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F E D E R A L R E S E R V E BA N K O F N EW YORK Fiscal Agent of the United States r Circular N o. 4 7 6 1 T L July 20, 1959 J OFFERING OF 4% Percent Treasury Notes of Series C-1960 or 4% Percent Treasury Notes of Series A-1964 IN EXCHANGE FOR 1% Percent Treasury Certificates of Indebtedness of Series C-1959 or 4 Percent Treasury Notes of Series A-1961 Stamped for Payment August 1, 1959 T o A ll B anking In stitution s, and Others Concerned, in th e Second Federal R eserve D istrict: The subscription books are open fo r an offering o f— 4 % percent Treasury Notes o f Series C-1960, dated A u gu st 1, 1959, m aturing August 15, 1960, or 4 % percent Treasury Notes o f Series A -1964, dated J u ly 20, 1959, m aturing M ay 15, 1964, at par in exchange fo r either the 1 % percent T rea su ry Certificates o f Indebtedness o f Series C-1959, m aturing A ugust 1, 1959, or the 4 percent T rea su ry Notes o f Series A-1961, dated A ugu st 1, 1957, on which the option to redeem on A ugust 1,1959, was exercised b y the holders, in accordance with T reasury D epartm ent Circular N o. 992. Subscribers fo r the notes m aturing in 1960 should surrender either the 1 % percent certifi cates, with coupons detached, or the 4 percent notes o f Series A-1961, with coupon No. 4 detached and coupons Nos. 5 through 8 attached. Subscribers fo r the notes m aturing in 1964 should surrender either the 1 % percent certificates, with A ugust 1, 1959 coupons attached, or the 4 percent notes o f Series A-1961, w ith coupons Nos. 4 through 8 attached. A ccru ed interest from F ebruary 1 to J u ly 20, 1959, w ill be paid on the securities surrendered in exchange fo r the notes m aturing in 1964, follow ing acceptance o f the securities surrendered. The terms o f these offerings are set forth in T reasury D epartm ent Circulars Nos. 1028 and 1029, both dated J u ly 20, 1959; a cop y o f each is printed on the follow in g pages. Subscriptions w ill be received b y this B ank as fiscal agent o f the U nited States. Cash subscriptions w ill not be received. Subscriptions should be submitted in triplicate on official subscription form s, copies o f which are enclosed, and should be m ailed im m ediately; i f filed b y telegram or letter, the subscriptions should be confirmed im m ediately b y m ail on the form s provided. The subscription books w ill remain open fo r th ree days only, J u ly 20 through J u ly 22. A n y subscription addressed to a F ederal R eserve Bank or B ranch or to the T reasu ry D epartm ent and placed in the mail before midnight W ednesday, J u ly 22, w ill be considered timely. A l f r e d H a y e s , President. UNITED STATES OF AMERICA 43/4 PERCENT TREASURY NOTES OF SERIES C-1960 Dated and bearing interest from August 1, 1959 1959 Department Circular N o. 1028 Due August 15, 1960 TREASU RY DEPARTM ENT, O f f ic e o f t h e S e c r e t a r y , FUcal Service Bureau of the Public Debt I. O FFERIN G OF NOTES 1. The Secretary o f the Treasury, pursuant to the authority o f the Second L iberty B ond A ct, as amended, invites subscriptions, at par, from the people o f the United States fo r notes o f the U nited States, designated 4 % percent Treasury Notes o f Series C-1960, in exchange fo r 1 % percent Treasury Certifi cates o f Indebtedness o f Series C-1959, maturing A ugust 1, 1959, or 4 percent Treasury Notes o f Series A-1961, on which notice o f intention to redeem on A u gust 1, 1959, was given in accordance with the terms o f Department C ircular No. 992. The amount o f the offering under this circular will be limited to the amount o f securities tendered in exchange and accepted. The books w ill be open only on July 20 through July 22 fo r the receipt o f subscriptions for this issue. 2. In addition to the offering under this circular, holders o f the eligible securities are offered the p rivi lege o f exchanging all or any part o f such securities fo r 4 % percent Treasury Notes o f Series A-1964, which offering is set forth in Department Circular No. 1029, issued simultaneously with this circular. n. D E SC R IP TIO N O F NOTES 1. The notes will be dated A u gust 1, 1959, and will bear interest from that date at the rate o f 4 % percent per annum, payable on a semiannual basis on February 15 and A ugust 15, 1960. They will mature A ugust 15, 1960, and w ill 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 o f 1954. The notes are subject to estate, inheritance, g ift or other excise taxes, whether Federal or State, bu t are exempt from all taxation now or hereafter imposed on the principal or interest thereof by any State, or any o f the possessions o f the United States, or b y any local taxing authority. 3. The notes will be acceptable to secure deposits o f public moneys. They w ill not be acceptable in p ay ment o f taxes. 