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FEDERAL RESERVE BANK
OF NEW YORK
F isca l A g e n t o f th e U n ite d States

r C ircular N o . 5 1 0 3
L N o v e m b e r 6, 1961

~l
J

3^4 Percent Treasury Notes of Series E-1963,
or 3% Percent Treasury Bonds of 1966, Additional Issue,
or 3% Percent Treasury Bonds of 1974, Additional Issue
OFFERED IN EXCHANGE FOR
2*4 Percent Treasury Bonds of 1961

To A ll Banking Institutions, and Others Concerned,
in the Second Federal R eserve D istrict:

The subscription books are open for an offering of—
3 % percent Treasury Notes of Series E-1963, dated November 15, 1961, maturing February
15, 1963, at par,
or 3 % percent Treasury Bonds o f 1966, A dditional Issue, dated November 15, 1960, with
interest from November 15, 1961, m aturing May 15, 1966, at 99.75,
or 3 % percent Treasury Bonds o f 1974, A dditional Issue, dated December 2, 1957, with
interest from November 15, 1961, m aturing November 15, 1974, at 99.00,

in exchange for the 2^2 percent Treasury Bonds of 1961, maturing November 15, 1961.
Coupons dated November 15, 1961, should be detached from the maturing bonds
and cashed when due. The new notes and bonds will be available in both bearer and
registered forms and will be delivered on November 15, 1961.
The terms of these offerings are set forth in Treasury Department Circulars
Nos. 1069, 1070, and 1071, all dated November 6, 1961; a copy of each is printed on the
following pages.
Subscriptions will be received by this Bank as fiscal agent of the United States.
Cash subscriptions will not be received. Subscriptions should be submitted in tripli­
cate on official subscription forms, copies of which are enclosed, and should be mailed
immediately. If filed by telegram or letter, the subscriptions should be confirmed imme­
diately by mail on the forms provided. The subscription books will remain open for
four days, November 6 through 9, except that no subscription will be received over the
counter at the Head Office or Buffalo Branch of this Bank on Tuesday, November 7, that
day being Election Day, a public holiday on which this Bank will be closed. Any subscrip­
tion addressed to a Federal Eeserve Bank or Branch or to the Treasury Department and
placed in the mail before midnight Thursday, November 9, will be considered timely.




A lfred H ayes,

President

.

UNITED STATES OF AMERICA
3% PERCENT TREASURY NOTES OF SERIES E-1963
D ue February 15, 1963

Dated and bearing interest from N ovem ber 15, 1961

TREASURY DEPARTM ENT,

1961
D epartm en t C ircular N o . 1 0 6 9

O
F isca l S ervice
B ureau o f th e P u b lic D eb t

I.

O FF E R IN 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 of the United
States fo r notes of the United States, designated S1/^ per­
cent Treasury Notes o f Series E-1963, in exchange fo r 2^2
percent Treasury Bonds o f 1961, maturing November 15,
1961, in amounts o f $1,000 or multiples thereof. The amount
o f the offering under this circular will be limited to the
amount o f maturing bonds tendered in exchange and ac­
cepted. The books w ill be open only on N ovem ber 6 through
N ovem ber 9, 1961, fo r the receipt o f subscriptions fo r this
issue.
2. In addition to the offering under this circular, holders
o f the m aturing bonds are offered the privilege o f ex­
changing them fo r 3 % percent Treasury Bonds of 1966
(A dditional Issue), or 3 % percent Treasury Bonds of 1974
(A dditional Issue), which offerings are set forth in Depart­
ment Circulars Nos. 1070 and 1071, respectively, issued
simultaneously with this circular.
II.

D E SC R IP TIO N OF NOTES

1. The notes will be dated November 15, 1961, and will
bear interest from that date at the rate o f S1/^ percent per
annum, payable on a semiannual basis on February 15 and
August 15, 1962, and on February 15, 1963. They will
mature February 15, 1963, and w ill 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 ex­
cise 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 o f
the United States, or by any local taxing authority.
3. The notes will be acceptable to secure deposits o f pub­
lic moneys. They w ill not be acceptable in paym ent o f taxes.
4. Bearer notes with interest coupons attached, and notes
registered as to principal and interest, w ill be issued in de­
nominations o f $1,000, $5,000, $10,000, $100,000, $1,000,000,
$100,000,000 and $500,000,000. Provision will be made fo r
the interchange o f notes of different denominations and o f
coupon and registered notes, and fo r the transfer o f regis­
tered notes, under rules and regulations prescribed by the
Secretary of the Treasury.
5. The notes will be subject to the general regulations o f
the Treasury Department, now or hereafter prescribed,
governing United States notes.
III.

