations, must be furnished.
Subscriptions will be received by this Bank as fiscal agent of the United States.
Subscriptions should be made on official subscription forms, copies of which are enclosed,
and should be mailed immediately. If filed by telegram or letter, subscriptions should
be confirmed immediately by mail on the forms provided. The subscription books will
remain open for one day only, Monday, January 10. Any subscription addressed to a
Federal Reserve Bank or Branch or to the Treasury Department and placed in the mail
before midnight, January 10, will be considered timely.




A

lfred

H

ayes,

President.

UNITED STATES OF AMERICA
4% PERCENT TREASURY CERTIFICATES OF INDEBTEDNESS OF SERIES A-1966
Dated and bearing interest from January 19, 1966

DEPARTM EN T CIRCULAR
Public Debt Series— No. 1-66

Due November 15, 1966

TREASU RY DEPARTM ENT,
O ffic e o f t h e S e c re ta ry ,

W ashington, January 6,1966.
I.

OFFERING OF CERTIFICATES

1. The Secretary o f the Treasury, pursuant to
the authority o f the Second Liberty B ond A ct, as
amended, offers $1,500,000,000, or thereabouts, of
certificates o f indebtedness o f the United States,
designated 4 % percent Treasury Certificates o f In ­
debtedness of Series A-1966, at 99.92 percent o f their
face value and accrued interest. The books will be
open only on January 10, 1966, fo r the receipt of
subscriptions.
n.

DESCRIPTION OF CERTIFICATES

1. The certificates will be dated January 19, 1966,
and will bear interest from that date at the rate of
4 % percent per annum, payable on a semiannual
basis on M ay 15 and November 15, 1966. They will
mature November 15, 1966, and will not be subject
to call for redemption prior to maturity.
2. The income derived from the certificates is
subject 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 posses­
sions 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 w ill not be issued
in registered form .
5. The certificates will be subject to the general
regulations o f the Treasury Department, now or here­
after prescribed, governing United States certificates.
III.

SUBSCRIPTION AND ALLOTMENT

1.
Subscriptions accepting the offer made by this
circular 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, D. C. 20220. Only
the Federal Reserve Banks and the Treasury Depart-




ment are authorized to act as official agencies. Com­
mercial banks, which fo r this purpose are defined as
banks accepting demand deposits, may submit sub­
scriptions fo r account o f customers provided the
names o f the customers are set forth in such subscrip­
tions. Others than commercial banks will not be per­
mitted to enter subscriptions except fo r their own
account. Subscriptions from commercial banks for
their own account will be restricted in each case to
an amount not exceeding 50 percent o f the combined
capital (not including capital notes or debentures),
surplus and undivided profits o f the subscribing bank.
Subscriptions will be received without deposit from
banking institutions fo r their own account, Federallyinsured savings and loan associations, States, political
subdivisions or instrumentalities thereof, public pen­
sion and retirement and other public funds, interna­
tional organizations in which the United States holds
membership, foreign central banks and foreign States,
dealers who make prim ary markets in Government
securities and report daily to the Federal Reserve
Bank o f New Y ork their positions with respect to
Government securities and borrowings thereon and
Government Investment Accounts.
Subscriptions
from all others must be accompanied by payment of
2 percent of the amount o f certificates applied for,
not subject to withdrawal until after allotment. F o l­
lowing allotment, any portion o f the 2 percent pay­
ment in excess of 2 percent o f the amount o f certifi­
cates allotted may be released upon the request o f the
subscribers.
2. A ll subscribers are required to agree not to
purchase or to sell, or to make any agreements with
respect to the purchase or sale or other disposition o f
any certificates o f this issue at a specific rate or price,
until after m idnight January 10, 1966.
3. Commercial banks in submitting subscriptions
will be required to certify that they have no beneficial
interest in any o f the subscriptions they enter for the
account o f their customers, and that their customers
have no beneficial interest in the banks’ subscriptions
for their own account.
4. Under the Second Liberty B ond A ct, as
amended, the Secretary o f the Treasury has the au­
thority to reject or reduce any subscription, to allot
less than the amount o f certificates applied for, and
to make different percentage allotments to various

classes o f subscribers when he deems it to be in the
public interest; and any action he may take in these
respects shall be final. The basis o f the allotment will
be publicly announced, and allotment notices will be
sent out prom ptly upon allotment.

