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F E D E R A L R E S E R V E BA N K
O F NEW Y O R K

Fiscal Agent of the United States
rCircular No. 6625~ 1
L October 23, 1970 J

Refunding of Treasury Notes Maturing November 15, 1970
T o A ll Banlcinci I n s titu tio n s , a n d O th ers C on cern ed,
in th e S eco n d F e d era l R eserve D is tr ic t:

The subscription books are open until 8 p.m., Thursday, October 29, for an offering of —
l x/± p e rc e n t T re a s u ry N otes of Series D-1974, a t p a r, d ated and b e arin g in te re st
from N ovem ber 15, 1970, m a tu rin g M ay 15, 1974, and
A n a d d itio n a l am o u n t of 7% percen t T re a su ry N otes of Series C-1976, d ated
O ctober 1, 1969, m a tu rin g A u g u st 15, 1976, at 100.50 an d accrued in te re st
from A u g u st 15 to N ovem ber 15. 1970

in exchange for 5 percent T reasury Notes of Series A-1970, m aturing November 15, 1970,
as set forth in T reasury D epartm ent Circulars Nos. 10-70 and 11-70, Public Debt Series, both
dated October 23, 1970; a cop7/ of each is printed on the following pages.
Subscription books for this offering will be open until 8 p.m., Thursday, October 29. To be
timely subscriptions must bo received at this Bank or its Buffalo Branch by such time, except
that subscriptions postm arked before midnight W ednesday, October 28, will be deemed timely.
Subscribers who intend to mail their subscriptions should note that subscriptions placed in a
post office or mail box before m idnight W ednesday, October 28, may not receive a timely
postmark. Banks need submit by the closing hour only the total amount of custom ers’ sub­
scriptions for each new issue, provided th at the usual detailed inform ation for such subscrip­
tions is furnished to this Bank or its Branch by the close of business, 3 p.m., Friday, October 30.
Coupons dated November 15, 1970 on the notes m aturing on that date should be detached
and cashed when due.
Only banking institutions may submit subscriptions for account of customers. On any
subscription for account of an individual of more than $200,000 for a specific security, the
custom er’s name must be furnished. On subscriptions for $200,000 or less for a specific secu­
rity for account of an individual, banking institutions may consolidate the subscriptions and
report the total number and amount. On subscriptions of any amount for account of customers
other than individuals, their names and locations must be furnished. On subscriptions for
account of customers of correspondent banks, the names of such customers and, if not individ­
uals, their locations must be furnished.
Subscribers are required to certify th at at the time the subscription is entered the securi­
ties surrendered were owned and delivery was accepted by the subscriber, or that such
securities were contracted for purchase for value by the subscriber for delivery to the
subscriber prior to the closing of the subscription books.
Cash subscriptions will not be received.




A lfred H ay es,

President.

UNITED STATES OF AMERICA
7 1 4 PERCENT TREASURY NOTES OF SERIES D-1974
D ated and b e a r in g in terest fro m N ovem b er 15 , 1 9 7 0

D u e M ay 15, 1 9 7 4

TREA SU RY D EPA R TM EN T,
Office of the S ecretary ,
Washington, October 23,1970

D E P A R T M E N T C IR C U L A R
P u b lic D e b t S e rie s — N o. 1 0-70

I.

O FFE R IN G OF NO TES

1. The S e c re ta ry of the T re a su ry , p u rs u a n t to the
a u th o rity of the Second L ib e rty B ond A ct, as am end­
ed, offers notes of th e U n ited S tates, d esig n ated 7 l/4
p erc en t T re a su ry N otes of Series D-1974, a t p a r, in
exchange fo r 5 p ercen t T re a su ry N otes of Series
A - 1970 m a tu rin g N ovem ber 15, 1970, The am o u n t of
th is offering will be lim ited to th e am o u n t of eligible
notes te n d e re d in exchange. The books will be open
u n til 8:00 p.m ., local tim e, O ctober 29, 1970 fo r th e
receipt of sub scrip tio n s.
2. In ad d itio n , holders of th e 5 p ercen t T re a su ry
Notes of Series A-1970 are offered th e p riv ileg e of
ex ch an g in g all or an y p a r t of them fo r 7!/2 p ercen t
T re a su ry N otes of Series C-197G, w hich offering is set
fo rth in D e p a rtm e n t C ircu lar, P u b lic D ebt Series —
No. 11-70, issued sim u ltan eo u sly w ith th is circu lar.

II.

D E S C R IP T IO N O F N O T E S

1. The notes w ill be d a te d N ovem ber 15, 1970, and
w ill bear in te re st from th a t d ate a t the ra te of 7*4
p ercen t p e r annum , p ayable sem ian n u ally on M ay 15
an d N ovem ber 15 in each y e a r u n til the p rin c ip a l
am o u n t becomes payable. T hey will m a tu re M ay 15,
1974, a n d will not be su b ject to call fo r red em p tio n
p rio r to m a tu rity .

an d of coupon an d reg istered notes, a n d for the tra n s ­
fe r of reg istered notes, u n d e r ru les an d re g u latio n s
prescrib ed by the S e c re ta ry of the T rea su ry .
5. The notes w ill be su b jec t to the gen eral re g u la ­
tions of the T re a su ry D e p a rtm e n t, now or h e re a fte r
prescribed, governing U n ited S tates notes.
III.

S U B SC R IP T IO N A N D ALLO TM ENT

1. S u b scrip tio n s accepting the offer m ade by this
c irc u la r w ill be received at the F e d e ra l R eserve B anks
an d B ranches an d at the Office of the T re a su re r of the
U n ited S tates, W ashington, D.C. 20220. B an k in g in ­
stitu tio n s g en erally m ay subm it su b scrip tio n s for ac­
count of custom ers, b u t only the F e d e ra l Reserve
B anks and the T re a su ry D e p a rtm e n t are au th o rized to
act as official agencies.
2. U n d e r the Second L ib e rty B ond A ct, as
am ended, the S e cre tary of the T re a su ry has the a u ­
th o rity to reje ct or reduce any su b scription, an d to
allot less th a n the am ount of notes ap p lied fo r when
he deems it to be in the public in te re s t; an d an y
action he m ay take in these respects shall be final.
S u b ject to the exercise of th a t a u th o rity , all su b scrip ­
tions will be alloted in full.
IV .