SU B SC R IPT IO N A N D A LL O T M 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, D. C. Banking institutions
generally may submit subscriptions fo r account o f cus­
tomers, but only the Federal Reserve Banks and the Treas­
ury Department 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




f f ic e

of

th e

Secretary,

Washington, Novem ber

6,

1961.

amount of 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
will be sent out prom ptly upon allotment.
IV .

PA Y M E N T

1. Payment at par fo r notes allotted hereunder must
be made on or before November 15, 1961, or on later allot­
ment, and may be made only in 2 % percent Treasury Bonds
o f 1961, maturing November 15, 1961, which will be ac­
cepted at par, and should accompany the subscription.
Coupons dated November 15, 1961, should be detached from
the maturing bonds in coupon form by holders and cashed
when due. In the case o f registered bonds, final interest due
on November 15, 1961, w ill be paid by check drawn in
accordance with the assignments on the bonds surrendered,
or by credit in any account maintained by a banking institu­
tion with the Federal Reserve Bank of its District.
V.

ASSIG N M EN T OF REG IST E R E D BONDS

1. Treasury Bonds of 1961 in registered form tendered
in paym ent fo r notes offered hereunder should be assigned
by the registered payees or assignees thereof, in accordance
with the general regulations o f the Treasury Department
governing assignments fo r transfer or exchange, in one of
the form s hereafter set forth, and thereafter should be sur­
rendered with the subscription to a Federal Reserve Bank
or Branch or to the Office o f the Treasurer o f the United
States, Washington, D. C. The bonds must be delivered at
the expense and risk of the holder. I f the notes are desired
registered in the same name as the bonds surrendered, the
assignment should be to “ The Secretary o f the Treasury fo r
exchange fo r 3*4 percent Treasury Notes o f Series E-1963’ ’ ;
if the notes are desired registered in another name, the
assignment should be to “ The Secretary o f the Treasury
fo r exchange fo r 3^4 percent Treasury Notes o f Series
E-1963 in the name o f ......................................... if notes
in coupon form are desired, the assignment should be to
“ The Secretary of the Treasury fo r exchange fo r 3^4 per­
cent Treasury Notes o f Series E-1963 in coupon form to be
delivered to ....................................................
V I.

G EN ERAL PRO VISIO N S

1. As 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 indi­
cated by the Secretary o f the Treasury to the Federal
Reserve Banks o f the respective Districts, to issue allotment
notices, to receive payment for notes allotted, to make de­
livery 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 offering, which will be
communicated prom ptly to the Federal Reserve Banks.
DOUGLAS DILLON,

Secretary of the Treasury.

UNITED STATES OF AMERICA
3% PERCENT TREASURY BONDS OF 1966
Dated Novem ber 15, 1960, with interest from N ovem ber 15, 1961

Due May 15, 1966

Interest Payable May 15 and N ovem ber 15
A D D IT IO N A L ISSUE

TREASU RY DEPARTM ENT,

1961
D epartm ent C ircular N o. 1070

O f f ic e

F iscal S ervice
Bureau o f the P u b lic D ebt

I.

O FFERING OF BONDS

1. The Secretary o f the Treasury, pursuant to the
authority o f the Second Liberty Bond A ct, as amended,
invites subscriptions, at 99.75 percent o f their face value,
from the people o f the United States fo r bonds of the
United States, designated 3 % percent Treasury Bonds o f
1966, in exchange for 2y 2 percent Treasury Bonds o f 1961,
maturing November 15, 1961. The cash payment due sub­
scribers on account of the issue price of the new bonds
will be paid as provided in Section I V hereof. The amount
o f the offering under this circular will be limited to the
amount o f maturing bonds tendered in exchange and ac­
cepted. The books will be open only on November 6 through
November 9, 1961, for the receipt o f subscriptions fo r this
issue.
2. In addition to the offering under this circular, holders
of the maturing bonds are offered the privilege of ex­
changing them for S1/^ percent Treasury Notes of Series
E-1963, or 3% percent Treasury Bonds of 1974 (Additional
Issue), which offerings are set forth in Department Circu­
lars Nos. 1069 and 1071, respectively, issued simultaneously
with this circular.

of t h e

Secretary,

Washington, November 6, 1961.
interchange of bonds of different denominations and of
coupon and registered bonds, and fo r the transfer of reg­
istered bonds, under rules and regulations prescribed by
the Secretary of the Treasury.
“ 5. The bonds will be subject to the general regula­
tions o f the Treasury Department, now or hereafter pre­
scribed, governing United States bonds.”
III.