IV.

PAYMENT

1.
Payment at 99.92 percent o f their face value
and accrued interest, if any, for certificates allotted
hereunder must be made or completed on or before
January 19, 1966, or on later allotment. In every case
where payment is not so completed, the payment with
application up to 2 percent o f the amount o f certifi­
cates allotted shall, upon declaration made by the
Secretary o f the Treasury in his discretion, be fo r ­
feited to the United States. A n y qualified depositary
will be permitted to make payment by credit in its
Treasury Tax and Loan A ccount for certificates allot­
ted to it for itself and its customers up to any amount
for which it shall be qualified in excess of existing




deposits, when so notified by the Federal Reserve
Bank o f its District.
V.

GENERAL PROVISIONS

1. As fiscal agents o f the United States, Federal
Reserve Banks are authorized and requested to re­
ceive subscriptions, to make such allotments as may
be prescribed b y the Secretary o f the Treasury, to
issue such notices as may be necessary, to receive
payment fo r and make delivery o f certificates on fu llpaid subscriptions allotted, and they may issue in ­
terim receipts pending delivery o f the definitive certi­
ficates.
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.
H ENRY H. FOWLER,
S ecretary o f the Treasury.

Subscriber’ s Keference N o.

Subscription No.

CASH SUBSCRIPTION
For United States of America 4% Percent Treasury Certificates of Indebtedness of Series A-1966
Dated and bearing interest from January 19, 1966, Due November 15, 1966
IM P O R TAN T INSTRUCTIONS
Paym ent. Payment at 99.92 fo r the certificate* to be allotted hereunder must be m ade on or b e fo r e January 19, 1966.
qualified depositary w ill be perm itted to make paym ent by credit in its Treasury T ax and Loan A ccou n t.

A

D eposit. Subscriptions from banking institutions and others as specified in Section III o f Treasury D epartm ent Circular No.
1-6 6, Public D ebt Series, w ill be receiv ed w ithout deposit. Subscriptions from all others must be accom panied by paym ent o f
2 % o f the amount o f certificates applied for, except that com m ercial banks subscribing fo r account o f custom ers are urged to retain
their custom ers’ deposits until a fter allotm ent. Checks accom panying the subscriptions should be made payable to the order o f
Federal Reserve Bank o f New Y ork, Fiscal A gent o f the United States.
Subscription am ounts.

A m ount o f certificates applied fo r must be in multiples o f $1,000.

The subscription books will be open only on January 10
for the receipt of subscriptions.
F e d e ra l R eserve B a n k o f N ew Y o r k ,

Fiscal Agent o f the United States,
New York, N. Y. 10045

Dated at .........................................................
.................................................................. 1966

Attention :

Securities Department — 8th Floor

Gentlem en :

Pursuant to the provisions o f Treasury Department Circular No. 1-66, Public Debt Series, dated January 6, 1966,
the undersigned hereby subscribes at 99.92 fo r United States o f America 4 % percent Treasury Certificates o f Indebtedness
of Series A-1966, as follow s:
F or own a c c o u n t .............................................................................................................................................. .... $
F or our customers, as shown on reverse side (fo r use o f commercial banks) ................................ ....$
Total subscription ............................................................................... ....$
( I f a commercial bank is subscribing for its own account or for account of customers, the following certifications are made a part of this subscription)