2. The incom e deriv ed from the notes is su b jec t to
all taxes im posed u n d e r the I n te rn a l R evenue Code
of 1954. The notes are subject to estate, in h eritan ce,
g ift or o th er excise taxes, w h eth er F e d e ra l or S tate,
b u t are exem pt from all ta x a tio n now or h e re a fte r
im posed on th e p rin c ip a l or in te re st th ereo f by an y
S tate, or an y of the possessions of th e U n ited S tates,
or by an y local ta x in g a u th o rity .
3. The notes w ill be acceptable to secure deposits
of public moneys. T hey will n o t be acceptable in
p ay m en t of taxes.
4. B e a re r notes w ith in te re st coupons attach ed ,
an d notes re g iste re d as to p rin c ip a l an d in te re st, w ill
be issued in deno m in atio n s of $1,000, $5,000, $10,000,
$100,000 an d $1,000,000. P ro v isio n will be m ade fo r
the in te rc h a n g e of notes of d ifferen t denom inations




PAYM ENT

1. P a y m e n t for the face am ount of notes allotted
h e re u n d er m ust be m ade on or before N ovem ber 16,
1970, or on la te r allotm ent, and m ay be m ade only in
a like face am ount of 5 percen t T re a su ry Notes of
Series A-1970, w hich should accom pany the su b scrip ­
tion. P a y m e n t will n o t be deem ed to have been com­
pleted w here reg istered notes are requested if the
a p p ro p ria te id e n tify in g n u m b er as re q u ire d on tax
re tu rn s an d o th er docum ents su b m itted to the In te rn a l
R evenue Service (an in d iv id u a l’s social sec u rity
num ber or an em ployer identification n u m b er) is not
fu rn ish e d . W hen p ay m en t is m ade w ith notes in
b earer form , coupons dated N ovem ber 15, 1970, should
be detached an d cashed w hen due. W hen p ay m en t is
m ade w ith reg iste re d notes, the final in tere st due on
Novem ber 15, 1970, w ill be paid by issue of in tere st
checks in re g u la r course to holders of record on O cto­
ber 15, 1970, the d ate the tra n s fe r books closed.

V.

ASSIGNM ENT O F R E G IS T E R E D NO TES

1.
R eg istered notes ten d e re d in p ay m e n t for notes
offered h e re u n d e r should be assigned by th e reg istered
payees or assignees thereof, in accordance w ith the
g eneral re g u la tio n s of th e T re a su ry D e p a rtm e n t gov­
ern in g assignm ents fo r tra n s fe r or exchange, in one
of the form s h e re a fte r set fo rth , an d th e re a fte r should
be su rre n d e re d w ith the su b scrip tio n to a F e d e ra l R e­
serve B ank or B ran ch or to the Office of th e T re a su re r
of the U n ite d S tates, W ash in g to n , D. C. 20220. The
m a tu rin g notes m u st be delivered a t th e expense and
risk of the holder. Tf the new notes are d esired re g ­
istered in the same nam e as th e notes su rre n d e re d ,
the assig n m en t should be to “ The S e c re ta ry of the
T re a su ry fo r exchange fo r 71/4 p ercen t T re a su ry
N otes of Series I ) - 1974” ; if the new notes are de­
sired reg istered in a n o th e r nam e, th e assignm ent
should 1)0 to “ The S e c re ta ry of the T re a su ry fo r ex­
change fo r 71/4 p ercen t T re a su ry N otes of Series
I)-1974 in th e nam e o f ..........................................................
................if new notes in coupon form are desired,
the assignm ent should be to “ The S e c re ta ry of the

T re a su ry fo r exchange fo r 71/4 p ercen t T re a su ry
N otes of Series I)-1974 in coupon fo rm to be deliv­
ered to ...............................................................................
V I.

G EN ER A L P R O V IS IO N S

1. As fiscal agents of the U n ite d S tates, F e d e ra l
Reserve B anks are a u th o riz ed an d req u ested to re ­
ceive subscriptions, to m ake such allotm ents as m ay be
prescribed by the S e c re ta ry of th e T re asu ry , to issue
such notices as m ay be necessary, to receive p ay m e n t
fo r an d make deliv ery of notes 011 fu ll-p a id su b sc rip ­
tions allotted, an d th e y m ay issue in te rim receipts
p en d in g delivery of the definitive notes.
2. The S e c re ta ry of the T re a su ry m ay a t an y tim e,
o r from tim e to tim e, prescrib e sup p lem en tal or
am e n d ato ry ru le s a n d re g u la tio n s g o verning the offer­
ing, w hich w ill be com m unicated p ro m p tly to the
F e d e ra l R eserve B anks.
D A V ID M. K E N N E D Y ,

Secretary of the Treasury.

UNITED STATES OF AMERICA
71/2 PERCENT TREASURY NOTES OF SERIES C-1976
D ated O ctob er 1, 1 9 6 9 with in terest fr o m N ovem b er 15, 1 9 7 0

D u e A u gu st 15, 1 9 7 6

TR EA SU IIY D EPA R T M E N T ,
Office of the S e cretary ,

D E P A R T M E N T C IR C U L A R
P u b lic D e b t S e rie s — N o. 11-70

I.

O FFE R IN G OF NO TES

1. The S e c re ta ry of the T re a su ry , p u rs u a n t to th e
a u th o rity of th e Second L ib erty B ond Act, as am end­
ed, offers notes of th e U n ited S tates, d esig n ated 71/i>
p ercen t T re a su ry N otes of Series C-1976. at 100.50
percent of th e ir face value an d accrued in te re st, in
exchange fo r 5 p ercen t T re a su ry Notes of Series A1970 m a tu rin g N ovem ber 15, 1970. The am o u n t of
this offering will be lim ited to the am ount of eligible
notes te n d e re d in exchange. The books w ill be open
u n til 8:00 p.m ., local tim e, O ctober 29, 1970 fo r the
receip t of subscriptions.
2. In ad d itio n , h olders of th e 5 p e rc e n t T re a su ry
Notes of Series A -1970 are offered th e p riv ilege of
exchan g in g all o r a n y p a r t of th em fo r 71/4 p erc en t
T re a su ry N otes of S eries D-1974, w hich offering is set
fo rth in D e p a rtm e n t C irc u la r P u b lic D ebt S eries —
No. 10-70, issued sim u ltan eo u sly w ith th is c irc u la r.




Washington, October 23,1970

II.

D E S C R IP T IO N O F N O T E S

1.
The notes now offered will be identical in all
respects w ith th e 71/? p e rc e n t T re a su ry N otes of
Series C-1976 issued p u rs u a n t to D e p a rtm e n t C ir­
c u la r P u blic D ebt Series — No. 8-69, except th a t in ­
tere st w ill accrue from N ovem ber 15, 1970. W ith th is
exception th e notes are described in th e follow ing
q u o tatio n from D ep artm en t C irc u la r No. 8-69:

“ 1.

The notes will be d a te d O ctober 1, 1969, an d
will b e ar in te re st from th a t d a te a t th e ra te
of 71/i> p ercen t p e r annum , p ay ab le on a
sem ian n u al basis on F e b ru a ry 15 a n d A u g u st
15, 1970, an d th e re a fte r on F e b ru a ry 15
and A u g u st 15 in each y e a r u n til th e p r in ­
cipal am o u n t becomes payable. T hey w ill
m a tu re A u g u st 15, 1976, a n d w ill n o t be

su b je c t to call fo r red em p tio n p rio r to m a­
tu r ity .
“ 2.

The incom e d eriv ed from th e notes is sub­
ject to all taxes im posed u n d e r th e In te rn a l
R evenue Code of 1954. The notes arc sub­
ject to estate, in h eritan ce, g ift o r o th er ex­
cise taxes, w h eth er F e d e ra l or S tate, b u t
arc exem pt from all ta x a tio n now o r here­
a f te r im posed on th e p rin c ip a l o r in te re st
th e re o f by a n y S tate, or a n y of th e posses­
sions of th e U n ited S tates, or b y a n y local
ta x in g a u th o rity .

