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FE D E R AL R E SE R V E B AN K
OF N E W YORK
Fiscal Agent of the United States
f Circular N o. 3 7 6 6 1
L
O ctober 1, 1951 J

OFFERING OF

1 % Percent Treasury Certificates of Indebtedness of Series E-1952
Dated and bearing interest from October 15, 1951

Due October 1, 1952

IN EXCHANGE FOR

l 1 Percent Treasury Notes of Series F-1951, Maturing October 15, 1951, or
/,
l lA Percent Treasury Notes of Series G-1951, Maturing November 1, 1951
To all Banks, and Others Concerned,
in the Second Federal Reserve D istrict:

The following statement was made public today:
Secretary o f the Treasury Snyder today announced the offering, through the Federal Reserve
Banks, of 1% percent Treasury Certificates of Indebtedness of Series E-1952, open on an exchange
basis to holders o f 1% percent Treasury Notes of Series F-1951, in the amount of $5,940,578,000,
maturing October 15, 1951, or 1% percent Treasury Notes of Series G-1951, in the amount of
$5,253,075,000, maturing November 1, 1951. Exchanges will be made par for par in the case of the
notes o f Series F-1951, and at par with an adjustment of interest as of October 15, 1951, in the case of
the notes o f Series G-1951. Cash subscriptions will not be received.
The certificates now offered will be dated October 15, 1951, and will bear interest from that date
at the rate of one and seven-eighths percent per annum, payable with the principal at maturity on
October 1, 1952. They will be issued in bearer form only, in denominations of $1,000, $5,000, $10,000,
$100,000 and $1,000,000.
Pursuant to the provisions o f the Public Debt Act of 1941, as amended, interest upon the certificates
now offered shall not have any exemption, as such, under the Internal Revenue Code, or laws amenda­
tory or supplementary thereto. The full provisions relating to taxability are set forth in the official
circular released today.
Subscriptions will be received at the Federal Reserve Banks and Branches, and at the Treasury
Department, Washington, and should be accompanied by a like face amount of the maturing notes.
Subject to the usual reservations, all subscriptions will be allotted in full.
The subscription books will close for the receipt of all subscriptions at the close of business
Thursday, October 4.
Subscriptions addressed to a Federal Reserve Bank or Branch or to the Treasury Department, and
placed in the mail before midnight October 4, will be considered as having been entered before the
close o f the subscription books.

The terms o f this offering are set forth in Treasury Department Circular No. 894, dated
October 1, 1951, a copy o f which is printed on the reverse side.
The subscription books are now open and subscriptions will be received by this Bank as
fiscal agent o f the United States. Cash subscriptions will not be received. Exchange subscrip­
tions should be made on official subscription blanks and mailed immediately or, i f filed by
telegram or letter, should be confirmed immediately by mail on the blanks provided.




A

llan

S proul,

President.
( over)

UNITED STATES OF AMERICA
17/s P E R C E N T T R E A S U R Y C E R T IF IC A T E S O F IN D E B T E D N E S S O F SE R IES E-1952
Dated and bearing interest from October 15, 1951

Due October 1, 1952

TREA SU RY DEPARTM ENT,

195 1
D e p a r t m e n t C ir c u la r N o . 8 9 4

O f f ic e o f t h e S e c r e t a r y ,
F is c a l S e r v ic e
B u r e a u o f th e P u b li c D e b t

Washington, October 1,1951.
I.

O F F E R IN G O F C E R T IF IC A T E S

1. The Secretary of the Treasury, pursuant to the authority of the Second Liberty Bond Act, as
amended, invites subscriptions from the people of the United States for certificates of indebtedness of the
United States, designated 1% percent Treasury Certificates of Indebtedness of Series E-1952, in exchange
for 1^4 percent Treasury Notes of Series F-1951, maturing October 15, 1951, or 1V4 percent Treasury Notes
of Series G-1951, maturing November 1, 1951. Exchanges will be made par for par in the case of the notes
of Series F-1951, and at par with an adjustment of interest as of October 15, 1951, in the case of the notes
o f Series G-1951.
II.