W e H e r e b y C e r t i f y that we have received applications from our customers in the amounts set opposite the customers’
names on the list which is made a part of this su bscription ; that there has been paid to us by each such customer as required
by the official offering circular, not subject to withdrawal until after allotment, not less than 2 percent o f the amount
applied f o r ; that we have not made unsecured loans, or loans collateralized in whole or in part by the securities applied for,
to supply the amounts o f such payments to any o f such custom ers; that we have no beneficial interest in the applications o f
such customers, and that none o f our customers has any beneficial interest in the amount subscribed for our own account.
W e F u r t h e r C e r t i f y that all subscribers for whom subscriptions are hereby entered have agreed not to purchase or
to sell, or to make any agreements with respect to the purchase or sale or other disposition o f the certificates subscribed
fo r at a specific rate or price, until after midnight, January 10, 1966.
W e F u r t h e r C e r t i f y that the subscription for our own account does not exceed 50 percent o f our combined capital
(not including capital notes or debentures), surplus and undivided profits.
W e F u r t h e r C e r t i f y that applications received by us, if any, from other commercial banks for their own account
and for the account o f their customers have been entered with us under the same conditions, agreements, and certifications
as set forth in this subscription form.




The undersigned agrees not to purchase or to sell, or to make any agreements with respect to the purchase or sale or
other disposition of the certificates subscribed for at a specific rate or price, until after midnight, January 10, 1966.
TO S U B S C R IB E R :

(F ill in all required spaces before signing)

Mark ( X ) in proper space
to indicate if this i s :

.......................................................................................................................................................
(Name of subscriber — Please print or typewrite)

Original s u b s cr ip tio n .....................

□

Confirmation of a telegram ......... □

B y ................................................................................. ,
(Official signature)

.......................................................
(Title)

Confirmation o f a l e t t e r ............... □

A d d r e s s ........................................................................................................................................

(Spaces below are for the use of Federal Reserve Bank of New York)
DE PO SIT

Exam ined..........................

A LLO TM EN T

A cknow ledged..................
$

Coded.................................
Carded................................

$
Figured

Advised

( I f acknow ledgm ent o f this subscription is desired, com plete this stub)

Receipt is acknowledged of your subscription for $............................................, 4 % % Treasury Certificates
of Indebtedness o f Series A-1966, dated and bearing interest from January 19, 1966, and maturing
November 15, 1966.
For use of Federal Reserve Bank

Time Stamp

T o ..........................................................




(N am e)

(Address)

(F o r use of commercial bank subscribers only)

List of Customers Included in this Application
( I f space is insufficient in schedule below, attach separate listing)

Leave
blank

Name and Location (C ity and S tate) o f Ultimate Purchaser




(Location of individuals not required)

Am ount Subscribed

Leave blank




1
FEDERAL RESERVE BANK
OF NEW YORK
F isc a l Ag en t o f t h e U n it e d s t a t e s

Subscription Number

NOTICE OF ALLOTMENT

For United States of America 4 % Percent Treasury Certificates of Indebtedness of Series A-1966

To Subscriber:

L

J

On your subscription, numbered as above, fo r $

(par amount) o f—

UNITED S T A T E S OF A M E R IC A 4 % PERCENT T R E A S U R Y C E R TIFIC A TE S OF INDEBTEDNESS OF SERIES A -1 96 6
D A T E D AND BEARIN G INTEREST FROM JA N U A R Y 19, 1966, DUE NO VEM BER 15, 1966

which you filed pursuant to the provisions of Treasury Department Circular No. 1-66, Public Debt Series, dated January 6,
1966, the Secretary o f the Treasury has allotted certificates to you in the amount o f—

$
Important
1. To expedite delivery of the securities allotted to you and to facilitate prom pt com pletion of this transaction, please
fill in, sign and return immediately the attached Letter of Instructions in quadruplicate to the Federal Reserve Bank
of New York, Fiscal Agent of the United States, New York, N. Y . 10045.

Payment
2. Payment at 99.92 fo r securities allotted must be made on or before January 19, 1966. Payment may be made by
check, cash, charge or credit as fo llo w s :
B y C heck —

The check should be made payable to the order of the F E D E R A L R E SE R V E B A N K OF N E W Y O R K , F ISC A L A G E N T OF

T H E U N IT E D ST A T E S.

The securities will not be delivered by this Bank until the proceeds of a check have been collected. The proceeds of

a check drawn on the Federal Reserve Bank of New York are immediately available.