“ 3.

The notes w ill be acceptable to secure d e­
posits of public moneys. T hey w ill not be
acceptable in p ay m en t of taxes.

“ 4.

B e a re r notes w ith in te re st coupons attach ed ,
an d notes reg istered as to p rin c ip a l an d in ­
terest, will be issued in den o m in atio ns of
$1,000, $5,000, $10,000, $100,000, $1,000,000,
$100,000,000 an d $500,000,000. P ro vision
w ill be m ade fo r the in te rc h a n g e of notes
of d ifferent denom in atio n s an d of coupon
an d reg istered notes, an d fo r the tra n s fe r
of reg istered notes, u n d e r ru les an d re g u la ­
tions p rescrib ed b y the S e c re ta ry of the
T reasu ry .

“ 5.

The notes w ill be su b ject to th e general re g ­
u latio n s of th e T re a su ry D e p a rtm e n t, now
o r h e re a fte r p rescrib ed , g o v ern in g U nited
S ta te s n o te s.”

III.

S U B SC R IP T IO N AND ALLO TM ENT

1. S u b scrip tio n s accep tin g th e offer m ade by this
c irc u la r w ill be received at th e F e d e ra l R eserve
B anks an d B ran ch es an d at th e Office of th e T re a su re r
of th e U n ited S tates, W ash in g to n , D.C. 20220. B an k ­
in g in s titu tio n s g en erally m ay su b m it su b scrip tio n s
fo r account of custom ers, b u t only th e F e d e ra l R e­
serve B an k s a n d th e T re a s u ry D e p a rtm e n t are a u ­
thorized to act as official agencies.
2. U n d e r the Second L ib e rty B ond A ct, as a m en d ­
ed, the S e c re ta ry of th e T re a s u ry has th e a u th o rity
to re je c t or reduce a n y su b scrip tio n , an d to allot less
th a n th e am ount of notes a p p lie d fo r w hen he deem s
it to be in the public in te r e s t; an d a n y action he m ay
take in these respects shall be final. S u b je c t to the
exercise of th a t a u th o rity , all su b scrip tio n s w ill be
allo tte d in fu ll.

IV .

PAYM ENT

1. P a y m e n t fo r th e face am o u n t of notes allo tted
h e re u n d e r to g e th e r w ith a cash p ay m en t of $23.75
p er $1,000 ($18.75 p e r $1,000 fo r accru ed in te re st
from A u g u st 15 to N ovem ber 15, 1970, an d $5.00 p e r
$1,000 on account of th e issue p rice of th e notes
allo tte d ) m ust be m ade on o r before N ovem ber 16,
1970, o r on la te r allo tm en t. P a y m e n t fo r th e face




am ount of th e notes allo tted m ay be m ade only in a
like face am ount of 5 p ercen t T re a su ry N otes of Series
A-1970 w hich to g eth er w ith the cash pay m en t re ­
fe rre d to in the preced in g sentence should accom pany
the su b scription. P a y m en t will not be deem ed to have
been com pleted w here reg istered notes are requested
if the a p p ro p ria te id e n tify in g n u m ber as req u ired
on tax re tu rn s a n d o th er docum ents su b m itted to th e
In te rn a l R evenue Service (an in d iv id u a l’s social secu­
rity n u m ber or an em ployer identification n u m ber)
is not fu rn ish e d . W hen p ay m en t is m ade w ith notes
in b earer form , coupons elated N ovem ber 15, 1970,
should be detached and cashed w hen due. W hen p a y ­
m ent is m ade w ith reg istered notes, the final in te rest
d ue on N ovem ber 15, 1970, w ill be p a id by issue of
in te re st checks in re g u la r course to holders of record
on O ctober 15, 1970, the date the tra n s fe r books
closed.

V.

ASSIG N M ENT OF R E G IST E R E D N O TES

1.
R egistered notes ten d ered in p aym ent fo r notes
offered h ere u n d er should be assigned by the reg istered
payees or assignees thereof, in accordance w ith the
general reg u latio n s of the T re a su ry D e p a rtm e n t gov­
e rn in g assignm ents fo r tra n s fe r or exchange, in one
of the form s h e re a fter set fo rth , an d th e re a fte r should
be su rre n d e re d w ith the su b scrip tio n to a F ed eral R e­
serve B ank o r B ran c h or to the Office of the T re a su re r
of the U nited S tates, W ashington, D.C. 20220. T he
m a tu rin g notes m u st be delivered at the expense and
risk of the holder. If the new notes are desired regis­
tered in the same nam e as the notes su rre n d ere d , th e
assignm ent should be to “ The S e cre tary of the T reas­
u ry fo r exchange fo r 7 y 2 p erc en t T re a su ry N otes of
Series C-1976” ; if the new notes are desired re g iste r­
ed in a n o th e r nam e, the assignm ent should be to “ The
S e c re ta ry of the T re a su ry fo r exchange fo r 7^2 p e r ­
cent T re a su ry Notes of Series C-1976 in th e nam e
o f ............................................... if new notes in coupon
form are desired, the assignm ent should be to “ The
S e c re ta ry of th e T re a su ry for exchange for I 1/? p e r­
cent T re a su ry Notes of Series C-1976 in coupon form
to be delivered t o ..................................

V I.

GENERAL P R O V ISIO N S

1. As fiscal agents of the U nited States, F ed eral
R eserve B anks are au th o rized an d req uested to re ­
ceive subscriptions, to m ake such allotm ents as m ay
be prescribed by the S e c re ta ry of the T reasu ry , to
issue such notices as m ay be necessary, to receive p a y ­
m ent fo r an d make d elivery of notes on fu ll-p aid
sub scrip tio ns allotted, an d they m ay issue in terim
receipts p en d in g delivery of the definitive notes.
2. The S ec re ta ry of th e T re a su ry m ay at any
tim e, or from tim e to tim e, prescribe su p plem ental
or a m en d ato ry rules an d reg u latio n s governing th e
offering, w hich w ill be com m unicated p ro m p tly to the
F e d e ra l Reserve B anks.
DA V ID M. K E N N E D Y ,

Secretary of the Treasury.

Subscription No.

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 7^4 Percent Treasury Notes o f Series D -1974
Dated November 15, 1 9 7 0 , Due May 15, 1 9 7 4

B E A R E R N O T E S D E S IR E D IN E X C H A N G E
(U se schedule on reverse side fo r R E G IS T E R E D notes — see Instruction No. 2 above)

Denomi­
nation

Pieces
$

Face am ount

(L e a v e th is sp a c e b la n k )

1,000

Dispose of securities issued as follows:
□ 1. Deliver over the counter to
the undersigned
□ 2. Hold in safekeeping (for
m em ber b ank o n ly )*

5,000

□ 3. Hold as collateral for Treas­
u ry T ax a n d L oan A ccount*

10,000

□ 4. Ship to the undersigned
□ 5. Special instructions:

100,000
1,000,000
TOTAL

*If th is item is ch eck ed , th e subscriber certi­
fies that th e a llotted secu rities w ill be ow n ed
so le ly b y th e subscriber.