SUBSCRIPTIO 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 of
the United States, Washington, D. C. Banking institutions
generally may submit subscriptions fo r account of cus­
tomers, but only the Federal Reserve Banks and the Treas­
ury Department are authorized to act as official agencies.
2. The Secretary of the Treasury reserves the right to
reject or reduce any subscription, and to allot less than the
amount of bonds 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. Allotment notices
will be sent out prom ptly upon allotment.
IV .

PA Y M E N T

1. Payment fo r the face amount of bonds allotted here­
II. D ESCR IPTIO N OF BONDS
under
must be made on or before November 15, 1961, or
1.
The bonds now offered will be an addition to and will
on later allotment, and may be made only in a like face
form a part of the series of 3 % percent Treasury Bonds of
amount o f 2y 2 percent Treasury Bonds of 1961, maturing
1966 issued pursuant to Department Circular No. 1054,
November 15, 1961, which should accompany the subscrip­
dated October 31, 1960, will be freely interchangeable there­
tion. Coupons dated November 15, 1961, should be detached
with, and are identical in all respects therewith except that
from the maturing bonds in coupon form by holders and
interest on the bonds to be issued under this circular will
cashed when due. In the case of registered bonds, final
accrue from November 15, 1961. Subject to the provision
interest due on November 15, 1961, will be paid by check
for the accrual o f interest from November 15, 1961, on the
drawn in accordance with the assignments on the bonds
bonds now offered, the bonds are described in the follow ing
surrendered, or by credit in any account maintained by a
quotation from Department Circular No. 1054:
banking institution with the Federal Reserve Bank o f its
“ 1. The bonds will be dated November 15, 1960, and
District. A cash payment o f $2.50 per $1,000 on account
will bear interest from that date at the rate o f 3% per­ of the issue price of the new bonds will be made to sub­
cent per annum, payable semiannually on May 15 and
scribers. The payments will be made in the case o f bearer
November 15 in each year until the principal amount bonds follow ing their acceptance and in the case o f regis­
becomes payable. They will mature May 15,1966, and will
tered bonds follow ing discharge of registration.
not be subject to call fo r redemption prior to maturity.
Y . ASSIGNM ENT OF REG ISTERED BONDS
‘ ‘ 2. The income derived from the bonds is subject to all
1.
Treasury
Bonds o f 1961 in registered form tendered
taxes imposed under the Internal Revenue Code o f 1954.
in
paym
ent
fo
r
bonds
offered hereunder should be assigned
The bonds are subject to estate, inheritance, g ift or other
by the registered payees or assignees thereof, in accordance
excise taxes, whether Federal or State, but are exempt
from all taxation now or hereafter imposed on the prin ­ with the general regulations o f the Treasury Department
governing assignments fo r transfer or exchange, in one of
cipal or interest thereof by any State, or any o f the
the form s hereafter set forth, and thereafter should be sur­
possessions of the United States, or by any local taxing
rendered
with the subscription to a Federal Reserve Bank
authority.
or Branch or to the Office of the Treasurer o f the United
“ 3. The bonds will be acceptable to secure deposits
States, W ashington, D. C. The bonds must be delivered at
o f public moneys. They will not be acceptable in p ay­
the expense and risk o f the holder. I f the new bonds are
ment of taxes.
desired registered in the same name as the bonds sur­
“ 4. Bearer bonds with interest coupons attached, and
rendered, the assignment should be to “ The Secretary o f
bonds registered as to principal and interest, will be
the Treasury fo r exchange fo r 3% percent Treasury Bonds
issued in denominations o f $500, $1,000, $5,000, $10,000,
of 1966” ; if the new bonds are desired registered in another
$100,000 and $1,000,000. Provision will be made for the
name, the assignment should be to “ The Secretary o f the



Treasury for exchange for 3% percent Treasury Bonds of
1966 in the name o f ............................................................ ” ;
if new bonds in coupon form are desired, the assignment
should be to “ The Secretary of the Treasury for exchange
for 3% percent Treasury Bonds of 1966 in coupon form
to be delivered t o ......................................................

notices, to receive payment for bonds allotted, to make de­
livery of bonds on full-paid subscriptions allotted, and they
may issue interim receipts pending delivery of the definitive
bonds.

