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F ederal Reserve bank of Dallas FISCA L AGENT OF THE UNITED STATES DALLAS, TEX A S 75222 Circular No. 67-217 October 26, 1967 CASH OFFERING OF TREASURY NOTES To All Banking Institutions and Others Concerned in the Eleventh Federal Reserve District: There are enclosed Treasury Department Circulars, Public D ebt Series Nos. 9-67 and 10-67, relating to an offering of 5% % Treasury Notes of Series A-1969, maturing February 15, 1969, and 5% % Treasury Notes of Series A-1974, maturing November 15, 1974. Subscription forms for your use are also enclosed. PAYMENT Paym ent for the new notes may be made in cash or by the surrender of the following securities maturing November 15, 1967, at par: 4% % Treasury Notes of Series F-1967; or 3 % % Treasury Bonds of 1967. T he notes may not be paid for by credit in Treasury Tax and Loan accounts. Down payments in cash, or securities of the two maturing issues, are required of all subscribers except those specifically exempted in Section III, Paragraph 1 of the official circulars and are not subject to withdrawal until after allotment. T he down payments received by commercial banks from subscribers should be held by commercial banks until after allotment is made. ALLOTMENT Each subscription is subject to allotment, but certain classes of subscribers named in Paragraph 4 ( 1 ) of Section III of the official offering circulars may obtain full allotment up to the total amount of the two eligible securities maturing November 15 surrendered in payment if the eligible securities were owned or contracted for purchase by 4 p.m., Eastern Daylight Saving Time, October 25, 1967. These subscribers must complete the certification on the reverse side of the subscription form. If the certification cannot be completed at the time the subscription is entered, a statement to that effect should accompany the subscription and the certification may be submitted separately. A form for furnishing delivery and payment instructions will accompany the notice of allotment. Provision will be made on the form for furnishing the taxpayer identifying number where registered notes are requested. CLOSING OF SUBSCRIPTION BOOKS The subscription books will be open only on Monday, October 30, 1967, and subscriptions postmarked before midnight on that date will be considered timely. Subscriptions will be received at this bank and its branches at El Paso, Houston and San Antonio. Additional circulars and forms will be furnished upon request. Yours very truly, Watrous H. Irons President Enclosures ( 4 ) This publication was digitized and made available by the Federal Reserve Bank of Dallas' Historical Library (FedHistory@dal.frb.org) UNITED STATES OF AMERICA 5% PERCENT TREASURY NOTES OF SERIES A-1969 Dated and bearing interest from November 15, 1967 Due February 15, 1969 TREASURY D EPA RTM EN T Office of the Secretary Washington, October 26, 1967 DEPARTMENT CIRCULAR --------Public D ebt Series No. 9-67 I. OFFERING OF NOTES 1. The Secretary of the Treasury, pursuant to the authority of the Second Liberty Bond Act,as amended, offers $10,700,000,000, or thereabouts, of notes of the United States,designated 5% percentTreasury Notes of Series A-1969, at par and accrued interest. The following securities, maturing November 15, 1967, will be accepted at par in payment or exchange, in whole or in part, to the extent subscriptions are allotted by the Treasury: 4% percent Treasury Notes of Series F-1967; or 3 s/s percent Treasury Bonds of 1967. T h e books will be open only on October 30, 1967, for the receipt of subscriptions. II. DESCRIPTION OF NOTES 1. The notes will be dated November 15, 1967, and will bear interest from that date at the rate of 5% percent per annum, payable on a semiannual basis on February 15 and August 15, 1968, and February 15, 1969. They will mature February 15, 1969, and will not be subject to call for redemption prior to maturity. 2. The income derived from the notes is subject to all taxes imposed under the Internal Revenue Code of 1954. The notes are subject to estate, inheritance, gift or other excise taxes, whether Federal or State, but are exempt from all taxation now or hereafter imposed on the principal or interest thereof by any State, or any of the possessions of the United States, or by any local taxing authority. 3. The notes will be acceptable to secure deposits of public moneys. They will not be acceptable in payment of taxes. 4. Bearer notes with interest coupons attached, and notes registered as to principal and interest, will be issued in denominations of $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000 and $500,000,000. Provision will be made for the interchange of notes of different denominations and of coupon and registered notes, and for the transfer of registered notes, under rules and regulations prescribed by the Secretary of the Treasury. 