(IM P O R T A N T : N o ch an ges in d elivery in stru ction s w ill be
a c c e p te d . A se p a r a te su b scrip tio n form m u st b e su b m itted fo r
each grou p o f secu rities for w h ich d ifferent d elivery in stru c­
tion s are g iv e n .)

Subm itted by

to

The subscription books will be
open until 8 p.m ., October
1970.

(Please print)
By .................
................................................ B y .............

(Authorized signature(s) required)

T i t l e ................................................... . T i t l e .................
Address ............................................................................
(S treet, City, S tate, and Zip Code)

(S p a ce s b elow are for th e use o f th e F ederal R eserve Bank o f N ew Y o rk )
Sa f e k e e p i n g R e co rd

Received

Checked
and
Digitizeddelivered
for FRASER


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 Y o r k the above-described U nited
States obligations in the am ount subscribed for.
Subscriber
D a te ...........

By.

Schedule for Issue of Registered Notes
(See Instruction No. 2 on page 1)
N am e in which notes shall be registered, tax p ay er
iden tify in g num ber (Social Secu rity A ccount N um ber
or E m ployer Identification N um b er), and post-office
address for in terest checks and other mail.
(P lease print or typ ew rite)

(In d icate under appropriate denom inations, num ber of notes desired.)
A m ount

$1,000

$5,000

$10,000

$100,000

$1,000,000

N am e
Xdent. No.
A ddrpss

N am e
Id e n t No.
A dd ress

N am e
I d e n t No.
...................................

A d d re ss

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

N am e
•

Id e n t. No.

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

A d d ress

( I f registered notes are not to be sent to the registered owner, give mailing instructions below.)
Mail registered notes t o ........................................................................................................................................



^

*

Pv*

'\JF~

(Please type or print legibly and submit in triplicate)

Subscriber’s Reference No.

Subscription No.

A-l

EXCHANGE SUBSCRIPTION
For United States of America 7^4 Percent Treasury Notes o f Series D -1974
Dated November 15, 1 9 7 0 , Due May 15, 1 9 7 4
I m p o r ta n t I n s tr u c tio n s .
1. A se p a r a te su b scr ip tio n form sh o u ld b e u sed ( a ) fo r lis tin g b e a r e r se c u r itie s
su rrendered, ( b ) for listin g registered secu rities su rrendered , and ( c ) for ea ch group o f n ew secu rities for w h ich
different d elivery in stru ction s are given .
2 . Sep arate su b scrip tion form s sh ou ld b e u sed for b earer secu rities and
registered secu rities desired in ex ch a n g e .
3. S o cia l S ecu rity a c co u n t nu m bers or E m p loyer Id en tification num bers
o f a ll su b scrib ers fo r r e g is te r e d n o te s m ust b e fu r n ish ed on th e r e v e r se sid e h e r e o f.
4 . S ig n a tu r e s are req u ired
on o r ig in a l o n ly ; a ll o th e r filled -in m atter sh ou ld a p p ea r in tr ip lic a te .
5. A m o u n t o f se c u r itie s su rr e n d e r ed and
a p p lie d fo r m ust b e in m u ltip les o f $ 1 ,0 0 0 .

D a ted a t ............................................................

F e d e r a l R eserve B a n k of N e w Y o r k .
F isc al A g e n t of th e U n ite d S tates,
New Y ork, N. Y . 10045

.............................................................................. 1970

A tte n tio n :

G overnm ent B ond D ivision

Gentlemen :
S u b je c t to th e p rovisions of T re a su ry D e p a rtm e n t C irc u la r No. 10-70, P u b lic D ebt Series, d ate d
O ctober 23, 1970, th e u n d e rsig n e d h ereb y subscribes, a t p a r, fo r U n ited S ta tes of A m erica 7% p e rc en t
T re a su ry N otes of S eries D-1974, in th e am o u n t of $ ....................................................* a n d te n d e rs in p ay m en t
th e re fo r a like p a r am o u n t of th e secu rities—
D elivered to y o u h erew ith ................................................................................................

$ ...................................

To be w ith d ra w n fro m secu rities held b y y o u ..........................................................

$ ...................................

To be delivered by ..............................................................................................................

$ ...................................

f(Please fill in on the reverse side the schedule “ L ist of Accounts Included in this Subscription., , )

S E C U R IT IE S S U R R E N D E R E D
(S e e I n s tr u c tio n N o. 1 a b o v e )

5%

N o tes, A -1 9 7 0

(d e ta c h

c o u p o n s)

W e H e r e b y C e r t if y th a t a t the tim e th is su b scrip tio n was en tered th e above-described secu rities
su rre n d e re d or to be su rre n d e re d in connection w ith th is exchange w ere ow ned a n d d eliv ery w as accepted
by th e subscriber, or such securities w ere c o n tracted fo r p u rchase fo r value by th e su b scriber fo r d elivery to
the subscriber p rio r to the closing of th e su b scrip tio n books.
( S ig n a t u r e ( s ) re q u ire d also on D e liv e ry I n s tr u c tio n s belo w )

(D o n o t fill in bo x es b e lo w )
G o v e r n m e n t B o n d D iv is io n

Received

Checked

Subm itted b y ............................

Canceled
By

(Please print)

................. . B y ............................

(Authorized signature(s) required)

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

Tel. N o..........................................................................



Address ..........................

(Street,City,State,and Zip Code)

(If space is insufficient in schedules below, attach separate listing)

List of Accounts Included in this Subscription
(In d icate am ount of each issue surrendered by each customer and by y o u rself; as to any subscription not over $200,000 by
an individual, you m ay consolidate and rep o rt only the to tal am ount of each issue surrendered fo r all such subscriptions)

(L ea ve this
space blank)




N am e a n d location (C ity a n d S ta te )
of u ltim a te p u rc h a se r

5% Notes
(A-1970)

( L o c a tio n o f in d iv id u a ls n o t re q u ir e d )

$

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

In d iv id u a ls, n o t over $200,000 fo r each ......................
O u r own account ...................................................................
T otals

...................................................................... $ .........................
'

Subscription No.

SECURITY RECORDS “OUT TICKET”
For United States of America 7J4 Percent Treasury Notes o f Series D -1974
Dated November 15, 1 9 7 0 , Due May 15, 1 9 7 4

B E A R E R N O T E S D E S IR E D IN E X C H A N G E
(U se schedule on reverse side for R E G IS T E R E D notes — see Instruction No. 2 above)

Denomi­
nation

Pieces
$

D ispose of secu rities issued as fo llo w s:
□

1. D eliv er over th e c o u n te r to
th e u n d e rsig n e d

1,000

□

2. H o ld in safekeeping
m em ber b an k o n ly )*

5,000

□

3. H o ld as co llateral fo r T re a s­
u r y T ax a n d L oan A ccount*

Face am ount

( L e a v e th is sp a c e b la n k )

10,000

□ 4. S h ip to th e u n d e rsig n e d
□

100,000

5. S pecial in s tru c tio n s :

1,000,000
TOTAL




Subm itted by

Address ...................................................................................
(S tre et, C ity, S tate, and Zip Code)

(fo r

Schedule for Issue of Registered Notes
(See Instruction No. 2 on page 1)
Name in which notes shall be registered, taxpayer
identifying number (Social Security Account Number
or Employer Identification Number), and post-office
address for interest checks and other mail.
(Please print or typewrite)

(Indicate under appropriate denominations, number of notes desired.)
Amount

$1,000

$5,000

$10,000

$100,000

N am e
Id e n t. No.
A ddress

N am e

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

Id e n t No.
Add ress

N am e

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

........