4. Bearer notes with interest coupons attached will be issued in denominations o f $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000 and $500,000,000. The notes will not be issued in registered form . 5. The notes will be subject to the general regula tions o f the Treasury Department, now or hereafter prescribed, governing U nited States notes. Washington, July 20, 1959. III. S U B C R IP T IO N A N D A LL O TM E N T 1. Subscriptions will be received at the Federal Reserve Banks and Branches and at the Office o f the Treasurer o f the U nited States, W ashington. Banking institutions generally m ay submit subscriptions for account o f customers, but on ly the Federal Reserve Banks and the Treasury Departm ent are authorized to act as official agencies. 2. The Secretary o f the Treasury reserves the right to reject or reduce any subscription, and to allot less than the amount o f notes applied f o r ; and any action he may take in these respects shall be final. Subject to these reservations, all subscriptions will be allotted in full. A llotm ent notices w ill be sent out prom ptly upon allotment. IV . PAYM ENT 1. Payment at par fo r notes allotted hereunder must be made on or before August 3, 1959, o r on later allotment, and may be made on ly in Treasury Certifi cates o f Indebtedness o f Series C-1959, maturing A ugust 1, 1959, or Treasury Notes o f Series A-1961, on which notice o f intention to redeem on A ugust 1, 1959, was given in accordance with the terms of Department Circular No. 992, which will be accepted at par, and should accom pany the subscription. Cou pons dated A ugust 1, 1959, on the certificates and notes should be detached b y holders and cashed when due. Coupons dated February 1, 1960, and all subse quent coupons must be attached to the notes o f Series A-1961 when surrendered. V. G E N E R A L PR O V ISIO N S 1. A s fiscal agents o f 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 o f the Treasury to the Federal Reserve Banks o f the respec tive Districts, to issue allotment notices, to receive payment fo r notes allotted, to make delivery o f notes on full-paid subscriptions allotted, and they may issue interim receipts pending delivery o f the definitive notes. 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 offer ing, which will be communicated prom ptly to the Federal Reserve Banks. ROBERT B. ANDERSON, Secretary of the Treasury. UNITED STATES OF AMERICA 4% PERCENT TREASURY NOTES OF SERIES A-1964 Due M ay 15, 1964 Dated and bearing interest from July 20, 1959 1959 Department Circular No. 1029 TREASU RY DEPARTM ENT, O f f ic e o f t h e S e c r e t a r y , Fiscal Service Bureau of the Public Debt I. O FFERIN G OF NOTES 1. The Secretary o f the Treasury, pursuant to the authority o f the Second Liberty B ond A ct, as amended, invites subscriptions, at par, from the people o f the United States fo r notes o f the U nited States, designated 4 % percent Treasury Notes o f Series A-1964, in exchange fo r 1 % percent Treasury Certifi cates o f Indebtedness o f Series C-1959, maturing A u gust 1, 1959, or 4 percent Treasury Notes o f Series A-1961, on which notice o f intention to redeem on A ugust 1, 1959, was given in accordance with the terms o f Department Circular No. 992. Interest will be adjusted on the securities to be exchanged as o f J u ly 20, 1959, as provided in Section IV , Payment, hereof. The amount o f the offering under this circular w ill be limited to the amount o f securities tendered in exchange and accepted. The books will be open only on July 20 through July 22 fo r the receipt o f subscriptions fo r this issue. 2. In addition to the offering under this circular, holders o f the eligible securities are offered the p rivi lege o f exchanging all or any part o f such securities fo r 4% percent Treasury Notes o f Series C-1960, which offering is set forth in Department Circular No. 1028, issued simultaneously with this circular. II. D E SC R IP TIO N OF NOTES 1. The notes w ill be dated J u ly 20, 1959, and will bear interest from that date at the rate o f 4 % percent per annum, payable on a semiannual basis on Novem ber 15, 1959, and thereafter on May 15 and November 15 in each year until the principal amount becomes payable. They will mature M ay 15, 1964, and will not be subject to call fo r redemption p rior to maturity. 2. The income derived from the notes is subject to all taxes imposed under the Internal Revenue Code o f 1954. The notes are subject to estate, inheritance, g ift or other excise taxes, whether Federal or State, but are exempt from all taxation now or hereafter imposed on the principal or interest thereof b y any State, or any o f the possessions o f the United States, or by any local taxing authority. 