5. The notes will be subject to the general regulations of the Treasury Department, now or hereafter pre scribed, governing United States notes. 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 of the Treasurer of the United States, Washington, D. C. 20220. Only the Federal Reserve Banks and the Treasury Department are authorized to act as official agencies. Commercial banks, which for this purpose are defined as banks accepting demand deposits, may submit subscriptions for account of cus tomers provided the names of the customers are set forth in such subscriptions. Others than commercial banks will not be permitted to enter subscriptions except for their own account. 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. Sub scriptions will be received without deposit from banking institutions for their own account, Federally-insured savings and loan associations, States, political subdivisions or instrumentalities thereof, public pension and retire ment and other public funds, international organizations in which the United States holds membership, foreign central banks and foreign States, dealers who make primary markets in Government securities and report daily to the Federal Reserve Bank of New York their positions with respect to Government securities and borrowings thereon, Federal Reserve Banks and Government Investment Accounts. Subscriptions from all others must be accompanied by payment (in cash or in securities of the issues enumerated in Paragraph 1 of Section I hereof, which will be accepted at par) of 2 percent of the amount of notes applied for, not subject to withdrawal until after allotment. Registered securities submitted as deposits should be assigned as provided in Section V hereof. Following allotment, any portion of the 2 percent payment in excess of 2 percent of the amount of notes allotted may be released upon the request of the subscribers. 2. 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 any notes of this issue at a specific rate or price, until after midnight October 30, 1967. 3. Commercial banks in submitting subscriptions will be required to certify that they have no beneficial interest in any of the subscriptions they enter for the account of their customers, and that their customers have no beneficial interest in the banks’ subscriptions for their own account. 4. Under the Second Liberty Bond Act, as amended, the Secretary of the Treasury has the authority to reject or reduce any subscription, to allot less than the amount of notes applied for, and to make different per centage allotments to various classes of subscribers when he deems it to be in the public interest; and any action he may take in these respects shall be final. Subject to the exercise of that authority, subscriptions will be allotted: ( 1 ) in full if the subscription is for a State, political subdivision or instrumentality thereof, public pension and retirement and other public fund, international organization in which the United States holds membership, foreign central bank and foreign State, Federal Reserve Bank, or Gov ernment Investment Account and such subscriber certifies in writing that at 4 p.m., Eastern day light saving time, October 25, 1967, it owned or had contracted to purchase for value securities of the issues enumerated in Paragraph 1 of Section I hereof, in an aggregate amount equal to or greater than the amount of such subscriptions (any such subscriber may enter an additional sub scription subject to a percentage allotm ent); and ( 2 ) on a percentage basis, to be publicly announced. Allotment notices will be sent out promptly upon allotment. IV. PAYMENT 1. Paym ent at par and accrued interest, if any, for notes allotted hereunder must be made or completed on or before November 15, 1967, or on later allotment. Payment will not be deemed to have been completed where registered notes are requested if the appropriate identifying number as required on tax returns and other documents submitted to the Internal Revenue Service (an individual’s social security number or an employer identification number) is not furnished. In every case where full payment is not completed, the payment with application up to 2 percent of the amount of notes allotted shall, upon declaration made by the Secretary of the Treasury in his discretion, be forfeited to the United States. Payment may be made for any notes allotted here under in cash or by exchange of securities of the issues enumerated in Paragraph 1 of Section I hereof, which will be accepted at par. When payment is made with securities in bearer form, coupons dated November 15, 1967, should be detached and cashed when due. When payment is made with registered securities, the final interest due on November 15, 1967, will