I d e n t No.

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

A ddress

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

N am e

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

I d e n t No

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

( I f registered notes are not to be sent to the registered owner, give m ailing instructions below.)
M ail registered notes t o ..........................................................................................%.........................................



$1,000,000

S ubscriber’s Keference No.

DUPLICATE—SECURITY RECORDS ‘"IN TICKET '

Subscription No.

A-2

EXCHANGE SUBSCRIPTION
For United States o f America 7% Percent Treasury Notes o f Series D -1974
Dated November 15, 1 9 7 0 , Due May 15, 1 9 7 4

D a ted a t ............................................................

F e d e r a l R eserve B a n k of N e w Y o r k ,
F iscal A g e n t of th e U n ite d S tates,
New Y ork, N. Y. 10045

.............................................................................. 1970

A tte n tio n :

G overnm ent B ond D ivision

Gentlemen :
S u b je c t to th e provisions of T re a s u ry D e p a rtm e n t C irc u la r No. 10-70, P u b lic D ebt Series, d ated
O ctober 23, 1970, th e u n d e rsig n e d h ereb y subscribes, a t p a r, fo r U n ited S ta tes of A m erica 71/4 p erce n t
T re a su ry N otes of Series D-1974, in th e am o u n t of $ ....................................................* an d te n d e rs in p a y m en t
th e re fo r a like p a r am o u n t of th e secu rities—
D elivered to y o u h erew ith ................................................................................................

$..

To be w ith d ra w n from secu rities held by y o u ..........................................................

$

To be delivered by ......... .*..................................................................................................

$

•(P lease fill in on the reverse side the schedule “ L ist of Accounts Included in this S ubscription.” )

S E C U R IT IE S S U R R E N D E R E D
( S ee I n s tr u c tio n N o . 1 a b o v e )

5%

N o te s, A - 1 9 7 0

(d e ta c h

c o u p o n s)

W e H e r e b y C e r t if y th a t a t th e tim e th is su b scrip tio n was e n tered th e above-described securities
su rre n d e re d o r to be su rre n d e re d in connection w ith th is exchange w ere ow ned a n d d eliv e ry w as accepted
by th e subscriber, or such secu rities w ere c o n tra c te d fo r purch ase fo r value by th e su b scrib er fo r d eliv ery to
th e su b scrib er p rio r to th e closing of th e su b sc rip tio n books.

Subm itted by

Tel. N o..........................................................................




Address ..........................................................................................
(S tre e t, C ity, S tate, and Zip Code)

(If space is insufficient in schedules below, attach separate listing)

List of Accounts Included in this Subscription
(In d icate am ount of each issue surrendered by each customer and by yourself; as to any subscription not over $200,000 by
an individual, you m ay consolidate and rep o rt only the to tal am ount of each issue surrendered fo r all such subscriptions)




NONNEGOTIABLE RECEIPT

Subscription No.

To Subscriber:
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 , F isc a l A g e n t of th e U n ite d S tates, h ereb y acknow ledges receip t of
securities te n d e re d w ith su b sc rip tio n n u m b ered as above in exchange fo r
7^4 P E R C E N T T R E A S U R Y N O T E S O F S E R IE S D-1974
S ecu rities a llo tte d on th is su b sc rip tio n w ill be d eliv ered on
N ovem ber 16, 1970, in accordance w ith y o u r in stru c tio n s.
..........................................£"{£".........................................
Government Bond Division— Issues & Redemption Section

B E A R E R N O T E S D E S IR E D IN E X C H A N G E
(U se schedule on reverse side fo r R E G IS T E R E D notes — see Instruction No. 2 above)

Denomi­
nation

Pieces
$

D ispose of secu rities issued as follows

counter t<

□

1. D eliv er over th e
th e undersigned

1,000

□

2. H o ld in safek eep in g
m em ber b an k o n ly )*

5,000

□

3. H o ld as co llate ra l fo r T reas
u r y T ax a n d L oan A c c o u n t!

10,000

□

4. S h ip to th e u n d e rsig n e d

□

5. S pecial in s tru c tio n s :

Face am ount

(L e a v e th is sp a c e b la n k )

100,000

(foi

1,000,000
TOTAL

To F e d e r a l R e s e r v e B a n k o r N e w Y o r k
Fiscal A gent of the U nited States
(D ate)

You are hereby authorized to deliver to

Subm itted by

(Name of representative)

whose signature appears below,

Address

I ................................................. p a r am ount
of securities issued pursuant to this subscription.
N a m e ..................................................................
(Please print)
T o S u b s c r ib e r : I f
(Official signature required)
(Signature of authorized representative)




securities are to be delivered over the
counter a t this Bank to your representative,
the authority in the box to the le ft should
be executed on the date of delivery.

Schedule for Issue of Registered Notes
(See Instruction No. 2 on page 1)
N am e in which notes shall be registered, tax p ay er
iden tify in g n um ber (Social Secu rity A ccount N um ber
or E m ployer Identification N um b er), and post-office
address fo r in terest checks a n d other mail.
(P lease print or typ ew rite)

Id e n t. No.

(In d ica te under appropriate denom inations, num ber of notes desired.)
A m ount

$1,000

$5,000

$10,000

$100,000

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

A d d re ss

N am e

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

Id e n t No
A d d re ss

N am e

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

Id e n t No.

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

A d d re ss

N am e
Id e n t. No.
A ddress

........

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

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

( I f registered notes are not to be sent to the registered owner, give m ailing instructions below.)
M ail registered notes t o ......................................................................................................................................



$1,000,000

TRIPLICATE—TREASURY REPORTS COPY

Subscriber’s Reference No.

Subscription No.

A-3

EXCHANGE SUBSCRIPTION
For United States of America 7% Percent Treasury Notes o f Series D -1974
Dated November 15, 1 9 7 0 , Due May 15, 1 9 7 4

D ate d a t ............................................................

F edera l R eserve B a n k of N e w Y o r k .

F iscal A g e n t of th e U n ite d S tates,
New Y ork, N. Y. 10045

.............................................................................. 1970

A tte n tio n :
Gentlem

en

G overnm ent B ond D ivision

:

S u b jec t to th e p rovisions of T re a s u ry D e p a rtm e n t C irc u la r No. 10-70, P u b lic D ebt Series, d a ted
O ctober 23, 1970, th e u n d e rsig n e d h ereb y subscribes, a t p a r, fo r U n ited S ta te s of A m erica 7*4 p ercen t
T re a su ry N otes of Series D-1974, in th e a m o u n t of $ ....................................................* a n d te n d e rs in p ay m en t
th e re fo r a like p a r am o u n t of th e secu rities—
D elivered to you h erew ith ................................................................................................