D E S C R IP T IO N O F C E R T IF IC A T E S

1. The certificates will be dated October 15, 1951, and will bear interest from that date at the rate of
1 % percent per annum, payable with the principal at maturity on October 1,1952. They will not be subject
to call for redemption prior to maturity.
2. The income derived from the certificates shall be subject to all taxes, now or hereafter imposed under
the Internal Revenue Code, or laws amendatory or supplementary thereto. The certificates shall be subject to
estate, inheritance, gift or other excise taxes, whether Federal or State, but shall be exempt from all taxa­
tion now or hereafter imposed on the principal or interest thereof by any State, or any of the possessions
o f the United States, or by any local taxing authority.
3. The certificates will be acceptable to secure deposits of public moneys. They will not be acceptable
in payment o f taxes.
4. Bearer certificates will be issued in denominations of $1,000, $5,000, $10,000, $100,000 and $1,000,000.
The- certificates will not be issued in registered form.
5. The certificates will be subject to the general regulations of the Treasury Department, now or here­
after prescribed, governing United States certificates.
III.

S U B S C R IP T IO N A N D A L L O T M E N T

1. Subscriptions will be received at the Federal Reserve Banks and Branches and at the Treasury
Department, Washington. Banking institutions generally may submit subscriptions for account of cus­
tomers, but only the Federal Reserve Banks and the Treasury Department are authorized to act as official
agencies.
2. The Secretary of the Treasury reserves the right to reject any subscription, in whole or in part, to
allot less than the amount of certificates applied for, and to close the books as to any or all subscriptions
at any time without notice; and any action he may take in these respects shall be final. Subject to these
reservations, all subscriptions will be allotted in full. Allotment notices will be sent out promptly upon
allotment.
IV .

PAYMENT

1. Payment for certificates allotted hereunder must be made on or before October 15, 1951, or on later
allotment. Payment of the principal amount may be made only in Treasury Notes of Series F-1951, matur­
ing October 15, 1951, or in Treasury Notes of Series G-1951, maturing November 1, 1951, which will be
accepted at par and should accompany the subscription. The full amount of interest due on the notes of
Series F-1951 surrendered will be paid to the subscriber following acceptance of the notes. In the case of
the notes of Series G-1951, accrued interest from October 1, 1950, to October 15, 1951 ($12.97945 per
$1,000) will be paid to the subscriber following acceptance of the notes.
V.

G E N E R A L P R O V IS IO N S

1. As fiscal agents of the United States, Federal Reserve Banks are authorized and requested to
receive subscriptions, to make allotments on the basis and up to the amounts indicated by the Secretary of
the Treasury to the Federal Reserve Banks of the respective Districts, to issue allotment notices, to receive
payment for certificates allotted, to make delivery of certificates on full-paid subscriptions allotted, and
they may issue interim receipts pending delivery of the definitive certificates.
2. The Secretary o f the Treasury may at any time, or from time to time, prescribe supplemental or
amendatory rules and regulations governing the offering, which will be communicated promptly to the
Federal Reserve Banks.
JOHN W. SNYDER,




Secretary of the Treasury.

(SUBMIT WITH DUPLICATE W HITE COPY)
Su bscriber’s Reference No.

S ubscription Num ber

ES N l

United States of America 1 % percent Treasury Notes of Series F-1951, maturing October 15,
1951, must be tendered in payment for this subscription.
E X C H A N G E SUBSCRIPTION

FOR UNITED STATES OF AMERICA 1% PERCENT TREASURY CERTIFICATES OF INDEBTEDNESS
OF SERIES E-1952, DATED OCTOBER 15, 1951, DUE OCTOBER 1, 1952
Important

U
allotted im full.
in ,t UbJeCt *° th® re#erT* tion* in Treasury Department Circular No. 89 4 , dated October 1, 1951, all subscription* will be
F

ederal

R

ese r v e

B

a n k of

N ew Y

ork,

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

Fiscal Agent o f the United States,
Federal Reserve P. 0 . Station,

New York 45, N. Y.
_
D

ear

.1951

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

_

Attention Government Bond Department—2nd Floor

S ir s :

Subject to the provisions of Treasury Department Circular No. 894, dated October 1, 1951, the undersigned hereby
subscribes for United States of America l f 8 percent Treasury Certificates of Indebtedness of Series E-1952 as stated below:
For own account............................................................................................... ’ ..............................

$

For our customers (for use o f banking institutions) as shown on reverse side of this form

$............................... •

Total subscription................................... ....................... $......................... .
and tenders in payment therefor a like par amount of United States of America VA percent Treasury Notes of Series
F-1951, maturing October 15, 1951, as follows:
To be delivered to you
for our account by.......

To be withdrawn from
securities held by you
for our account..........$
Pay interest due October 15, 1951, on maturing notes as follows:

Delivered to
you herewith $..........................

By check ......................................................................