be paid by issue of interest checks in regular course to holders of record on October 13, 1967, the date the transfer books closed. V. ASSIGNMENT OF REGISTERED SECURITIES 1. Treasury securities in registered form tendered as deposits and in payment for notes allotted hereunder should be assigned by the registered payees or assignees thereof, in accordance with the general regulations of the Treasury Department, in one of the forms hereafter set forth. Securities tendered in payment should be surrendered to a Federal Reserve Bank or Branch or to the Office of the Treasurer of the United States, Wash ington, D. C. 20220. The maturing securities must be delivered at the expense and risk of the holder. If the new notes are desired registered in the same name as the securities surrendered, the assignment should be to “The Secretary of the Treasury for 5 5/s percent Treasury Notes of Series A-1969”; if the new notes are desired regis tered in another name, the assignment should be to “The Secretary of the Treasury for 5 5/s percent Treasury Notes of Series A-1969 in the name of______________ if new notes in coupon form are desired, the assignment should be to “The Secretary of the Treasury for 5% percent Treasury Notes of Series A-1969 in coupon form to be delivered to____ ___ . _ _____ VI. GENERAL PROVISIONS 1. As fiscal agents of the United States, Federal Reserve Banks are authorized and requested to receive subscriptions, to make such allotments as may be prescribed by the Secretary of the Treasury, to issue such notices as may be necessary, to receive payment for and make delivery of notes on full-paid subscriptions allot ted, and they may issue interim receipts pending delivery of the definitive notes. 2. The Secretary of the Treasury may at any time, or from time to time, prescribe supplemental or amen datory rules and regulations governing the offering, which will be communicated promptly to the Federal Reserve Banks. H EN R Y H. FOWLER, Secretary of the Treasury. UNITED STATES OF AMERICA 5 3/4 PERCENT TREASURY NOTES OF SERIES A-1974 Dated and bearing interest from November 15, 1967 Due November 15, 1974 TREASURY D EPA RTM EN T Office of the Secretary Washington, October 26, 1967 DEPARTMENT CIRCULAR Public Debt Series No. 10-67 I. OFFERING OF NOTES 1. The Secretary of the Treasury, pursuant to the authority of the Second Liberty Bond Act, as amended, offers $1,500,000,000, or thereabouts, of notes of the United States, designated 5 3A percent Treasury Notes of Series A-1974, at par and accrued interest. The following securities, maturing November 15, 1967, will be accepted at par in payment or exchange, in whole or in part, to the extent subscriptions are allotted by the Treasury: 4% percent Treasury Notes of Series F-1967; or 3% percent Treasury Bonds of 1967. T he books will be open only on October 30, 1967, for the receipt of subscriptions. II. DESCRIPTION OF NOTES 1. The notes will be dated November 15, 1967, and will bear interest from that date at the rate of 5% percent per annum, payable semiannually on M ay 15 and November 15 in each year until the principal amount becomes payable. They will mature November 15, 1974, and will not be subject to call for redemption prior to maturity. 2. The income derived from the notes is subject to all taxes imposed under the Internal Revenue Code of 1954. The notes are subject to estate, inheritance, gift or other excise taxes, whether Federal or State, but are exempt from all taxation now or hereafter imposed on the principal or interest thereof by any State, or any of the possessions of the United States, or by any local taxing authority. 3. The notes will be acceptable to secure deposits of public moneys. They will not be acceptable in pay ment of taxes. 4. Bearer notes with interest coupons attached, and notes registered as to principal and interest, will be issued in denominations of $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000 and $500,000,000. Provision will be made for the interchange of notes of different denominations and of coupon and registered notes, and for the transfer of registered notes, under rules and regulations prescribed by the Secretary of the Treasury. 5. The notes will be subject to the general regulations of the Treasury Department, now or hereafter pre scribed, governing United States notes. 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 of the Treasurer of the United States, Washington, D. C. 20220. Only the Federal Reserve Banks and the Treasury Department are authorized to act as official agencies. Commercial banks, which for this purpose are defined as banks accepting demand deposits, may submit subscriptions for account of cus tomers provided the names of the customers are set forth in such subscriptions. Others than commercial banks will not be permitted to enter subscriptions except for their own account. 