$ ...................................

To be w ith d ra w n fro m secu rities h eld b y y o u ..........................................................

$ ...................................

To be delivered by ..............................................................................................................

$ ...................................

* (Please fill in on the reverse side the schedule ‘ ‘L ist of Accounts Included in this S ubscription.” )

S E C U R IT IE S S U R R E N D E R E D
( S ee I n s tr u c tio n N o . 1 a b o v e )

5%

N o tes, A -1 9 7 0

(d e ta c h

c o u p o n s)

W e H e r e b y C e r t if y th a t a t the tim e th is su b scrip tio n was en tered th e above-described secu rities
su rre n d e re d or to be su rre n d e re d in connection w ith th is exchange w ere owned a n d d eliv ery w as accepted
by the subscriber, or such securities w ere co n tracted fo r purch ase fo r value by th e sub scrib er fo r deliv ery to
th e su b scrib er p rio r to th e closing of the su b scrip tio n books.

Subm itted by

Tel. No.



Address

(Street,City, State,and Zip Code)

(In d icate am ount of each issue surrendered by each customer and by yourself; as to any subscription not over $200,000 by
a n individual, you may consolidate and rep o rt only the to tal am ount of each issue surrendered fo r all such subscriptions)

(L eave this
space blank)




N am e a n d location (C ity a n d S ta te )
of u ltim a te p u rc h a se r
(L o c a tio n o f in d iv id u a ls n o t re q u ir e d )

Notes
(A-1970)

5%

$ .........................

1

In d iv id u a ls, n ot over $200,000 fo r each ......................
O u r own account ...................................................................
T otals

...................................................................... $ ................................
r

Subscription No.

DELIVERY INSTRUCTIONS—EXCHANGE SUBSCRIPTION
For United Stales of America 7^2 Percent Treasury Notes o f Series C-1976
Dated October 1, 1969, With Interest from November 15, 1 9 7 0
Due August 15, 1 9 7 6
B E A R E R N O T E S D E S IR E D IN E X C H A N G E
(U se schedule on reverse side fo r R E G IS T E R E D notes — see Instruction No. 2 above)

Denomi­
nation

Pieces
$

Dispose of securities issued as fo llo w s:
□

1. D eliv er over th e co u n te r to
th e u n d ersig n e d

1,000

□

2. H o ld in safekeeping
m em ber b ank o n ly )*

5,000

□

3. H o ld as co llateral fo r T re a s­
u ry T ax an d L oan A ccount*

10,000

□

4. S hip to th e u n d ersig n e d

□

5. S pecial in stru c tio n s:

Face amount

(L e a v e th is sp a c e b la n k )

100,000

(fo r

1,000,000
TOTAL

*If this item is ch eck ed , th e subscriber certi­
fies that th e allotted secu rities w ill be ow n ed
so lely by the subscriber.

(IM P O R T A N T : No ch an ges in d elivery in stru ction s w ill be
a c c e p te d . A se p a r a te su b scrip tio n form m ust be su b m itted for
each group o f secu rities for w h ich different d elivery in stru c­
tion s are g iv e n .)

Subm itted by

T h e su b sc r ip tio n b o o k s w ill b e
o p e n u n til 8 p .m ., O c to b e r 2 9 ,
1970.

(P lease p rin t)

By ......
.............................................. B y .....................
(Authorized signature(s) required)
T i t l e .................................................... T i t l e .................
Address
(S tre et, City, S tate, and Zip Code)

(S p a ce s b elow are for th e use of the F ederal R eserve B ank of N ew Y ork )
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 Y o r k the above-described United
States obligations in the am ount subscribed for.
Subscriber
D a te ...........

Bv.

c
Schedule for Issue of Registered Notes

f

(See Instruction No. 2 on page 1)

1]

N am e in which notes shall be registered, tax p ay er
identifying num ber (Social S ecurity Account N um ber
or E m ployer Identification N u m b er), and post-office
address for in terest checks and other mail.
(P lease print or typ ew rite)

(In d icate under appropriate denom inations, num ber of notes desi
A m ount

$1,000

$5,000

$10,000

$100,000

$1,000,0)

<*c

Name
Ident No
Address .........................................
5

Pj
in

Name
Ident No.

SU

Address

by
lI i

Name

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

Ident. No.

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

Address

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

............ 3

.1.

Name

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

Ident. No.
Address..........................................................
( I f registered notes are not to be sent to the registered owner, give m ailing instructions below.)
Mail registered notes to



Subscriber’s Reference Xo.

(Please type or print legibly and submit in triplicate)

Subscription No.

B-l

EXCHANGE SUBSCRIPTION
For United States of America 7 ^ Percent Treasury Notes o f Series C-1976
Dated October 1, 1969, With Interest from November 15, 1 9 7 0
Due August 15, 1 9 7 6
Im p o r ta n t I n s tr u c tio n s .
1. A se p a r a te su b scrip tio n form sh ou ld be u sed ( a ) fo r listin g b e a r er se c u r itie s
su rrendered, ( b ) for listin g registered secu rities surrendered , and ( c ) for ea ch group o f n ew secu rities for w h ich
different d elivery instru ction s are given .
2 . S eparate su b scrip tion form s sh ould b e used for bearer secu rities and
registered secu rities desired in ex ch a n g e .
3. S ocial S ecu rity a c co u n t num bers or E m ployer Id en tification num bers
o f all su b scrib ers for r e g is te r e d n o te s m ust be fu rn ish ed on the r ev e rse sid e h e r e o f.
4 . S ig n a tu re s are req u ired
on orig in a l o n ly ; all o th er filled -in m atter sh ou ld ap p ea r in tr ip lic a te.
5. A m ou n t o f se c u r itie s su rr e n d e r ed and
a p p lie d fo r m ust b e in m u ltip les o f $ 1 ,0 0 0 .

D ated a t ............................................................

F e d e r a l R eserve B a n k o f N ew Y ork,

F iscal A g e n t of th e U n ite d States..
New Y ork, N. Y. 10045

..............................................................................1970

A tte n tio n :

G overnm ent B ond D ivision

Gentlemen :
S u b je c t to th e p rovisions of T re a su ry D e p a rtm e n t C irc u la r No. 11-70, P u b lic D ebt Series, d ated
O ctober 23, 1970, the u n d e rsig n e d hereb y subscribes, a t 100.50 a n d accrued in terest, fo r U n ited S tates of
A m erica 71/2 p e rc e n t T re a su ry N otes of S eries C-1976, in the am ount of $ ...................................... * an d ten d ers
in p ay m en t th e re fo r a like p a r am ount of the securities—
■»

D elivered to you herew ith ................................................................................................ ........ $ ....................................
To be w ith d ra w n from secu rities held by y o u .................................................................. $ ....................................
To be delivered b y ............................................................................................................. ........$ ....................................
•(P lease fill in on the reverse side the schedule “ L ist of Accounts Included in this Subscription.” )

S E C U R IT IE S S U R R E N D E R E D
(S e e I n s tr u c tio n N o . 1 a b o v e )

5%

N o tes, A -1 9 7 0

(d e ta c h

$

c o u p o n s)

Paym ent by subscriber of *23.75 per s i , 000 (*18.73 per $1,000 fo r accrued interest and $5.00 per §1,000 on issue price) is
made as follows:
D By check herewith
□ By charge to reserve account
W e H e r e b y C e r t i f y th a t at th e tim e th is su b scrip tio n was en tered the above-described securities
su rre n d e re d o r to be su rre n d e re d in connection w ith th is exchange w ere ow ned an d d eliv ery was accepted
by the subscriber, or such secu rities w ere c o n tracted fo r p u rchase fo r value by the su b scrib er fo r d elivery to
the su b scrib er p rio r to the closing of th e su b sc rip tio n books.
( S ig n a t u r e ( s ) re q u ire d a lso on D e liv e ry I n s tr u c tio n s b elow )

(D o n o t fill in b oxes b e lo w )
G o v e r n m e n t B o n d D iv is io n

Received

Checked

Subm itted by ................................................................................................