□

By credit to our reserve account................................. □
NOTES SURRENDERED
L I S T S E R IA L N U M B E R S

D E N O M I­
N A T IO N

ECE 8

$

( I f insufficient space*
use back of form)

FACE AM OUNT

1 ,0 0 0

CERTIFICATES DESIRED IN EXCHANGE
D E N O M I­
P IE C E S

N A T IO N

$

----------

FACE AM OU NT

LEAVE T H IS SPACE B LA N K

1,000

5 ,0 0 0

5,000

1 0 ,0 0 0

10,000

1 0 0 ,0 0 0

100,000

1 ,0 0 0 ,0 0 0

1 , 000,000

TOTAL

TOTAL

______

Dispose o f
□ 1.
□ 2.
□ 3.
□ 4.

securities issued on this subscription as indicated below:
Deliver over the counter to the undersigned
□ 5. Special instructions:
Ship to the undersigned
Hold in safekeeping (for member bank only)
Hold as collateral for Treasury Tax and Loan

Account
(IM P O R TA N T : No changes in delivery instructions will be accepted. A separate subscription must be submitted
for each group of securities as to which different delivery instructions are given.)
H ie undersigned (if a bank or trust company) hereby certifies that the securities which you are hereby instructed to dispose
of in the manner indicated in items numbered 3 and 4 above are the sole property of the undersigned.
(F ill in all required spaces before signing)
Subscription submitted by
(Please print)
TO SU B S C R IB E R :
Please indicate i f this is a confirmation.

YES.

B y ....

NO.

(Title)

(Official signature required)

Street address .......................................
City, Town or Village, P. O. No., and State
Spaces below are for the use of the Federal Reserve Bank of New York
V

au lt

R ecord

G o v e r n m e n t B o n d R ecord

S a f e k e e p in g R ecord

Securities
received by-

Released
Taken from V ault-

Checked by-

Securities
received by-

Delivery Receipt
Received from 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 the above described
United States Government obligations in the amount indicated above.

Counted
Checked by
and delivered-

Cheeked

Subscriber.................................................................................................
D ate...........................................

Delivered

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

CERTIFICATES ISSUED IN EXCHANGE
~ 1 B S C R IP T I0 N

NUM BER

£ PE R C E N T T R E A SU R Y C E R T IF IC A T E S OF
^D E B TE D N E SS O F SE R IE S E-1952 ISSUED
S E X C H A N G E FOR 1% PE R C E N T TRE A SU R Y
T
O TE S O F SE R IE S F-1951 M A T U R IN G OCTOBER

D E N O M I­
N A T IO N

i,000
5,000

i, 1951

10,000

DELIVERY COMPLETED




100,000
1 , 000,000
TOTAL

face a m o o n t

num bers

List of customers included in the foregoing subscription
Amount Subscribed




Name of Customer

’ Address

( Please print or use typewriter)

DENOMINATIONS AND SERIAL NUMBERS OF NOTES SURRENDERED

(DUPLICATE COPY FOR USE OF FEDERAL RESERVE BANK OF NEW YORK)
S u b s c r i b e r ’s R e f e r e n c e N o .
E S -N 2

S u b s c r ip t io n N u m b e r

United States o f America 1 Vi percent Treasury Notes of Series F-1951, maturing October 15,
1951, must be tendered in payment for this subscription.

EXCHANGE SUBSCRIPTION
FOR UNITED STATES OF AMERICA 1% PERCENT TREASURY CERTIFICATES OF INDEBTEDNESS
OF SERIES E-1952, DATED OCTOBER 15, 1951, DUE OCTOBER 1, 1952
Important
Subject to the reservation* in Treasury Department Circular No. 894, dated October 1, 1951, all subscriptions will be
allotted in full.
F

ederal

R eserve B a n k of N e w Y o r k ,
Dated at.
Fiscal Agent of the United States,
Federal Reserve P. 0. Station,
-i qc-.
New York 45, N. Y.
............*...............................................................
Attention Government Bond Department—2nd Floor

D

ear

S ir s :

Subject to the provisions of Treasury Department Circular No. 894, dated October 1, 1951, the undersigned hereby
subscribes for United States of America 1% percent Treasury Certificates of Indebtedness of Series E-1952 as stated below:
For own account................................................................................................................................