3. The notes w ill be acceptable to secure deposits o f public moneys. They w ill not be acceptable in p ay ment o f taxes. 4. Bearer notes with interest coupons attached will be issued in denominations o f $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000 and $500,000,000. The notes will not be issued in registered form . 5. The notes will be subject to the general regula tions o f the Treasury Department, now or hereafter prescribed, governing United States notes. Washington, July 20, 1959. III. SU B C R IPTIO N A N D A LL O TM E N T 1. Subscriptions will be received at the Federal Reserve Banks and Branches and at the Office o f the Treasurer o f the United States, W ashington. Banking institutions generally may submit subscriptions for account o f customers, but only the Federal Reserve Banks and the Treasury Departm ent are authorized to act as official agencies. 2. The Secretary o f the Treasury reserves the right to reject or reduce any subscription, and to allot less than the amount o f notes applied f o r ; and any action he may take in these respects shall be final. Subject to these reservations, all subscriptions will be allotted in full. Allotm ent notices w ill be sent out prom ptly upon allotment. IV. PA Y M E N T 1. Paym ent at par fo r notes allotted hereunder must be made on or before A ugust 3, 1959, or on later allotment, and may be made only in Treasury Certifi cates o f Indebtedness o f Series C-1959, maturing August 1, 1959, or Treasury Notes o f Series A-1961, on which notice o f intention to redeem on August 1, 1959, was given in accordance with the terms of Department Circular No. 992, which w ill be accepted at par, and should accom pany the subscription. Cou pons dated August 1, 1959, on the certificates and notes, and all subsequent coupons on the notes, must be attached to the securities when surrendered, and accrued interest from February 1, 1959, to J u ly 20, 1959 ($7.58633 per $1,000 on the certificates and $18.67403 per $1,000 on the notes) will be paid sub scribers follow in g acceptance o f the securities to be exchanged. V. G EN ERAL PRO VISIO N S 1. A s fiscal agents o f 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 o f the Treasury to the Federal Reserve Banks o f the respec tive Districts, to issue allotment notices, to receive paym ent fo r notes allotted, to make delivery o f notes on full-paid subscriptions allotted, and they may issue interim receipts pending delivery o f the definitive notes. 2. The Secretary o f the Treasury m ay at any time, or from time to time, prescribe supplemental or amendatory rules and regulations governing the offer ing, which will be communicated prom ptly to the Federal Reserve Banks. R O B E R T B. AN D ERSON , Secretary of the Treasury. (Please type or print legibly and submit in triplicate) Subscriber's Reference No. Subscription No. NA-1 EXCHANGE SUBSCRIPTION For United States of America 4 % Percent Treasury Notes of Series A-1964 Dated July 20, 1959, Due May 15, 1964 I m p o r ta n t I n s tr u c tio n s . 1. S e c u r itie s o f d iffe r e n t is s u e s s u r r e n d e r e d in e x c h a n g e m a y b e lis te d t o g e t h e r on th e sa m e s u b s c r ip t io n fo r m , e x c e p t th a t a s e p a r a t e s u b s c r ip t io n fo r m s h o u ld b e u s e d f o r e a c h g r o u p o f n e w se c u r itie s f o r w h ic h d iffe r e n t d e liv e r y in s tr u c t io n s a r e g iv e n . 2 . S ig n a t u r e s a r e r e q u ir e d o n o r ig in a l o n l y ; all o t h e r fille d -in m a tte r s h o u ld a p p e a r in t r ip lic a te . F e d e ra l R eserve B a n k op Dated a t ...................................... N ew Y ork , Fiscal Agent o f the United States, New York 45, N. Y . ........................................................ .1959 Attention: Government Bond Division D ear Sir s : Subject to the provisions of Treasury Department Circular No. 1029, dated July 20, 1959, the under signed hereby subscribes for United States of America 4 % percent Treasury Notes of Series A-1964, in the amount o f $................................................