(Please print)

Canceled

By

................., B y .............................

(Authorized signature(s) required)

Title ....................................................... , Title

•1. Xo.



Address ................................................................

(Street,City, State,and ZipCode)

(If space is insufficient in schedules below, attach separate listing)

List of Accounts Included in this Subscription
(In d icate am ount of each issue surrendered by each customer and by yourself; as to any subscription n o t over $200,000 by

an individual, you m ay consolidate and rep o rt only the to ta l am ount of each issue surrendered fo r all such subscriptions)

(L eave this
space blank)




N am e a n d location (C ity a n d S ta te )
of u ltim a te p u rc h a se r
(L o c a tio n o f in d iv id u a ls n o t r e q u ir e d )

5% Notes
(A-1970)

$ .........................

*

In d iv id u a ls, n o t over $200,000 fo r each ......................
O u r own acco unt ...................................................................
T otals

...................................................................... $ ........................................

Subscription No.

SECURITY RECORDS “OUT TICKET”
For United States o f America 7 ^ Percent Treasury Notes o f Series C -I976
Dated October 1, 1969, With Interest from November 15, 1 9 7 0
Due August 15, 1 9 7 6
B E A R E R N O T E S D E S IR E D IN E X C H A N G E
(U se schedule on reverse side for R E G IS T E R E D notes — see Instruction No. 2 above)

Denomi­
nation

Pieces
$

D ispose of securities issued as fo llo w s:
□

1. D eliv er over th e co u n te r to
th e u n d e rsig n e d

1,000

□

2. H o ld in safekeeping
m em ber b an k o n ly )*

5,000

□

3. H o ld as co llateral fo r T re a s­
u ry T ax an d L oan A ccount*

□

4. S h ip to th e u n d e rsig n e d

□

5. S pecial in stru c tio n s:

Face am ount

( L e a v e th is sp a c e b la n k )

10,000
100,000
1,000,000
TOTAL




Subm itted by

A d d ress

(Street,City, State,and Zip Code)

(fo r

Schedule for Issue of Registered Notes
(See Instruction No. 2 on page 1)
N am e in which notes shall be registered, tax p ay er
id en tify in g num ber (Social S ecurity A ccount N um ber
or E m ployer Identification N u m b er), and post-office
address for in terest checks a n d other mail.
(P lease prin t or typ ew rite)

(In d icate u nder appropriate denom inations, num ber of notes desired.)
A m ount

$1,000

$5,000

$10,000

$100,000

$1,000,000

N am e
Id e n t No
A d d ress

N am e
Id e n t No.

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

A d d ress

N am e
I d e n t No.

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

A d d re ss

......................................................
*

( I f registered notes are not to be sent to the registered owner, give mailing instructions below.)
Mail registered notes t o ......................................................................................................................................



Subscriber’s Reference No.

DUPLICATE—SECURITY RECORDS “IN TICKET”

Subscription No.

B-2

EXCHANGE SUBSCRIPTION
For United States of America 7 ^ Percent Treasury Notes o f Series C-1976
Dated October 1, 1969, With Interest from November 15, 1 9 7 0
Due August 15, 1 9 7 6

D a ted a t ............................................................

F e d e r a l R eserve B a n k o f N ew Y ork ,

F isc al A g e n t of th e U n ite d S tates,
New Y ork, N. Y. 10045
’

.............................................................................. 1970

A tte n tio n :
Gentlem

en

G overnm ent B ond D ivision

:

S u b ject to th e p rovisions of T re a su ry D e p a rtm e n t C irc u la r No. 11-70, P u b lic D ebt Series, d ate d
O ctober 23, 1970, th e u n d e rsig n e d hereb y subscribes, a t 100.50 and accrued in terest, fo r U n ite d S tates of
A m erica 7 1/£ p ercen t T re a su ry N otes of Series C-1976, in the am ount of $ ...................................... * an d te n d e rs
in p ay m en t th e re fo r a like p a r am ount of th e secu rities—
D elivered to you h erew ith ................................................................................................

$ ...................................

To be w ith d ra w n from secu rities held by y o u ..........................................................

$ ...................................

To be delivered by ..............................................................................................................

$

* (Please fill in on the reverse side the schedule “ L ist of Accounts Included in this S ubscription.” )

S E C U R IT IE S S U R R E N D E R E D
(S e e I n s tru c tio n N o . 1 a b o v e )

5%

N o tes, A -1 9 7 0

(d e ta c h

c o u p o n s)

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

$ ......................................

Paym ent by subscriber of $23.75 per $1,000 (§18.75 per $1,000 for accrued interest and $5.00 per $1,000 on issue price) is
made as follows:
□ By check herewith
□ By charge to reserve account
W e H e r e b y C e r t i f y th a t a t the tim e th is su b scrip tio n was en tered the above-deseribed securities
su rre n d e re d or to be su rre n d e re d in connection w ith th is exchange w ere owned a n d d eliv ery w as accepted
by the subscriber, or such securities w ere c o n tracted fo r purch ase fo r value by the su b scriber fo r delivery to
th e su bscrib er p rio r to the closing of th e su b scrip tio n books.

Subm itted by

Tel. No.



Address

(Street,City, State,and Zip Code)

(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; as to any subscription not over $200,000 by
an individual, you may consolidate and report only the total amount of each issue surrendered for all such subscriptions)

(L ea ve this
space blank)




N am e a n d location (C ity a n d S ta te )
of u ltim a te p u rc h a se r
( L o c a tio n o f in d iv id u a ls n o t re q u ir e d )

5% Notes
(A-1970)

$ .........................

In d iv id u a ls, n ot over $200,000 fo r each ......................
O u r own account ...................................................................
T otals

...................................................................... $ ........................................

NONNEGOTIABLE RECEIPT

Subscription No.