2.
The Secretary of the Treasury may at any time, or
from time to time, prescribe supplemental or amendatory
rules and regulations governing the offering, which will be
V I. G EN ERAL PROVISIONS
1.
As fiscal agents of the United States, Federal Reserve communicated promptly to the Federal Reserve Banks.
Banks are authorized and requested to receive subscriptions,
to make allotments on the basis and up to the amounts indi­
DOUGLAS DILLON,
cated by the Secretary of the Treasury to the Federal
Secretary o f the Treasury.
Reserve Banks of the respective Districts, to issue allotment

UNITED STATES OF AMERICA
3% PERCENT TREASURY BONDS OF 1974
Dated D ecem ber 2, 1957, with interest from Novem ber 15, 1961

Due Novem ber 15, 1974

Interest Payable May 15 and Novem ber 15
A D D IT IO N A L ISSUE
1961
D epartm ent C ircular N o. 1071

TREASURY DEPARTMENT,
O f f ic e

F iscal S ervice
B ureau o f the P u b lic D ebt

of

the

Secretary,

Washington, November

6,

1961.

1.
The bonds now offered will be an addition to and will
form a part of the series of 3% percent Treasury Bonds of
1974 issued pursuant to Department Circular No. 1000,
dated November 20, 1957, will be freely interchangeable
therewith, and are identical in all respects therewith except
that interest on the bonds to be issued under this circular
will accrue from November 15, 1961. Subject to the pro­
vision for the accrual of interest from November 15, 1961,
on the bonds now offered, the bonds are described in the
following quotation from Department Circular No. 1000:

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 bonds is subject to all
taxes imposed under the Internal Revenue Code of 1954.
The bonds 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 prin­
cipal or interest thereof by any State, or any of the
possessions of the United States, or by any local taxing
authority.
“ 3. The bonds will be acceptable to secure deposits
of public moneys.
‘ ‘ 4. Bearer bonds with interest coupons attached, and
bonds registered as to principal and interest, will be
issued in denominations of $500, $1,000, $5,000, $10,000,
$100,000 and $1,000,000. Provision will be made for the
interchange of bonds of different denominations and of
coupon and registered bonds, and for the transfer of reg­
istered bonds, under rules and regulations prescribed by
the Secretary of the Treasury.
“ 5. Any bonds issued hereunder which upon the death
of the owner constitute part of his estate, will be re­
deemed at the option of the duly constituted representa­
tives of the deceased owner’s estate, at par and accrued
interest to date of payment,1 provided:
(a) that the bonds were actually owned by the de­
cedent at the time of his death; and
(b) that the Secretary of the Treasury be authorized
to apply the entire proceeds of redemption to the
payment of Federal estate taxes.
Registered bonds submitted for redemption hereunder
must be duly assigned to ‘ The Secretary of the Treasury

“ 1. The bonds will be dated December 2, 1957, and
will bear interest from that date at the rate of 3% per­
cent per annum, payable on a semiannual basis on May
15 and November 15, 1958, and thereafter on May 15 and

l
An exact h a lf-y e a r ’ s interest is com puted fo r each fu ll h a lf-y ear
period irrespective of the actual num ber o f days in the h a lf year.
For a fractional part o f any h a lf year, com putation is on the basis
o f the actual number o f days in such h a lf year.

I.

OFFERING OF BONDS

1. The Secretary of the Treasury, pursuant to the
authority of the Second Liberty Bond Act, as amended,
invites subscriptions, at 99.00 percent of their face value,
from the people of the United States for bonds of the
United States, designated 3% percent Treasury Bonds of
1974, in exchange for 2% percent Treasury Bonds of 1961,
maturing November 15, 1961. The cash payment due sub­
scribers on account of the issue price of the new bonds will
be paid as provided in Section IY hereof. The amount
of the offering under this circular will be limited to the
amount of maturing bonds tendered in exchange and ac­
cepted. The books will be open only on Novem ber 6 through
November 9, 1961, for the receipt of subscriptions for this
issue.
2. In addition to the offering under this circular, holders
of the maturing bonds are offered the privilege of ex­
changing them for 3x/4 percent Treasury Notes of Series
E-1963, or 3% percent Treasury Bonds of 1966 (Additional
Issue), which offerings are set forth in Department Circu­
lars Nos. 1069 and 1070, respectively, issued simultaneously
with this circular.
II.