B y Cash —

Payment may be made in cash.

B y Charge —

A member bank may make payment by requesting us to charge its reserve account, or a nonmember clearing bank may make

payment by requesting us to charge its clearing account.

B y C redit —

(a )

I f subscriber is a depositary of public moneys qualified under the provisions of Treasury Department Circular No. 92

(R evised), it will be permitted to make payment by credit in the Treasury Tax and Loan Account for the securities allotted to it fo r 'it s
own account and for its customers (up to any amount for which it shall be qualified in excess o f existing deposits).
(b )

Securities of this issue allotted to a qualified depositary for its own account may be pledged with the Federal Reserve Bank of New

York as collateral security for deposits in the Treasury T ax and Loan Account.

Delivery
3. (a ) D elivery of the securities allotted will be made by the Federal Reserve Bank o f New Y ork at its Head Office
in New Y ork City, and will not be made before January 19, 1966.

(b )
The securities will be delivered over the counter to a representative o f the subscriber, provided the representa
tive presents a letter of authority identifying him and signed officially by the subscriber.

Safekeeping
4. Securities allotted to member banks fo r their own account may be left with this Bank fo r safekeeping pursuant to
the terms of our Operating Circular No. 14.
F ederal R eserve B a n k

of

N e w Y ork,

Fiscal Agent o f the United States.

Checked by



2
(This letter of instructions, accompanied by attached three copies, should
be filled in and returned to Federal Reserve Bank of New York)

Subscription Number

LETTER OF INSTRUCTIONS
To

F ed eral R eserve B a n k of N e w

Y ork,

Fiscal A gent o f the United States,
Federal Reserve P. 0 . Station,
New Y ork, N. Y . 10045

A tten tion : Government Bond Division— 2nd F loor
Dated a t .........................................................

From (Name and address o f Subscriber)

................................................................... 1966

On our subscription, numbered as above, fo r $

(par amount) of—

UNITED S T A T E S OF A M E R IC A 4 % PERCENT TR E A S U R Y CE R TIFIC A TE S OF INDEBTEDNESS OF SERIES A -1966
D A T E D AND BEARIN G INTEREST FROM JA N U A RY 19, 1966, DUE NOVEM BER 15, 1966

which we filed pursuant to the provisions o f Treasury Department Circular No. 1-66, Public Debt Series, dated January 6,
1966, we have received your notice of allotment stating that the Secretary o f the Treasury has allotted certificates to us in
the amount of—

$
A s requested, we send you the follow ing instructions:
Payment at 99.92 fo r certificates allotted will be made in the total amount o f $.................................................., as
fo llo w s :
B y credit to Treasury Tax and Loan A ccount as indicated in the attached
Advice of D e p o s it ........................................................................................................... $.
B y charge to our reserve account, which you are authorized to m a k e ................. $.
B y check or cash h e r e w ith .............................................................................................. $.
Total p a y m e n t......................................................................... ...... $.

Dispose o f securities issued, as follow s:

C E R T IF IC A T E S D E S IR E D

Pieces

Denomi­
nation
$

Face amount

□
□
□
□
□

(Leave this space blank)

1,000

1.
2.
3.
4.
5.

Deliver over the counter to the undersigned
H old in safekeeping (fo r member bank on ly )*
H old as collateral fo r Treasury Tax and Loan A ccount*
Ship to the undersigned
Special instructions:

5,000
10,000
100,000

*
If this item is checked, the subscriber certifies that the
allotted securities w ill be ow ned solely by the subscriber.

1,000,000

(IM P O R T A N T :
be a ccep ted .)

TOTAL

This letter of instructions must be signed

Submitted by

(Please print)

officially in the space provided and rem
#
turned immediately to
Federal Reserve Bank of New York,

No changes in delivery instructions will

.............. .

By ................

(Authorized signature(s) required)

T*tle...........

Title

Fiscal A gen t of the United States.
A d d r e s s .........