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

For our customers (for use of banking institutions) as shown on reverse side of this form

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

Total subscription..........................................................
$...............................
and tenders in payment therefor a like par amount of United States of America 1*4 percent Treasury Notes of Series
F-1951, maturing October 15, 1951, as follows:
m ,
.tl ,
,
To be delivered to you
r» ,•
j .
. T u u T
m
for our account by.............................................
Delivered to
securities held by you
you herewith $...........................
for our a ccou n t........ $.......................................................................
$...............................
Pay interest due October 15, 1951, on maturing notes as follows:
By ch eck ........................................................................ □
By credit to our reserve account................................. □
CERTIFICATES DESIRED IN EXCHANGE

NOTES SURRENDERED
J

LIST SERIAL NUMBERS

DENOMI­
NATION

(If insufficient space,
use back of form)

FACE AMOUNT

$

1,000

$

DENOMI­
NATION

PIECES

FACE AMOUNT

LEAVE THIS SPACE BLANK

1,000

5,000

5,000

10,000

10,000

100,000

100,000

1 , 000,000

1 ,000,000

TOTAL

TO T A L

Dispose of
□ 1.
□ 2.
□ 3.
□ 4.

securities issued on this subscription as indicated below:
Deliver over the counter to the undersigned
□ 5. Special instructions:
Ship to the undersigned
Hold in safekeeping (for member bank only)
Hold as collateral for Treasury Tax and Loan
Account

(IM PO R TAN T : No changes in delivery instructions will be accepted. A separate subscription must be submitted
for each group of securities as to which different delivery instructions are given.)
The undersigned (i f a bank or trust company) hereby certifies that the securities which you are hereby instructed to depose
o f in the manner indicated in items numbered 3 and 4 above are the sole property of the undersigned.
(F ill in all required spaces before signing)
Subscription submitted by

(Please print)

|TO S U B S C R IB E R :
Please indicate i f this is a confirmation.

YES.

B y ..

(Title)

(Official signature required)

NO...

Street address ................................
City, Town or Village, P . O. No., and State
Spaces below are for the use of the Federal Reserve Bank o f New York
V

au lt

R

ec or d

S a f e k e e p in g R

Securities
received b y-

Released
Taken from Vault-

Securities
received by-

Counted
Checked

G o v e r n m e n t B o n d R ecord

ecokd

Received from 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 the above described
United States Government obligations in the amount indicated above.

Checked by
and delivered-

Delivered

Checked byDelivery Receipt

Subscriber.

By.

Date.

CERTIFICATES ISSUED IN EXCHANGE
iTBSCRIPTION NU M BE R
P E R C E N T T R E A S U R Y C E R T IF IC A T E S OF
rD E B T E D N E SS O F SE R IE S E-1952 ISSU E D
E X C H A N G E FO R 1 % PE R C E N T T R E A SU R Y
)T E S O F SE R IE S F-1951 M A T U R IN G OCTOBER
1951




DENOMI­
NATION

$

1,000

5,000
10,0 00

100,000
1 , 00 0 ,0 0 0
TOTAL

PACE AMOUNT

List of customers included in the foregoing subscription
Amount Subscribed




Name o f Customer

Address

(Pleast print or use typewriter)

DENOMINATIONS AND SERIAL NUMBERS OF NOTES SURRENDERED

(SUBMIT W ITH DUPLICATE W H ITE COPY)

Subscriber’s R
eferen No.
ce

S u b s c r ip t io n N u m b e r

E S -N 3

United States o f America l J percent Treasury Notes of Series G-1951, maturing November 1,
/4
1951, must be tendered in payment for this subscription.

EXCHANGE SUBSCRIPTION
FOR UNITED STATES OF AMERICA V/8 PERCENT TREASURY CERTIFICATES OF INDEBTEDNESS
OF SERIES E-1952, DATED OCTOBER 15, 1951, DUE OCTOBER 1, 1952
Important
1. Subject to the reservations in Treasury Department Circular No. 8 9 4 , dated October 1, 1 951, all subscriptions will be
allotted in full.
2. Accrued interest from October 1, 19 5 0 to October 15, 1951 ($ 1 2 .9 7 9 4 5 per $ 1 ,0 0 0 ) will be paid to the subscriber follow­
ing- acceptance of the 1 ^ 4 % Treasury Notes of Series G -1 9 5 1 , maturing November 1, 1951.
F

ederal

R eserve B

ank

or N ew Y

ork,

n

.

,

Fiscal Agent of the United States,
JJatea at..........................................................................
Federal Reserve P. O. Station,
New York 45, N. Y.
................................................................-.................1951
Attention Government Bond Department— 2nd Floor
D ear S ir s :

Subject to the provisions of Treasury Department Circular No. 894, dated October 1, 1951, the undersigned hereby
subscribes for United States of America 1% percent Treasury Certificates of Indebtedness of Series E-1952 as stated below:
For own account........................................................................................................................................