D ESCRIPTIO N OF BONDS




fo r redemption, the proceeds to be paid to the District
Director of Internal Revenue a t ..................... for credit
on Federal estate taxes due from estate o f ..................... \
Owing to the periodic closing of the transfer books and
the impossibility of stopping payment o f interest to the
registered owner during the closed period, registered
bonds received after the closing o f the books for payment
during such closed period will be paid only at par with
a deduction of interest from the date of payment to the
next interest payment date;2 bonds received during the
closed period fo r payment at a date after the books re­
open will be paid at par plus accrued interest from the
reopening o f the books to the date o f payment. In either
case checks fo r the fu ll six m onths’ interest due on the
last day o f the closed period w ill be forwarded to the
owner in due course. A ll bonds submitted must be ac­
companied by Form P D 1782,3 properly completed,
signed and certified, and by p roof of the representatives’
authority in the form o f a court certificate or a certified
copy o f the representatives’ letters of appointment issued
by the court. The certificate, or the certification to the
letters, must be under the seal of the court, and except
in the case of a corporate representative, must contain
a statement that the appointment is in full force and be
dated within six months prior to the submission of the
bonds, unless the certificate or letters show that the
appointment was made within one year immediately
prior to such submission. U pon payment of the bonds
appropriate memorandum receipt will be forwarded to
the representatives, which will be followed in due course
by a form al receipt from the D istrict D irector of Internal
Revenue.
“ 6. The bonds will be subject to the general regula­
tions of the Treasury Department, now or hereafter pre­
scribed, governing United States bonds.”
III.

SU BSCR IPTION AN D ALLO TM E N T

1. Subscriptions w ill be received at the Federal Reserve
Banks and Branches and at the Office o f the Treasurer of
the United States, Washington, D. C. Banking institutions
generally may submit subscriptions fo r account of cus­
tomers, but only the Federal Reserve Banks and the Treas­
u ry Department 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 of bonds 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. Allotment notices
will be sent out prom ptly upon allotment.

on later allotment, and may be made only in a like face
amount o f 2y 2 percent Treasury Bonds o f 1961, maturing
November 15, 1961, which should accompany the subscrip­
tion. Coupons dated November 15, 1961, should be detached
from the maturing bonds in coupon form by holders and
cashed when due. In the case o f registered bonds, final
interest due on November 15, 1961, will be paid by check
drawn in accordance with the assignments on the bonds
surrendered, or by credit in any account maintained by
a banking institution with the Federal Reserve Bank o f its
District. A cash payment o f $10.00 per $1,000 on account
of the issue price o f the new bonds will be made to sub­
scribers. The payments will be made in the case o f bearer
bonds follow ing their acceptance and in the case of regis­
tered bonds follow ing discharge o f registration.
V.

ASSIGNM ENT OF REG ISTERED BONDS

1. Treasury Bonds o f 1961 in registered form tendered
in payment fo r bonds offered hereunder should be assigned
by the registered payees or assignees thereof, in accordance
with the general regulations o f the Treasury Department
governing assignments fo r transfer or exchange, in one of
the forms hereafter set forth, and thereafter should be sur­
rendered with the subscription to a Federal Reserve Bank
or Branch or to the Office of the Treasurer of the United
States, W ashington, D. C. The bonds must be delivered at
the expense and risk of the holder. I f the new bonds are
desired registered in the same name as the bonds sur­
rendered, the assignment should be to “ The Secretary of
the Treasury fo r exchange fo r 3 % percent Treasury Bonds
of 1974” ; if the new bonds are desired registered in
another name, the assignment should be to £‘ The Secretary
of the Treasury fo r exchange fo r 3 % percent Treasury
Bonds o f 1974 in the name o f .............................................
if new bonds in coupon form are desired, the assignment
should be to “ The Secretary o f the Treasury fo r exchange
for 3% percent Treasury Bonds o f 1974 in coupon form
to be delivered t o ........................................................” .
V I.

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 indi­
cated by the Secretary o f the Treasury to the Federal
Reserve Banks o f the respective Districts, to issue allotment
notices, to receive payment fo r bonds allotted, to make de­
livery o f bonds on full-paid subscriptions allotted, and they
may issue interim receipts pending delivery o f the definitive
bonds.