(S p aces below are fo r the use o f Federal Reserve Bank o f New Y o rk )
G o v e r n m e n t B o n d D iv is io n

S a f e k e e p in g

D iv is io n

Deliver against payment of $ ........................................................................................................................................
D E L I V E R Y R E C E IP T
„ Received from Federal Reserve Bank of New York, Fiscal A gent of the United States, the above described securities allotted in the amount
indicated above.
D a te .......................................................

Subscriber........................................................................................ B y ...................................................................

If payment is to be made by credit to Treasury Tax and Loan Account, an advice of the deposit should be
furnished to the Federal Reserve Bank of New York on the form below.

Advice of Deposit in Treasury Tax and
To

F ederal R eserve B a n k

op

N ew

Loan Account

Y ork,

Government Bond Division.
W e will deposit on January 19, 1966, $
(purchase price) to the credit o f Federal Reserve
Bank of New York, Fiscal A gent of the United States, in Treasury Tax and Loan Account, to be held subject to withdrawal
on demand in payment for $
(par value) 4 % percent Treasury Certificates o f Indebted­
ness o f Series A-1966, dated and bearing interest from January 19, 1966, due November 15, 1966, allotted as per Notice
o f Allotm ent received from you.




(Name of Depositary)

Address
(City and State)

3
Subscription Number

(D U P L IC A T E F O R USE OF F E D E R A L R E S E R V E B A N K OF N E W Y O R K )

RELOCATION OFFICE— OUT
To

F ed eral R eserve B a n k of N e w

Y ork,

Fiscal A gent of the United States,
Federal Reserve P. 0 . Station,
New York, N. Y . 10045

A ttention: Government Bond Division— 2nd F loor

From (Name and address o f Subscriber)

Dated at .........................................................
...................................................................1966

On our subscription, numbered as above, for $

(par amount) of—

UNITED S T A T E S OF A M E R IC A 4 & PERCENT T R E A S U R Y C E R TIFIC A TE S OF INDEBTEDNESS OF SERIES A -1 96 6
D A T E D AND BEARIN G INTEREST FROM JA N U A R Y 19, 1966, DUE NO VEM BER 15, 1966

which we filed pursuant to the provisions o f Treasury Department Circular No. 1-66, Public Debt Series, dated January 6,
1966, we have received you r notice of allotment stating that the Secretary o f the Treasury has allotted certificates to us in
the amount o f—

$
As requested, we send you the follow ing instructions:
Payment at 99.92 for certificates allotted will be made in the total amount o f $..................................................f as
fo llo w s :
B y credit to Treasury Tax and Loan A ccount as indicated in the attached
A dvice of D e p o s it .......................................................................................................... $
B y charge to our reserve account, which you are authorized to m a k e .................$.
B y check or cash h e r e w ith ..............................................................................................$.
Total p a y m e n t...............................................................................$.

Dispose o f securities issued, as follow s:

C E R T IF IC A T E S D E S IR E D

ieces

Denomi­
nation
$

Face amount

(Leave this space blank)

1,000

Q
□
□
□
□

1.
2.
3.
4.
5.

Deliver over the counter to the undersigned
H old in safekeeping (fo r member bank o n ly )*
H old as collateral fo r Treasury Tax and Loan Account*
Ship to the undersigned
Special instructions:

5,000
10,000
100,000

*
If this item is checked, the subscriber certifies that the
allotted securities w ill be ow ned solely by the subscriber.

1,000,000

(IM P O R T A N T :
be a ccep ted .)

TOTAL

This letter of instructions must be signed
officially in the space provided and re­
turned immediately to
Federal Reserve Bank of New York,

No changes in delivery instructions will

Submitted b y ........................................................................................................
(Please print)
By

.............................................................................. .. • •,
B y ........................
(Authorized signature(s) required)

T i t l e ...................................................................................

T i t l e ...................

Fiscal A gent of the United States.
Address .............................................................................................................