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. Sub scriptions will be received without deposit from banking institutions for their own account, Federally-insured savings and loan associations, States, political subdivisions or instrumentalities thereof, public pension and retire ment and other public funds, international organizations in which the United States holds membership, foreign central banks and foreign States, dealers who make primary markets in Government securities and report daily to the Federal Reserve Bank of New York their positions with respect to Government securities and borrowings thereon, Federal Reserve Banks and Government Investment Accounts. Subscriptions, from all others must be accompanied by payment (in cash or in securities of the issues enumerated in Paragraph 1 of Section I hereof, which will be accepted at par) of 2 percent of the amount of notes applied for, not subject to withdrawal until after allotment. Registered securities submitted as deposits should be assigned as provided in Section V hereof. Following allotment, any portion of the 2 percent payment in excess of 2 percent of the amount of notes allotted may be released upon the request of the subscribers. 2. 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 any notes of this issue at a specific rate or price, until after mid night October 30, 1967. 3. Commercial banks in submitting subscriptions will be required to certify that they have no beneficial interest in any of the subscriptions they enter for the account of their customers, and that their customers have no beneficial interest in the banks’ subscriptions for their own account. 4. Under the Second Liberty Bond Act, as amended, the Secretary of the Treasury has the authority to reject or reduce any subscription, to allot less than the amount of notes applied for, and to make different per centage allotments to various classes of subscribers when he deems it to be in the public interest; and any action he may take in these respects shall be final. Subject to the exercise of that authority, subscriptions will be allotted: (1 ) in full if the subscription is for a State, political subdivision or instrumentality thereof, public pension and retirement and other public fund, international organization in which the United States holds membership, foreign central bank and foreign State, Federal Reserve Bank, or Gov ernment Investment Account and such subscriber certifies in writing that at 4 p.m., Eastern day light saving time, October 25, 1967, it owned or had contracted to purchase for value securities of the issues enumerated in Paragraph 1 of Section I hereof, in an aggregate amount equal to or greater than the amount of such subscription (any such subscriber may enter an additional sub scription subject to a percentage allotm ent); and ( 2 ) on a percentage basis, to be publicly announced. Allotment notices will be sent out promptly upon allotment. IV. PAYMENT 1. Paym ent at par and accrued interest, if any, for notes allotted hereunder must be made or completed on or before November 15, 1967, or on later allotment. Paym ent will not be deemed to have been completed where registered notes are requested if the appropriate identifying number as required on tax returns and other documents submitted to the Internal Revenue Service (an individual’s social security number or an employer identification number) is not furnished. In every case where full payment is not completed, the payment with application up to 2 percent of the amount of notes allotted shall, upon declaration made by the Secretary of the Treasury in his discretion, be forfeited to the United States. Paym ent may be made for any notes allotted hereunder in cash or by exchange of securities of the issues enumerated in Paragraph 1 of Section I hereof, which will be accepted at par. When payment is made with securities in bearer form, coupons dated Novem ber 15, 1967, should be detached and cashed when due. When payment is made with registered securities, the final interest due on November 15, 1967, will be paid by issue of interest checks in regular course to holders of record on October 13, 1967, the date the transfer books closed. V. ASSIGNMENT OF REGISTERED SECURITIES 1. Treasury securities in registered form tendered as deposits and in payment for notes allotted hereunder should be assigned by the registered payees or assignees thereof, in accordance with the general regulations of the Treasury Department, in one of the forms hereafter set forth. Securities tendered in payment should be sur rendered to a Federal Reserve Bank or Branch or to the Office of the Treasurer of the United States, Wash ington, D. C. 20220. The maturing securities must be delivered at the expense and risk of the holder. If