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

For our customers (for use of banking institutions) as shown on reverse side of this form

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

Total subscription..............................................................

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

and tenders in payment therefor a like par amount of United States of America 1% percent Treasury Notes of Series
G-1951, maturing November 1, 1951, as follows:
Delivered to
you herewith $.............................

To be withdrawn from
securities held by you
for our account .........$............................

To be delivered to you
for our account by..... .

Pay on October 15, 1951 the accrued interest ($12.97945
per $1,000) due on the notes of Series G-1951 as follows:
By check............................................................................. □
By credit to our reserve account................................... □
NOTES SURRENDERED
L I S T S E R IA L N U M B E R S

D E N O M I­

TO

N A T IO N

$

CERTIFICATES DESIRED IN EXCHANGE
D E N O M I­

( I f insufficient space,
use back o f form )

PACE AM OUNT

1 ,0 0 0

$

5 ,0 0 0

P IE C E S

N A T IO N

PACE AM OUNT

LEAVE T H IS SPACE B L A N K

1 ,0 0 0

5 ,0 0 0
1 0 ,0 0 0

1 0 ,0 0 0

1 0 0 ,0 0 0

1 ,0 0 0 ,0 0 0

1 ,0 0 0 ,0 0 0

TOTAL

TOTAL

Dispose of
□ 1.
□ 2.
□ 3.
□ 4.

(

securities issued on this subscription as indicated below:
Deliver over the counter to the undersigned
□ 5. Special instructions:
Ship to the undersigned
Hold in safekeeping (for member bank only)
Hold as collateral for Treasury Tax and Loan
Account

(IM P O R T A N T : No changes in delivery instructions will be accepted. A separate subscription must be submitted
lor each group o f securities as to which different delivery instructions are given.)

The undersigned ( i f a bank or trust company) hereby certifies that the securities which you are hereby instructed to dispose
Subscription submitted by
of in the manner indicated in items numbered 3 and 4 above are the sole property of the undersigned.
( Please print)

(F ill in all required spaces before signing)

T O S U B S C R IB E R :
Please indicate i f this is a confirmation.

Y E S ..

B y.
(T itle )

(Official signature required)

N O ....

Street address ................................
City, Town or Village, P. O. No., and State
Spaces below are for the use o f the Federal Reserve Bank of New York
V a u l t R ecord

S a f e k e e p in g R ecord

Securities
received by-

Released
Taken from Vault-

G o v e r n m e n t B o n d R ecord

Delivery Receipt
Received from 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 the above described
United States Government obligations in the amount indicated above.

Counted
Checked

Checked by
and delivered-

Subscriber.

CERTIFICATES ISSUED IN EXCHANGE

C R IP T IO N N U M B E R
P E R C E N T T R E A S U R Y C E R T IF IC A T E S OF
D E B T E D N E S S O F SE R IE S E-1952 ISSUED
E X C H A N G E FO R 1*4 PE R C E N T TR E A SU R Y
>TES O F SE R IE S G-1951 M A T U R IN G NOVEMR 1, 1951

B y.

Date.

Delivered

D E N O M I­
N A T IO N

P IE C E S

$

1,000
5,000
1 0 ,000

DELIVERY COMPLETED




Checked by-

Securities
received b y-

100,000
1 , 0 0 0 ,0 0 0

TOTAL

I'A C E A M O U N T

N U M I1ERS

List o f customers included in the foregoing subscription
Amount Subscribed




Name of Customer

Address

(Pirate print or use typewriter)

DENOMINATIONS AND SERIAL NUMBERS OF NOTES SURRENDERED

(DUPLICATE COPY FOR USE OF FEDERAL RESERVE BANK OF NEW YORK)
S u b s c r ib e r ’ s R e fe re n ce N o .

S u b s c r ip t io n N u m b e r

E S -N 4

United States o f America 1 % percent Treasury Notes of Series G-1951, maturing November 1,
1951, must be tendered in payment for this subscription.