* and tenders in payment therefor a like par amount of the securities— Delivered to you herewith ......................................................................................... $................................. To be withdrawn from securities held by y o u ..................................................... $................................. To be delivered b y ....................................................................................................... $................................. •(Please fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” ) SE C U R ITIE S SURRENDERED (List serial numbers on reverse side) T o ta l a m o u n t easury C of I’s of Series C -1959, with Aug. 1, 1959 coupons attached $. sury Notes of Series A -1 9 6 1 , payable on August 1, 1959*, with ns Nos. 4 through 8 attached.................................................................... $. T o t a l............................................................................................. $- nly those notes o f Series A-1961 are payable on August 1, 1959, as to which owners have exercised the option i on August 1, 1959.) jrued interest on the certificates surrendered from February 1 to July 20, 1959 ($7.58633 per follows: 3 By check □ By credit to our reserve account rued interest on the notes surrendered from February 1 to July 20,1959 ($18.67403 per $1,000), □ 1 By check By credit to our reserve account (Signature(s) required also on Delivery Instructions below) t fill in b o x e s b e l o w ) m ent fio N D D i v i s i o n Submitted by ................. Canceled Checked (P lea se print) B y ........................................... .......... B y ................................... (A u th o rize d s ig n a tu re (s) required) T itle .............................................................. Title Address ..................................................................... Subscription No. ’. LIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION »d States of America 4 % Percent Treasury Notes o f Series A-1964 Dated July 20, 1959, Due May 15, 1964 NOTES D E S IR E D IN E X C H A N G E Dispose of securities issued as follow s: □ Denomi nation Pieces $ (L eave this space blank) Face amount 1,000 □ □ 5,000 □ □ 1. Deliver over the counter to the undersigned 2. Hold in safekeeping (for member bank only) 3. Hold as collateral fo r Treas ury Tax and Loan Account 4. Ship to the undersigned 5. Special instructions: 10,000 100,000 1 ,000,000 TOTAL T h e u n d e r s ig n e d h e r e b y certifies^ th a t th e s e c u r it ie s t o b e d i s p o s e d o f a s in d ic a t e d in ite m 2 o r 3 a b o v e a r e o w n e d s o le ly b y th e u n d e r s ig n e d . ( I M P O R T A N T : N o c h a n g e s in d e liv e r y in s tr u c t io n s w ill b e a c c e p t e d . A s e p a r a t e s u b s c r ip t io n fo r m m u st b e s u b m itte d fo r e a c h g r o u p o f s e c u r it ie s f o r w h ic h d iffe r e n t d e liv e r y in s tr u c tio n s a r e g iv e n .) Submitted by (P le a se print) By................ The subscription books will open on July 20, and close at the close of business July 22, 1959. B y. (A u th orized sig n a tu re(s) required) T itle ...................................................... T itle................................ Address ( S p a c e s b e l o w a r e f o r th e u s e o f th e 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 ) S a f e k e e p i n o R ecord 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 States obligations in the amount subscribed for. Received Checked and Digitized fordelivored FRASER Subscriber Date. 'f By. ork the above described United ( I f space is Insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Leave this space blank) Name and address o f account ( Please print or typewrite) 1 % % C o f I ’s (C-1959) 4 % Notes (A-1961) Total $ ........................ $ ........................ $ Total su bscrip tion ................................... $ ................................... $ ................................... $ ................................. Denominations and Serial Numbers of Securities Surrendered I ssue 1 % % O o f I ’s (C-1959) 4 % Notes (A -1961) • _ DUPLICATE—SECURITY RECORDS “IN TICKET” Subscriber 'a Reference No. Subscription No. N A -2 EXCHANGE SUBSCRIPTION For United States o f America 4 % Percent Treasury Notes of Series A-1964 Dated July 20, 1959, Due May 15, 1964 | J F ederal R eserve B a n k o p N e w Dated a t ....................................................... Y ork, Fiscal Agent of the United States, New York 45, N. Y . ................................................................ 1959 i j D e a r S ir s : Subject to the provisions o f Treasury Department Circular No. 1029, dated July 20, 1959, the under| signed hereby subscribes for United States o f America 4% percent Treasury Notes of Series A-1964, in the amount of $................................................ * and tenders in payment therefor a like par amount of the securities— I j; Delivered to you h e re w ith ......................................................................................... $................................. To be withdrawn from securities held by y o u ...................................................... $................................. To be delivered b y ....................................................................................................... $................................. * (P lea se fill in on the reverse side the schedule “ L is t o f A ccou n ts In clu d ed in this S u b scrip tion .” ) £ SE C U R ITIE S SU RRENDERED ( L is t serial num bers on r e v e rs e sid e) T ota l am ount asury C of I’s of Series C -1959, with Aug. 1, 1959 coupons attached $ ............................... iury Notes of Series A -1 9 6 1 , payable on August 1, 195 9*, with is Nos. 4 through 8 attached.................................................................... $ ............................... Total inly those notes o f Series A -1961 are p ayable on A u g u st 1, 1959, as to which owners have exercised the option u on A u g u st 1, 1959.) icrued interest on the certificates surrendered from February 1 to July 20, 1959 ($7.58633 per follow s: □ B y check □ By credit to our reserve account crued interest on the notes surrendered from February 1 to July 20,1959 ($18.67403 per $1,000), □ B y check □ By credit to our reserve account Subm itted by A ddress ..................................................................................................................................... S ubscription No. SECURITY RECORDS “ OUT TICKET” DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION Inited States of America 4 % Percent Treasury Notes o f Series A-1964 Dated July 20, 1959, Due May 15, 1964 NOTES D E SIR E D IN E XC H A N G E Pieces Denomi nation $ □ Face amount (Leave this space blank) 1,000 5,000 10,000 100,000 1,000,000 TOTAL Dispose o f securities issued as follow s: Subm itted b y A ddress 1. Deliver over the counter to the undersigned □ 2. Hold in safekeeping (for member bank only) □ 3. Hold as collateral for Treas ury Tax and Loan Account □ 4. Ship to the undersigned □ 5. Special instructions: ( I f space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (Leave this iPact blank) Name and address o f account (Please print or typewrite) 1 % % C o f I ’s (C-1959) $ ................ 4% Notes (A-1961) $ Total $ Our own a e co u n t............................................. Total subscription................................... $ ........................ $........................ $ ................................. Denominations and Serial Numbers of Securities Surrendered I ssu e 1% % O o f I ’s (C-1959) 4% Notes (A-1961) ----- ----------- TR IPLIC A TE — TREASURY REPORTS COPY Subscriber's Reference No. Subscription No. NA-3 EXCHANGE SUBSCRIPTION For United States of America 4 % Percent Treasury Notes of Series A-1964 Dated July 20, 1959, Due May 15, 1964 F Dated at R e serve B a n k of N e w Y o r k , F is c a l A g e n t o f th e U n it e d S ta te s , N e w York 4 5 , N . Y. ederal D .1959 Sir s : ear Subject to the provisions o f Treasury Department Circular No. 1029, dated July 20, 1959, the underl hereby subscribes for United States of America 4 % percent Treasury Notes of Series A-1964, in no’unt of $................................................* and tenders in payment therefor a like par amount of the | :ies— slivered to you herewith ........................................................................................ $................................. > be withdrawn from securities held by y o u ...................................................... $................................. 1 [HH H | B ( SE C U R ITIE S SURRENDERED (L is t serial num bers on r e v e rs e sid e) fb e delivered b y ....................................................................................................... $................................. T o ta l am ount lease fill in on the reverse side the schedule “ List of Accounts Included in this Subscription.” ) ' ■ Treasury C of I’s of Series C -1959, with Aug. 1, 1959 coupons attached $. easury Notes of Series A -1 9 6 1 , payable on August 1, 1959*, with ions Nos. 4 through 8 attached.................................................................... $_______ T o t a l............................................................................................. $ ...................................... (Only those notes o f Series A-1961 are payable on August 1, 1959, as to which owners have exercised the option 'eem on August 1, 1959.) accrued interest on the certificates surrendered from February 1 to July 20, 1959 ($7.58633 per as follow s: □ By check □ By credit to our reserve account accrued interest on the notes surrendered from February 1 to July 20,1959 ($18.67403 per $1,000), i: □ By check □ By credit to our reserve account Submitted by Address Subscription No. NONNEG OTIABLE RECEIPT To Subscriber: F ederal R eserve B a n k of N e w Y o r k , Fiscal Agent o f the_ United States, hereby acknowledges receipt of securities tendered with subscription numbered as above in exchange for 4 % PERCEN T T R E A SU R Y NOTES OF SER IES A-1964 Securities allotted on this subscription will be delivered on August 3, 1959, in accordance with your instructions. .......................................