(S p aces below are fo r the use o f Federal Reserve Bank o f New Y o rk )
G o v e r n m e n t B o n d D iv is io n

S a f e k e e p in g

D iv is io n

Payment received ..............................................................................................................................................................
Deliver against payment of $ ................................................... ....................................................................................
D E L I V E R Y R E C E IP T
Received from Federal Reserve Bank of New York, Fiscal A gent of the United States, the above described securities allotted in the amount
indicated above.


http://fraser.stlouisfed.org/
Date
Federal Reserve Bank of St. Louis

Subscriber

Bv

Subscription Number

(T R IP L IC A T E F O R USE OF F E D E R A L R E S E R V E B A N K OF N E W Y O R K )

DELIVERY TICKET— SAFEKEEPING DIVISION
To F ederal R eserve B a n k of N e w Y
Fiscal A ge n t of the United States,
Federal Reserve P. 0 . Station,

or k ,

A ttention: Government Bond Division— 2nd F loor

New York, N. Y . 10045

Dated at ..............

From (Name and address o f Subscriber)

.1966

On our subscription, numbered as above, for $

(par amount) o f—

UNITED ST A T E S OF A M E R IC A 4 % PERCENT T R E A S U R Y C E R TIFIC A TE S OF INDEBTEDNESS OF SERIES A -1 96 6
D A T E D AND BEARIN G IN TEREST FROM JA N U A R Y 19, 1966, DUE NOVEM BER 15, 1966

which we filed pursuant to the provisions o f Treasury Department Circular No. 1-66, Public Debt Series, dated January 6,
1966, we have received your notice of allotment stating that the Secretary o f the Treasury has allotted certificates to us in
the amount o f—

$
As requested, we send you the follow ing instructions:
Payment at 99.92 for certificates allotted will be made in the total amount of $.................................................., as
fo llo w s :
B y credit to Treasury Tax and Loan A ccount as indicated in the attached
A dvice of D e p o s it ........................................................................................................... $.
B y charge to our reserve account, which you are authorized to m a k e ................. $.
B y check or cash h e r e w ith .............................................................................................. $.
Total p a y m e n t......................................................................... ......$.

Dispose o f securities issued, as follow s:

C E R T IF IC A T E S D E S IR E D

Denomi­
nation

Pieces
$

Face amount

(Leave this space blank)

1,000

Q
□
□
□
□

12.
3.
4.
5.

Deliver over the counter to the undersigned
H old in safekeeping (fo r member bank o n ly )*
H old as collateral for Treasury Tax and Loan A ccount*
Ship to the undersigned
Special instructions:

5,000
10,000
100,000

*
If this item is checked, the subscriber certifies that the
allotted securities w ill be ow ned solely by the subscriber.

1,000,000

(IM P O R T A N T :
be a ccep ted .)

TOTAL

This letter of instructions must be signed
officially in the space provided and re­
turned immediately to
Federal Reserve Bank of New York,

No changes in delivery instructions w ill

Submitted by
(Please print)

By ...................

By
(Authorized signature(s) required)

T i t l e .................

......................

T i t l e ...................

Fiscal Agent of the United States.
Address .............................................................................................................

(S p aces below are fo r the use o f Federal Reserve Bank o f New Y o rk )
Governm ent

B o n d D iv is io n

S a f e k e e p in g

Payment received ......................

Checked .,

Deliver against payment of $.

Delivered

D iv is io n

D E L I V E R Y R E C E IP T
Received from Federal Reserve Bank of New York, Fiscal A gent of the United States, the above described securities allotted in the amount
indicated above.


http://fraser.stlouisfed.org/
)a te ......................................................
Federal Reserve Bank of St. Louis

Subscriber.