EXCHANGE SUBSCRIPTION
FOR UNITED STATES OF AMERICA V/8 PERCENT TREASURY CERTIFICATES OF INDEBTEDNESS
OF SERIES E-1952, DATED OCTOBER 15, 1951, DUE OCTOBER 1, 1952
Important
1. Subject to the reservations in Treasury Department Circular No. 894, dated October 1, 1951, all subscriptions will be
allotted in full.
2. Accrued interest from October 1, 1950 to October 15, 1951 ($ 1 2 .9 7 9 4 5 per $ 1 ,0 0 0 ) will be paid to the subscriber follow*
ing acceptance o f the 1 ^ 4 % Treasury Notes of Series G -1 951 , maturing November 1, 1951.
F

R eserve B a n k of N e w Y o r k ,
Dated at.
Fiscal Agent of the United States,
Federal Reserve P. 0 . Station,
1 0 1 ,1
New York 45, N. Y .
..................................................................................
Attention Government Bond Department— 2nd Floor
D e a r Snts:
Subject to the provisions of Treasury Department Circular No. 894, dated October 1, 1951, the undersigned hereby
subscribes for United States of America 1% percent Treasury Certificates of Indebtedness of Series E-1952 as stated below:
ederal

For own account........................................................................................................................................

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

For our customers (for use of banking institutions) as shown on reverse side of this form

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

Total subscription..........................................................
$...............................
and tenders in payment therefor a like par amount of United States of America l 1^ percent Treasury Notes of Series
/
G-1951, maturing November 1, 1951, as follows:
_ .
., ,
„
To be delivered to you
.
To be. withdrawn from
for our aceorrat by.............................................
I Delivered to
securities held by you
for our account..........$........................................................................
$......... .....................
1 you herewith $...........................
Pay on October 15, 1951 the accrued interest ($12.97945
per $1,000) due on the notes o f Series G-1951 as follows:
By c h e c k ........................................................................ □
By credit to our reserve account................................. □
CERTIFICATES DESIRED IN EXCHANGE

NOTES SURRENDERED
LIST SERIAL NUMBERS

D E N O M I­
SOTS

----1

FACE

N A T IO N

$

(I f insufficient spact,
use back of form)

am ount

DENOMI­
NATION

PIECES
$

1 ,0 0 0

FACE AMOUNT

LEAVE THIS SPACE BLANK

1 ,0 0 0

5 ,0 0 0

5 ,0 0 0

10,000

1 0 ,0 0 0
1 0 0 ,0 0 0

1 ,0 0 0 ,0 0 0

1,000,000

TOTAL

TO T A L

Dispose of
□ 1.
□ 2.
□ 3.
□ 4.

securities issued on this subscription as indicated below:
Deliver over the counter to the undersigned
Q 5. Special instructions:
Ship to the undersigned
Hold in safekeeping (for member bank only)
Hold as collateral for Treasury Tax and Loan
Account

( IM P O R T A N T : No changes in delivery instructions will be accepted. A separate subscription must be submitted

for each group o f securities as to which different delivery instructions are given.)
The undersigned (if a bank or trust company) hereby certifies that the securities which you are hereby instructed to dispose
of in the manner indicated in items numbered 3 and 4 above are the sole property of the undersigned.
(F ill in all required spaces before signing)
Subscription submitted by
TO S U B S C R IB E R :
Please indicate i f this is a confirmation.

YES..

B y ..-.

(Please print)

(Title)

(Official signature required)

N O ....

Street address .......................................
City, Town or Village, P. O. No., and State
Spaces below are for the use of the Federal Reserve Bank of New York
V a u l t R ec or d

Securities
received by-

Released
Taken from Vault-

G o v e r n m e n t B o n d R ecord

S a f e k e e p in g R ecord

Securities
received by-

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 Government obligations in the amount indicated above.

Counted
Checked

Checked b yDelivery Receipt

Checked by
and delivered-

Subscriber.

By.

Date.

Delivered

CERTIFICATES ISSUED IN EXCHANGE
3SCRIPTIO N N U M BER
PE R C E N T T R E A SU R Y C E R T IF IC A T E S OF
D EBTE DN ESS O F SER IE S E-1952 ISSUED
E X C H A N G E FOR 1^4 PER CEN T T R E A SU R Y
TES OF SE R IE S G-1951 M ATU RIN G NOVEMR 1, 1951




DENOMI­
NATION

PIECES

$

1,000
5,000

10,000
100,000
1 ,000,000
TO TAL

FACE AMOUNT

NUMBERS

List of customers included in the foregoing subscription
Amount Subscribed




Name o f Customer

Address

( P l e a s e p r in t o r u s e t y p e w r i t e r )

DENOMINATIONS AND SERIAL NUMBERS OF NOTES SURRENDERED