— ......................................... Government Bond Division—Issues & Redemption Section NOTES D E SIR E D IN E XC H A N G E Dispose of securities issued as follow s: □ Denomi nation Pieces $ (Leave this space blank) Face amount 1 ,0 0 0 5 ,0 0 0 1. Deliver over the counter to the undersigned □ 2. Hold in safekeeping (for member bank only) □ 3. Hold as collateral for Treas ury Tax and Loan Account □ 4. Ship to the undersigned □ 5. Special instructions: 1 0 ,0 0 0 1 0 0 ,0 0 0 1 .0 0 0 ,0 0 0 TOTAL To F ederal R eserve B ank of N ew Y ork, Fiscal Agont o f the United States (Date) You are horeby authorized to deliver to (Name of representative) whoso signature appears below, $ par amount o f securities issued pursuant to this subscription. (Please print) (Official signature required) (Signature of authorized representative) To Subscriber: I f securities are to be delivered over the counter at this Bank to your representative, the authority in the box to the left should be executed on the date o f delivery. (I f space is insufficient in schedules below, attach separate listing) List o f Accounts Included in this Subscription (Leave this space blank) Name and address o f account (Please print or typewrite) 1 % % O o f I ’s (C-1959) 4% Notes (A-1961) $ ........................ $ .............. Total $- ' Our own a c c o u n t ............................................. Total su bscription ................................... $ ................................. $ ................................ $ .................................. Denominations and Serial Numbers o f Securities Surrendered I ssue 1% % O o f I ’s (C-1959) 4% Notes (A-1961) (Please type or print legibly and submit in triplicate) Subscriber’s Reference No. Subscription No. N C -1 EXCHANGE SUBSCRIPTION For United States o f America 4 % Percent Treasury Notes of Series C-1960 Dated August 1, 1959, Due August 15, 1960 I m p o r t a n t I n s tr u c tio n a . 1 . S e c u r itie s o f d iffe r e n t issu e* s u r r e n d e r e d in e x c h a n g e m a y b e lis t e d t o g e t h e r on t h e s a m e s u b s c r ip t io n fo r m , e x c e p t th a t a s e p a r a t e s u b s c r ip t io n fo r m s h o u ld b e u s e d f o r e a c h g r o u p o f n e w se c u r itie s f o r w h ic h d iffe r e n t d e liv e r y in s tr u c t io n s a r e g iv e n . 2 . S ig n a t u r e s a r e r e q u ir e d o n o r ig in a l o n l y ; a ll o t h e r fille d -in m a tte r s h o u ld a p p e a r in t r ip lic a te . o p N ew Y o r k , Fiscal Agent o f the United States, New Y ork 45, N. Y . Dated at F e d e r a l R e serve B a n k .1959 Attention: Government Bond Division D e a r S irs : Subject to the provisions o f Treasury Department Circular No. 1028, dated July 20, 1959, the under signed hereby subscribes for United States o f America 4 % percent Treasury Notes of Series C-1960, in the amount of $.........................................* and tenders in payment therefor a like par amount of the securities— Delivered to you h e re w ith ......................................................................................... $................................. To be withdrawn from securities held by y o u ...................................................... $................................. To be delivered b y ....................................................................................................... $................................. (Please fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” ) SE C U R ITIE S SU RRENDERED ( L i s t serial num bers on rev e rs e side) T o ta l am ount % Treasury C of I’s of Series C -1959, with coupons detached............ $ ...................................... Treasury Notes of Series A -1 9 6 1 , payable on August 1, 1959*, with coupon No. 4 detached and coupons Nos. 5 through 8 attached.......... $ ...................................... T o t a l............................................................................................. $...................................... • (Only those notes o f Series A-1961 are payable on August 1, 1959, as to which owners have exercised the option deem on August 1, 1959.) (Signature(s) required also on Delivery Instructions below) 3 o n o t fill in b o x e s b e l o w ) -OVKRNMKNT BOND DIVISION Canceled Checked 3d Submitted by ................ B y ...................................... (Please print) .........., B y .......................... (A u th orizec signature(s) required) (Authorized Title.......................................................... Title. A dd ress.................................................................. Subscription No. D ELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION Jnited States of America 4 % Percent Treasury Notes o f Series C-1960 Dated August 1, 1959, Due August 15, 1960 N OTES D E S IR E D IN E X C H A N G E Denomi nation Pieces $ Dispose o f securities issued as follow s: □ (Leave this space blank) Face amount □ 1,000 □ 5,000 □ □ 1. Deliver over the counter to the undersigned 2. H old in safekeeping (for member bank only) 3. H old as collateral fo r Treas ury Tax and Loan Account 4. Ship to the undersigned 5. Special instructions: 10,000 100,000 1,000,000 TOTAL T h e u n d e r s ig n e d h e r e b y c e r t ifie s t h a t th e s e c u r it ie s t o b e d is p o s e d o f a s in d ic a t e d in ite m 2 o r 3 a b o v e a r e o w n e d s o le ly b y th e u n d e r s ig n e d . ( I M P O R T A N T : N o c h a n g e s in d e liv e r y in s tr u c tio n s w ill b e a c c e p t e d . A s e p a r a t e s u b s c r ip t io n fo r m m u st b e s u b m itte d f o r e a c h g r o u p o f s e c u r it ie s f o r w h ic h d iffe r e n t d e liv e r y in s tr u c t io n s a r e g i v e n .) Submitted by By (Authorized signature(s) required) By. The subscription books will open on July 20, and close at the close of business July 2 2 , 1959. (Please print) Title.................................................. Title. Address ( S p a c e s b e l o w a r e f o r th e u s e o f th e 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 ) S a f e k e e p in g R eco rd Received 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 States obligations in the amount subscribed for. Subscriber Checked and delivered Date. By. ork the above described United ( I f space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription ( Leave this space blank) Name and address o f account ( Please print or typewrite) 1 % % C o f I ’s (C -1959) $ ........... 4 % N otes (A -1 9 6 1 ) T o ta l $ Our own a c c o u n t............................................. Total subscription ................................... $ ..................................... $ ........................ $ ..................................... Denominations and Serial Numbers of Securities Surrendered I ssu e 1 % % C o f I ’s (C -1959) 4 % Notes (A -1961) DUPLICATE— SECURITY RECORDS “ IN TICKET” Subscriber’8 Reference No. Subscription No. NC-2 EXCHANGE SUBSCRIPTION For United States of America 4 % Percent Treasury Notes of Series C-1960 Dated August 1, 1959, Due August 15, 1960 F e d e r a l R eserve B a n k of N ew Y Dated a t ............... ....................................... ork, Fiscal Agent o f the United States, New York 45, N. Y . ................................................................ 1959 D ear S ir s : Subject to the provisions o f Treasury Department Circular No. 1028, dated July 20, 1959, the under signed hereby subscribes for United States o f America 4% percent Treasury Notes of Series C-1960, in the amount o f $.........................................* and tenders in payment therefor a like par amount o f the securities— Delivered to you h e re w ith ......................................................................................... $. To be withdrawn from securities held by y o u ...................................................... $. To be delivered b y ....................................................................................................... $. •(Please fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” ) SEC U RITIE S SURRENDERED ( L ist serial num bers on rev erse sid e) T o ta l am ou n t % % Treasury C of I’s of Series C-1959, with coupons detached............ $ .............................. % Treasury Notes of Series A -1 9 6 1 , payable on August 1, 1959*, with coupon No. 4 detached and coupons Nos. 5 through 8 attached.......... $ .............................. T o t a l............................................................................................. $ .............................. • (Only those notes o f Series A-1961 are payable on August 1, 1959, as to which owners have exercised the option redeem on August 1, 1959.) Submitted by A dd ress..................................................................................................................... Subscription No. SECURITY RECORDS “ OUT TICKET” D ELIVER Y INSTRUCTIONS— EXCHANGE SUBSCRIPTION For United States of America 4 % Percent Treasury Notes o f Series C-1960 Dated August 1, 1959, Due August 15, 1960 N OTES D E S IR E D IN E X C H A N G E Pieces Denomi nation $ □ Face amount (Leave this space blank) 1,000 5,000 10,000 100,000 1,000,000 TOTAL Submitted by ! Dispose o f securities issued as follow s: Address 1. Deliver over the counter to the undersigned □ 2. Hold in safekeeping (for member bank only) □ 3. H old as collateral fo r Treas ury Tax and Loan Account □ 4. Ship to the undersigned □ 5. Special instructions: (I f space is insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (L ea v t this i f ace blank) Name and address o f account l % % C o f I ’s (C -1959) ( Please print or typewrite) $ 4 % N otes (A -1 9 6 1 ) $ T ota l $ ........ Our own a c c o u n t............................................. Total su bscrip tion ................................... $ ..................................... $ ........................ $..................... ....... Denominations and Serial Numbers of Securities Surrendered I ssu e 1 % % C o f I ’s (C -1959) 4 % N otes (A -1 9 6 1 ) TRIPLICATE— TREASURY REPORTS COPY Subscriber’s Reference No. Subscription No. NC-3 EXCHANGE SUBSCRIPTION For United States of America 4 % Percent Treasury Notes of Series C-1960 Dated August 1, 1959, Due August 15, 1960 F ed e r a l R e serve B a n k of New Y Dated a t ....................................................... ork, Fiscal Agent of the United States, New York 45, N. Y . ................................................................ 1959 D ear S i r s : Subject to the provisions of Treasury Department Circular No. 1028, dated July 20, 1959, the under signed hereby subscribes for United States o f America 4% percent Treasury Notes o f Series C-1960, in the amount o f $.........................................• and tenders in payment therefor a like par amount of the securities— Delivered to you herewith .............................................................................................$. To be withdrawn from securities held by y o u ..........................................................$. To be delivered b y ....................................................................................................... ....$. •(Please fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” ) SE C U R ITIE S SU RRENDERED ( L i s t serial num bers on r e v erse sid e) T o ta l am ount 1 % % Treasury C of I’s of Series C -1959, with coupons detached............ $ ............................... 4 % Treasury Notes of Series A -1 9 6 1 , payable on August 1, 1959*, with coupon No. 4 detached and coupons Nos. 5 through 8 attached.......... $ .............................. T o t a l............................................................................................. $ ............................... * (Only those notes of Series A-1961 are payable on August 1, 1959, as to which owners have exercised the option to redeem on August 1, 1959.) Submitted by Address Subscription No. NONNEGOTIABLE RECEIPT To Subscriber: o p N e w Y o r k , Fiscal Agent o f the United States, hereby acknowledges receipt of securities tendered with subscription numbered as above in exchange for 4 % PE R C E N T TR E A SU R Y NOTES OF SE R IE S C-1960 Securities allotted on this subscription will be delivered on August 3, 1959, in accordance with your instructions. ....................................................................................... F e d e r a l R eserve B a n k T eller G overn m en t B on d D ivision — Issues & R edem ption Section NOTES D E SIR E D IN E XC H A N G E Pieces Denomi nation Dispose o f securities issued as follow s: □ Face amount (Leave this space blank) □ $ 1,000 □ 5,000 □ □ 10,000 1. Deliver over the counter to the undersigned 2. Hold in safekeeping (for member bank only) 3. Hold as collateral fo r Treas ury Tax and Loan Account 4. Ship to the undersigned 5. Special instructions: 100,000 1,000,000 TOTAL To F ederal R eserve B ank of N ew Y ork, Fiscal Agent of the United States Submitted by ............................................................................................... (Date) You are hereby authorized to deliver to (Name of representative) whose signature appears below, $....................................... par amount of securities issued pursuant to this subscription. (Please print) (Official signature required) (Signature of authorized representative) To Subscriber: I f securities are to be delivered over the counter at this Bank to your representative, the authority in the box to the left should be executed on the date o f delivery. ( I f space la insufficient in schedules below, attach separate listing) List of Accounts Included in this Subscription (L ea ve this space blank) Name and address o f account (Please print or typewrite) 1 % % C o f I ’s (C -1959) 4 % N otes (A -1 9 6 1 ) T ota l $ ........................ $ ........................ $ ....................... * Total subscription ................................... $ ..................................... $ ........................ $ .................................... Denominations and Serial Numbers of Securities Surrendered I s su e 1 % % C o f I ’s (C -1959) 4 % N otes (A -1 9 6 1 )
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