the new notes are desired registered in the same name as the securities surrendered, the assignment should be to “The Secretary of the Treasury for 5 3A percent Treasury Notes of Series A-1974”; if the new notes are desired regis tered in another name, the assignment should be to “The Secretary of the Treasury for 5% percent Treasury N otes of Series A-1974 in the name o f _____ ___________ ”; if new notes in coupon form are desired, the assign ment should be to “The Secretary of the Treasury for 5 3A percent Treasury Notes of Series A-1974 in coupon form to be delivered to___________________ ”. VI. GENERAL PROVISIONS 1. As fiscal agents of the United States, Federal Reserve Banks are authorized and requested to receive subscriptions, to make such allotments as may be prescribed by the Secretary of the Treasury, to issue such notices as may be necessary, to receive payment for and make delivery of notes on full-paid subscriptions allotted, and they may issue interim receipts pending delivery of the definitive notes. 2. The Secretary of the Treasury may at any time, or from time to time, prescribe supplemental or amen datory rules and regulations governing the offering, which will be communicated promptly to the Federal Reserve Banks. H E N R Y H. FOWLER, Secretary of the Treasury. CASH SUBSCRIPTION 5 s/a % Treasury Notes of Series A-1969 At Par Due F eb ruary 15, 1969 To: Federal Reserve Bank, Station K, Dallas, Texas 75222 or — The.—------------- ------------- ---- ------------------------------------------ Branch E l P t N 79999 H ou sto n 77001 LIST ALL SUBSCRIPTION S ON REV ERSE SID E P u rsu an t to the provisions of T reasury D epartm ent Circular, Public Debt Series No. 9-67 dated October 26, 1967, th e undersigned hereby subscribes fo r $___________________ 5% % T reasu ry N otes of Series A-1969, dated November 15, 1967, m atu rin g F eb ru ary 15, 1969, and will m ake paym ent in accordance w ith the provisions of Section IV of the offering circular. All subscriptions except those specifically exempted in Section III, p a ra g ra p h 1 of the official circu lar, m u st be accompanied by a cash deposit of not less than 2% of the am ount of securities applied for. In the cases of subscriptions entered through com m ercial banks the deposits should be retained by the bank en terin g the subscriptions until allotm ent has been m ade and final paym ent is com pleted. All oth er required deposits m ust accom pany this subscription. PAY M EN T FO R N OTES ALLOTTED MAY NOT BE MADE BY CREDIT IN TREA SU RY TAX AND LOAN ACCOUNTS CLASS OF SUBSCRIPTION F orm fo r indicating M ETHOD O F PAYM ENT, D ELIVERY INSTRU CTION S and DENOM I NATIONS of securities desired will accompany NOTICE OF ALLOTM ENT. (L ist again on reverse) Customers s u b s c r ip tio n s ...................................... TOTAL. . $ . * C ER TIFIC A TIO N BY COMMERCIAL BANKS We hereby certify th a t we have received applications from our custom ers in the am ounts set opposite the custom ers’ nam es on th e list which is made a p art of this subscription; th a t th ere has been paid to us by each, such custom er as required by official offering circular, not subject to w ithdraw al until a fte r allotm ent, not less than 2 percent of the am ount applied fo r; th a t we have not made unsecured loans, or loans collateralized in whole o r in p a rt by the securities applied for, to supply th e am ounts of such paym ents to any of such custom ers; that we have no beneficial interest in the applications of such custom ers, and th a t none of our custom ers has any beneficial in terest in the am ount subscribed for our own account. .W e fu rth e r certify th a t the subscription for our own account does not exceed 50 percent of our com bined cap ital (not including cap ital notes or d ebentures), surplus and undivided profits. We fu rth e r certify th a t applications received by us, if any, from other com m ercial banks for th e ir own account and fo r the ac count of their custom ers have been entered w ith us under the sam e conditions, agreem ents and certifications as set fo rth in th is sub scription form . C ER TIFIC A TIO N BY ALL SUBSCRIBERS We certify th a t all subscribers listed hereon have agreed not to purchase or to sell, or to m ake any agreem ents w ith respect to the purchase or sale or other disposition of any of the notes of this issue a t a specific ra te o r price, u n til a fte r m idnight, October 30, 1967. C ER TIFIC A TIO N BY SPEC IA L CLASSES O F SUBSCRIBERS ( If A pplicable) (See reverse side) □ This is an original subscription □ This is a confirmation (N a m e of su b sc rib e r) (A ddress) ENTERED ON SUBSCRIPTIONS Amount Our own s u b s c r ip tio n ............................................ $ (Show in schedule on reverse) ^ (A u th o rized sig n a tu re ) D ated................................................................................. PL E A S E F IL L IN T H E FORM BELOW W HICH W ILL BE RETU RN ED TO YOU AS A N ACKNOW LEDGMENT OF YOUR SUBSCRIPTION (O V E R ) 67-217 This acknowledges your subscription for $___________ 5% % Treasury Notes of Series A-1969. REQUIRED DEPOSITS S a n A n tonio 78206 EACH SUBSCRIPTION TO T H IS ISSU E MUST BE IN A M U L T IPL E O F $1,000 THROUGH COMMERCIAL BANKS SHOULD BE RETAINED BY THE COMMERCIAL BANKS D ated November 15, 1967 F.R.B. Subscription No. IM PORTANT — Please use the above num ber in all m a tte rs — w hether paym ent or correspondence — re latin g to th is subscription. The Federal Reserve Bank or Branch will acknowledge by stam ping below. MAIL TO N am e Address Pleaselist name and address of each subscriber, indicating the following schedule: by number in the first column the class of investor, in accordance with INVESTOR CLASSES AND NUMBERS 1. 2. 3. 4. 5. 6. Individuals, p artn ersh ip s and personal tr u s t accounts M utual savings banks Insurance companies D ealers and brokers Pension and retirem en t funds of S tate and local governm ents O ther pension and retirem en t funds 7. S tate and local governm ent funds o th er th a n pension and retirem en t 8. Commercial banks 9. C orporations o th er th an banks and insurance com panies 10. Savings and building and loan associations 11. All others LIST OF SUBSCRIBERS llmtir Claw NAM E O F SUBSCRIBER AMOUNT ADD RESS DO NOT U SE O ur own subscription TOTAL $ C ER TIFIC A TIO N BY STA TES, POLITICAL SUBDIVISIONS OR IN ST R U M E N TA L IT IE S T H ER E O F, PU B LIC PEN SIO N AND R ETIR EM EN T AND O THER PUBLIC FU N D S, IN TERN A TIO N A L ORGANIZATIONS IN W HICH T H E U NITED STATES HOLDS M EM BERSH IP, FO REIG N CENTRAL BANKS AND FO R EIG N STA TES, FED E R A L R ESER V E BANKS AND GOVERNM ENT INV ESTM EN T ACCOUNTS PU R SU A N T TO SECTION III, PARAGRAPH 4 (1), TREA SU RY D EPA RTM EN T CIRCULAR, PUBLIC DEBT S E R IE S — NO. 9-67. To the F ederal Reserve Bank of D allas The undersigned hereby certifies: (1) T hat it is one of the types of subscribers designated above and has entered fo r preferred full allotm ent under the provisions of Section III, P ara g ra p h 4 (1 ), of T reasury D epartm ent Circular, Public D ebt Series — No. 9-67, subscription(s) in the am ount Of $--------------------------------- ; (2) T hat a t 4 p.m., E astern D aylight Saving Time, October 25, 1967, it owned or had contracted to purchase fo r value 4% % T reasury Notes of Series F-1967 or 3% % T reasury Bonds of 1967, or both, in an am ount equal to or g re a te r than the am ount of said subscription(s); and (3) T h at such securities will be subm itted in paym ent fo r said subscription(s). (N a m e of S u bscriber) (A d dress) hy (S ig n a tu re of P erson A uth orized to S ig n on B eh alf of S ubscrib er) (T itle a n d A ddress) D ated Note: If the above certification cannot be completed at the time the subscription is entered, a statement to that effect should accom pany the subscription, and the certification in the above form should be submitted separately as soon as possible. BANKS COMMERCIAL At P ar D ue November 15, 1974 D ated November 15,1967 To: F ederal Reserve Bank, S tatio n K, D allas, T exas 75222 or — The............... _...... — ....._............................................. .........................B ranch E l P a s o 79999 H ouston 77001 S a n A n to n io 78206 LIST A LL SUBSCRIPTION S ON REV ERSE SID E EACH SU BSCRIPTION TO TH IS IS S U E MUST BE IN A M U L T IPL E OF $1,000 All subscriptions except those specifically exem pted in Section III, P a ra g ra p h 1 of th e official circu lar, m u st be accom panied by a cash deposit of not less than 2% of the am ount of securities applied for. In the cases of subscriptions entered through com mercial banks the deposits should be retained by the bank en tering the subscriptions until allotm ent has been m ade and final paym ent is completed. All oth er required deposits m ust accom pany this subscription. PAYM ENT FO R N OTES ALLOTTED MAY NOT BE MADE BY CREDIT IN TREA SU RY TAX AND LOAN ACCOUNTS. CLASS OF SUBSCRIPTION Form fo r indicating METHOD OF PAYM ENT. DELIVERY INSTRU CTION S and DENOM I NATIO NS of securities desired will accom pany N OTICE O F ALLOTM ENT. Our own subscription . . . . . (Show in schedule on reverse) Amount TOTAL CER TIFIC A TIO N BY COMMERCIAL BANKS We hereby certify th a t we have received applications from our custom ers in the am ounts set opposite the^ custom ers’ nam es on the list which is made a p art of this subscription; th a t there has been paid to us by each such custom er as required by official offering circular, not subject to w ithdraw al until a fte r allotm ent, not less than 2 percent of th e am ount applied fo r; th a t