To Subscriber:
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 . F iscal A g en t of th e U n ite d S tates, h ereby acknow ledges receip t of

securities te n d e re d w ith su b sc rip tio n n u m b ered as above in exchange fo r
71/2 P E R C E N T T R E A S U R Y N O T E S O F S E R IE S C-1976, A D D IT IO N A L IS S U E
S ecu rities allo tte d on th is su b sc rip tio n w ill be deliv ered on
N ovem ber 16, 1970, in accordance w ith y o u r in stru c tio n s.
..........................................Teller.........................................
Government Bond Division— Issues & Redemption Section
B E A R E R N O T E S D E S IR E D IN E X C H A N G E
(U se schedule on reverse side for R E G IS T E R E D notes — sec Instruction No. 2 above)

Denomi­
nation

Pieces
$

D ispose of secu rities issued as fo llo w s:
□

1. D eliv er over th e c o u n te r to
th e u n d e rsig n e d

1,000

□

2. H o ld in safekeeping
m em ber ban k o n ly )*

5,000

□

3. H o ld as co llateral fo r T re a s ­
u r y T ax a n d L oan A ccount*

10,000

□

4. S h ip to th e u n d e rsig n e d

□

5. S pecial in s tr u c tio n s :

Face amount

( L e a v e th is sp a c e blanTc)

100,000
1,000,000
TOTAL

To 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
F iscal A gent of the U nited States
(D ate)

You are hereby authorized to deliver to

Subm itted by

(Name of representative)
whose signature appears below,

Address

$ .................................................p ar amount

of securities issued pursuant to this subscription.
N a m e ..................................................................
(P lease p rin t)

T o S u b s c r ib e r : I f
(Official sig n atu re req u ired )

(Signature of authorized representative)



securities are to be delivered over the
counter a t this Bank to your representative,
the authority in the box to the le ft should
be executed on the date of delivery.

(fo r

Schedule for Issue of Registered Notes

ica

t\vc

(See Instruction No. % on page 1)

---------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- _ -.UTPxeo... .. ' j e u '
N am e in which notes shall be registered, tax p ay er
(In d icate under appropriate denom inations, num ber of notes
^ ^
id e ntifying num ber (Social Security A ccount N um ber
or E m ployer Identification N u m b er), and post-office
address for in terest checks and other mail.
$1,000
$10,000
$100,000
$5,000
A m ount
(P lease print or typ ew rite)

$1,‘r£n Y>e 3

N am e
Id e n t No
A ddress
1c

Nam e

•y

Id e n t No.

..................... s u tf

A ddress

$ve

N am e
Id e n t. No.
A d d ress

N am e
I d e n t. No.
A d d ress

* oK

......

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

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

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

(I f registered notes are not to be sent to the registered owner, give mailing instructions below.)
Mail registered notes to



S ubscriber’s Reference No.

T R IP L IC A T E — T R E A S U R Y R E P O R T S C O PY

Subscription No.

B -3

EXCHANGE SUBSCRIPTION
For United States of America 7^4 Percent Treasury Notes o f Series C-1976
Dated October 1, 1969, With Interest from November 15, 1 9 7 0
Due August 15, 197 6

D ated a t ............................................................

F e d e r a l R eserve B a n k o f N ew Y ork.

F isc al A g e n t of th e U n ited S tates,
New Y ork, N. Y. 10045

..............................................................................1970

A tte n tio n :
Gentlem

en

G overnm ent B ond D ivision

:

abject to th e provisions of T re a su ry D e p a rtm e n t C irc u la r No. 11-70, P u b lic D ebt Series, d ated
er 23, 1970, the u n d e rsig n e d h ereb y subscribes, a t 100.50 and accrued interest, fo r U n ited S tates of
ica 71/2 p ercen t T re a su ry N otes of Series C-197G, in the am ount of $ ...................................... * an d ten d ers
ym ent th e re fo r a like p a r am ount of the securities—
delivered to you herew ith ................................................................................................
n°tea,
000 /~ "~ T o be w ith d raw n from securities held by v o u ..........................................................
■
--- I $1,{
I — To be d elivered by .............................................................................................................
* (Please fill in

....I

011

$ ...................................
$ ..................................
$ ..................................

the reverse side the schedule “ L ist of Accounts Included in this Subscription.” )

- / .........

S E C U R IT IE S S U R R E N D E R E D

/

( S ee I n s tr u c tio n N o. 1 a b o v e )

7c N o tes, A - 1 9 7 0

(d e ta c h

c o u p o n s)

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

$

ayment by subscriber of $ 23.75 per s i ,000 ($18.75 per .*1,000 for accrued interest and $5.00 per $1,000
iade as follows:
□ By check herewith
□ By charge to reserve account.

011

issue price) is

W e H e r e b y C e r t i f y th a t at the tim e th is su b scrip tio n was e n tered the above-described securities
su rre n d e re d or to be su rre n d e re d in connection w ith th is exchange w ere ow ned an d deliv ery w as accepted
.......by the subscriber, or such secu rities w ere c o n tracted fo r p u rchase fo r value by th e su bscriber fo r d elivery to
th e su b scrib er p rio r to th e closing of th e su b sc rip tio n books.




Subm itted by

(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; as to any subscription not over $200,000 b;
an individual, you may consolidate and report only the total amount of each issue surrendered for all such subscriptions

(L eave this
space blank)




Nam e a n d location (C ity a n d S ta te )
of u ltim a te p u rc h aser
(L o c a tio n o f in d iv id u a ls n o t r e q u ir e d )

5% Notes
(A-1970)

$ ...................

In d iv id u a ls, not over $200,000 fo r each ......................
O u r own account ...................................................................
T otals

...................................................................... $ ............................

CHAIRMAN O F T H E

BOARD O F GOVERNORS

FEDERAL R ES ER V E SYSTEM
WASHINGTON, D. C. 20551
* * f^Al R E ^ * ‘

October 26, 1970

TO THE CHIEF EXECUTIVE OFFICER OF EACH MEMBER STATE BANK:
I
would like to bring to your attention the following views
expressed by the Assistant Attorney General in charge of the Criminal
Division of the Department of Justice in a letter to the Comptroller
of the Currency with respect to the use of interbank deposits as com­
pensating balances for loans to individuals connected with the deposi­
ting bank:
"Reference is made to the conversations which representatives
of the Criminal Division have had with you and members of your staff
concerning the practice of bank officials utilizing the correspondent
accounts of their banks for the purpose of compensating lending banks
for loans granted to these officials. By using these non-interest
bearing correspondent accounts in this manner, some borrowing officials
have been able to obtain loans at preferential rates and to circumvent
other statutes and administrative regulations promulgated for the
protection of Federally regulated or insured banks. Since the borrower
maintains these balances as a condition of the loan, he is able to
utilize the funds and credits of his bank for his own personal benefit.
"Investigation into this area disclosed that this practice
is fairly widespread, particularly in certain areas of the country,
both in the initial acquisition of a bank and at subsequent times.
There are no cases, at the present time, construing this practice as
a misapplication under the criminal statutes. We believe, however,
that where the facts demonstrate a clear detriment to the bank and a
concomitant benefit to its officers this activity would, at a minimum,
constitute a breach of the fiduciary duty owed by the officials to
the bank and might in certain situations warrant prosecutive action.
"In light of the foregoing, your office, together with the
Federal Deposit Insurance Corporation, the Federal Reserve Board, and
the Federal Home Loan Bank Board, may wish to consider advising the
banking industry of our view that the above practice might constitute
a violation of Federal criminal statutes."




Sincerely yours,

Arthur F. Burns