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FEDERAL RESERVE BANK OF CHICAGO
79 WEST MONROE STREET
ADDRESS ALL COMMUNICATIONS TO

GOVERNMENT BOND DEPARTMENT

June 30, 1917.

IMPORTANT
THIS CIRCULAR MUST BE FILLED OUT AND RETURNED IMMEDIATELY TO THS

FEDERAL RESERVE BANK OF CHICAGO

GENTLEMEN:
Owing to the large over-subscription to the Liberty Loan, it has as you know been necessary
to materially scale down a great many of the subscriptions. 'Ibis has, of course, changed our
records and makes necessary a revision of your original instructions to us. In connection with this
will you please note that before any delivery of Interim Certificates can be effected, we must have
from you the following information:
FIRST:

THE RETURN OF YOUR ALLOTMENT LETTER PROPERLY ENDORSED.
FULL AND COMPREHENSIVE STATEMENT OF YOUR ACCOUNT

SECOND: A
ON

RECORDS

YOUR

PROVIDED ON
THIRD:

AFTER

ALLOTMENT

ADJUSTMENT

HAS

BEEN

AS IT APPEARS

MADE.

ON

FORM

INSIDE LEAF.

R'EVISED LIST OF: DENOMINATIONS DESIRED. BASED ON YOUR ALLOTMENT.
FuLL PAID

Bond
D enominations

No. of
Pieces

Total Par
Value

20%
No. of
Pieces

PAID

Total P ar
Value

50
100
500
1,000
5,000
10,000
50,000
100,000
1,000,000

$

All of the above requested figures must be full and complete and unless they are so furnished
to us we will be unable to proceed with your delivery.
In making up this list we especially ask that you take your requirements in the largest
denominations possible. Interim Certificates can be freely exchanged without cost to you at any
time from large denominations to smaller, or vice versa.
We feel sure that the banks in this District realize it has been physically impossible for us
to give all matters the prompt attention which they deserve, owing to the volume of work in connection with the handling of the Liberty Loan.
Assuring you that we appreciate the courtesy and patience which has been shown us in
this connection, we are
Respectfully,


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

JAMES

B.

MCDOUGAL

Governor.

If this form is not complete please give necessary instructions below, so that we can promptly
and-accurately verify your account. If you have not remitted for correct amount you must do so
immediately.

(a) The total amount of bonds you have paid for in full, $___________________________ _
Accrued interest on 366 day basis to date payment was
received by Federal Reserve Bank, or in case payment
was made in Certificates of Indebtedness, to date of
their surrender, if after June 15th, 1917 .......... $___________________________ _
(b) The total amount of bonds you have paid for on
Government installment plan at their cash value,
namely 20% of par value .... .. . .. ...... ... . .. .. $___________________________ _
Total, $___________________________ _
(c) The dates and amounts of your original 2% payments:
Date________________________________________________________
Amount, $___________________________ _
''
$___________________________ _
Date________________________________________________________
Date________________________________________________________
''
$___________________________ _
Date____________ ______ __ ________ ____________________________
''
$___________________________ _
Date________________________________________________________
''
$___________________________ _
''
$___________________________ _
Date________________________________________________________
Date________________________________________________________
''
$___________________________ _
Date___________________ ______ ____ ___ _______ __ ____ __ ________ _
''
$___________________________ _
Date________________________________________________________
''
$___________________________ _
Date______ __________________________________________________
''
$___________________________ _
Other payments:
Date _______________________________________________________ _
Date _______________________________________________________ _
Date _______________________________________________________ _
Date _______________________________________________________ _
Date _______________________________________________________ _
Date _______________________________________________________ _

"
"
"
"
"
"

P ar value of Certificates of Indebtedness used
in payment and date surrendered:
Date surrendered __________________________ Rate ________ Par Value,
Date surrendered__________________________ Ra te________
"
Date surrendered __________________________Rate________
"
Accrued interest on 365 day basis on above to date
surrendered . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$__ _________________________ _
$ ___________________________ _
$____________________________
$____________________________
$___________________________ _
$____________________________

$___________________________ _
$___________________________ _
$___________________________ _
$___________________________ _
Total, $___________________________ _

$___________________________ _
Balance due Federal Reserve Bank
or
Balance due you........................................... $___________________________ _
Remarks:


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