we have not m ade unsecured loans, or loans collateralized in whole or in p art by the securities applied for, to supply the am ounts of such paym ents to any of such custom ers; th a t we have no beneficial in terest in the applications of such custom ers, and th a t none of our custom ers has any beneficial in terest in the am ount subscribed for our own account. We fu rth e r certify th a t the subscription for our own account does not exceed 50 percent of our combined cap ital (n o t including cap ital notes or d ebentures), surplus and undivided profits. We fu rth e r certify th a t applications received by us, if any, from other com m ercial banks fo r th e ir own account and fo r the ac count of th eir custom ers have been entered w ith us under the same conditions, agreem ents and certifications as set fo rth in th is sub scription form . CER TIFIC A TIO N BY ALL SUBSCRIBERS W e certify th a t all subscribers listed hereon have agreed not to purchase or to sell, o r to m ake any agreem ents w ith respect to th e purchase or sale or other disposition of any of the notes of this issue a t a specific ra te o r price, u n til a fte r m idnight, O ctober 30, 1967. □ This is an original subscription □ This is a confirmation (Name of subscriber) (Address) B y.......................... (Authorized sigmature) D ated.................... PL E A S E F IL L IN T H E FORM BELOW W HICH W ILL BE RETU RN ED TO YOU AS AN ACKNOW LEDGM ENT O P YOUR SU BSCRIPTIO N DEPOSITS REQUIRED (L ist ag ain on reverse) Customers subscription ON SUBSCRIPTIONS ENTERED THROUGH COMMERCIAL BANKS SHOULD RETAINED P u rsu a n t to the provisions of T reasury D epartm ent Circular, Public D ebt Series No. 10-67, dated October 26, 1967, th e under signed hereby subscribes fo r $___________________ 5% % T reasu ry N otes of Series A-1974, dated N ovem ber 15, 1967, m atu rin g N ovem ber 15, 1974, and will m ake paym ent in accordance w ith th e provisions of Section IV of th e offering circular. BE BY THE CASH SUBSCRIPTION 5/4% Treasury Notes of Series A-1974 This acknowledges your subscription for 5% % Treasury Notes of Series A-1974. F.R.B. Subscription No. IM PORTANT — Please use th e above num ber in all m a tte rs — w hether p a y m e n t o r c o rre sp o n d e n c e — rela tin g to th is subscription. The Federal Reserve Bank o r B ranch w ill acknowledge by stam p in g below. MAIL TO N am e Address Please list name and address of each subscriber, indicating by number in the first column the class of investor, in accordance with the following schedule: INVESTOR CLASSES AND NUMBERS 1. 2. 3. 4. 5. 6. Individuals, p artn ersh ip s and personal tr u s t accounts M utual savings banks Insurance com panies D ealers and brokers Pension and retirem en t funds of S tate and local governm ents O ther pension and retirem en t f\m ds 7. S tate and local governm ent funds oth er th a n pension and retirem en t 8. Commercial banks 9. C orporations oth er th an banks and insurance com panies 10. Savings and building and loan associations 11. All others LIST OF SUBSCRIBERS InrMtM Gn NAM E O F SUBSCRIBER AMOUNT ADDRESS DO NOT U SE O ur own subscription TOTAL $ C E R TIFIC A TIO N BY STA TES, POLITICAL SUBDIV ISIO N S OR IN ST R U M E N TA L IT IE S T H E R E O F, PU B LIC P E N SIO N AND R ETIR EM EN T AND OTHER PU B LIC FU N D S, IN TERN A TIO N A L ORGANIZATIONS IN W HICH T H E U NITED STATES HOLDS M EM BERSH IP, FO R EIG N CEN TRA L BANKS AND FO R EIG N STATES, FED E R A L R ESER V E BANKS AND GOVERNMENT INV ESTM EN T ACCOUNTS PU R SU A N T TO SECTION III, PARAGRAPH 4 (1), TREA SU RY D EPA RTM EN T CIRCULAR, PUBLIC DEBT S E R IE S — NO. 10-67. To th e F ed eral R eserve B ank of D allas The undersigned hereby certifies: (1) T h at it is one of th e types of subscribers designated above and has entered fo r p referred full allotm ent under th e provisions of Section III, P arag rap h 4 (1 ), of T reasu ry D epartm ent Circular, Public D ebt Series — No. 10-67, subscription(s) in th e am ount of $______________________ ; (2) T h at a t 4 p.m., E astern D aylight Saving Time, O ctober 25, 1967, it owned or had contracted to purchase fo r value 4% % T reasu ry N otes of Series F-1967 or 3% % T reasu ry Bonds of 1967, or both, in an am ount equal to or g re a te r th a n th e am ount of said su b scrip tio n (s); and (3) T h at such securities w ill be subm itted in paym ent fo r said su b scrip tio n(s). (N a m e o f S ub scriber) (A ddress) hy (S ig n a tu re of P erso n A uthorized to Sign on B eh alf of S ubscrib er) (T itle a n d A ddress) D ated Note: If the above certification cannot be completed at the time the subscription is entered, a statement to that effect should accom pany the subscription, and the certification in the above form should be submitted separately as soon as possible.
@FedFRASER