J

5
Subscription Number

(Q U A D R U P L IC A T E F O R USE OF F E D E R A L R E S E R V E B A N K OF N E W Y O R K )

BLOTTER RECORD
To

F e d eral R eserve B a n k op N e w

Y ork,

Fiscal A gent o f the United States,
Federal Reserve P. 0 . Station,
New Y ork, N. Y . 10045

A tten tion : Government Bond Division— 2nd F loor

From (Name and address o f Subscriber)

Dated at .........................................................
................................................................... 1966

On our subscription, numbered as above, fo r $

(par amount) of'—

UNITED S T A T E S OF A M E R IC A 4 % PERCEN T T R E A S U R Y C E R TIFIC A TE S OF INDEBTEDNESS OF SERIES A -1966
D A T E D AND BEARIN G INTEREST FROM JA N U A R Y 19, 1966, DUE NOVEM BER 15, 1966

which we filed pursuant to the provisions o f Treasury Department Circular No. 1-66, Public Debt Series, dated January 6,
1966, we have received you r notice of allotment stating that the Secretary o f the Treasury has allotted certificates to us in
the amount of—

$
A s requested, we send you the follow ing instructions:
Payment at 99.92 fo r certificates allotted will be made in the total amount o f $................................................. , as
fo llo w s :
B y credit to Treasury Tax and Loan A ccount as indicated in the attached
A dvice of D e p o s it ........................................................................................................... $.
B y charge to our reserve account, which you are authorized to m a k e ................. $.
B y check or cash h e r e w ith .............................................................................................. $.
Total p a y m e n t............................................................................... $.

Dispose o f securities issued, as follow s:

C E R T IF IC A T E S D E S IR E D

ieces

Denomi­
nation
$

Face amount

(Leave this space blank)

1,000

□
□
□
□
□

1.
2.
3.
4.
5.

Deliver over the counter to the undersigned
H old in safekeeping (fo r member bank on ly )*
H old as collateral for Treasury Tax and Loan Account*
Ship to the undersigned
Special instructions:

5,000
10,000
100,000

*
If this item is checked, the subscriber certifies that the
allotted securities w ill be ow ned solely by the subscriber.

1,000,000

(IM P O R T A N T :
be a ccep ted .)

TOTAL

This letter o f instructions must be signed
officially in the space provided and re­
turned immediately to

Submitted by

Federal Reserve Bank of New York,

Title...........

No changes in delivery instructions will

(Please print)

■;...... By ..........................

, V

(Authorized signature(s) required)
Title

Fiscal A gent of the United States.
A d d r e s s .........

(S p aces below are fo r the use o f Federal Reserve Bank o f New Y o rk )
G o v e r n m e n t B ond

D iv is io n

S a f e k e e p in g

D iv is io n

Payment received ..............................................................................................................................................................
Deliver against payment of $

...............................................................................................................
D E L I V E R Y R E C E IP T

Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount

indicated
above.

http://fraser.stlouisfed.org/
Date Reserve Bank of St. Louis
Federal

Subscriber

Rv

ALLOTMENT NOTICE FOR GOVERNMENT BOND DIVISION

To Subscriber:

$

(par amount) o f—

UNITED ST A T E S OF A M E R IC A 4 % PERCENT TR E A S U R Y C E R TIFIC A TE S OF INDEBTEDNESS OF SERIES A -1 96 6
D A T E D AND BEARIN G INTEREST FROM JA N U A R Y 19, 1966, DUE N OVEM BER 15, 1966

$
D I S P O S I T I O N
Over Counter

Deposit

Safekeeping

T. T. & L.
Balance due
Treas. Tax & Loan Acc.

Method of

Reserve Account

Ship

payment

Check or Cash
Special Instructions
Refund
Refund




7
RELOCATION OFFICE— IN

To Subscriber:

$

(pa r amount) o f—

UNITED S T A T E S OF A M E R IC A 4 % PERCEN T T R E A S U R Y C E R TIFIC A TE S OF INDEBTEDNESS OF SERIES A -1 96 6
D A T E D AND BEARIN G IN TE REST FROM JA N U A R Y 19, 1966, DUE NO VEM BER 15, 1966




$

ALLOTMENT NOTICE FOR SECURITIES DEPARTMENT

To S ubscriber:

$

(par amount) o f—

UNITED S T A T E S OF A M E R IC A 4 % PERCENT T R E A SU R Y C E R T IF IC A T E S OF INDEBTEDNESS OF SERIES A -1 9 6 6
D A T E D AND BEARIN G IN TEREST FROM JA N U A R Y 19, 1966, DUE NO VEM BER 15, 1966




$