IV . PA Y M E N T
2. The Secretary o f the Treasury may at any time, or
1.
Payment fo r the face amount of bonds allotted here­ from time to time, prescribe supplemental or amendatory
rules and regulations governing the offering, which will be
under must be made on or before November 15, 1961, or
communicated prom ptly to the Federal Reserve Banks.
2 The transfer books are closed from A pril 16 to M ay 15 and from
October 16 to Novem ber 15 (both dates inclusive) in each year.
3 Copies o f Form P D 1782 may be obtained from any Federal
Reserve Bank or from the Treasury Department, W ashington, D. C.




DOUGLAS DILLON ,

Secretary of the Treasury.

(Please type or print legibly and submit in triplicate)

riber’a Reference No.

Subscription No.

EXCHANGE SUBSCRIPTION
For United States of America 3 % Percent Treasury Notes of Series E-1963
Dated November 15, 1961, Due February 15, 1963
I m p o r t a n t I n s tr u c tio n * .
1 . A se p a r a te su b sc rip tio n fo r m sh o u ld b e u se d ( a ) fo r listin g b e a r e r se cu ritie s
r e n d e r e d , ( b ) f o r listin g r e g i s t e r e d se c u ritie s su r r e n d e r e d , a n d ( c ) f o r e a c h gro u p o f n e w se c u ritie s fo r w hich
feren t d e liv e r y in stru c tio n s a re g iv e n . 2 . S ig n a tu re s a re re q u ire d on o rig in a l o n ly ; a ll o th e r fille d -in m a tte r
u ld a p p e a r in tr ip lic a te .

R eserve B

deral

ank

of

New Y

ork,

Dated at

Fiscal Agent of the United States,
New York 4 5 , N. Y .

.1961

Attention: Government Bond Division
ar

Sir s :

Subject to the provisions of Treasury Department Circular No. 1069, dated November 6, 1961, the
dersigned hereby subscribes for United States o f America 3*4 percent Treasury Notes of Series E-1963,
the amount of $..............*............................* and tenders in payment therefor a like par amount of the
urities—
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.” )

SECURITIES SURRENDERED
(List serial numbers on reverse side)
F ace A m o u n t

2 l/2 %

T r e a s u r y B o n d s o f 1 9 6 1 .................................................................................................

$.

(Check one of the boxes below)
□

R e g is t e r e d

□

B earer (d e ta c h c o u p o n s )

(S ig n a tu re(s) required also on Delivery Instructions below)
( D o n o t fill in b o x e s b e l o w )

Submitted b y ....................................................................................................................

Government Bond Division
Checked

Received

j

(Please print)

Canceled

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

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

(Authorized signature(s) required)

Title.

Title.

Address
Subscription No.

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 3 1/ . Percent Treasury Notes of Series E-1963
Dated November 15, 1961, Due February 15, 1963

B E A R E R NOTES D E SIR E D IN E XC H A N G E
( Use schedule on reverse side for REGISTERED notes)
Denomi­
nation

$

Dispose of securities issued as follow s:

(Leave this space blank)

Taee amount

1,000
5,000

10,000

□

1. Deliver over the counter to
the undersigned
□ 2. Hold in safekeeping (fo r
member bank only)
□ 3. Hold as collateral for Treas­
ury Tax and Loan Account
□ 4. Ship to the undersigned
□ 5. Special instructions:

100,000
1,000,000
TOTAL
e u n d e r s ig n e d h e r e b y certifies th a t the
{ 'h
e c u ritie s to b e d is p o s e d o f a s in d ic a te d
b it e m 2 or 3 a b o v e a r e o w n e d s o le ly b y
be -in 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 stru ctio n s w ill b e
a c c e p te d . A se p a r a te su b scrip tion fo r m m u st b e su b m itte d fo r
e a c h g ro u p o f se c u ritie s fo r w h ich d iffe re n t d e liv e r y in stru c­
tion s a re g i v e n .)

Submitted by

Tie s u b s c r i p t i o n b o o k s w ill o p e n o n
fo v e m b e r 6 , a n d c lo s e a t th e c lo s e o f
u sin e s s N o v e m b e r 9 , 1 9 6 1 .

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

(Please print)
.........................

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

(Authorized signature(s) required)

T itle.................

Title.

Address .......................................................................
( S p a c e s b e lo w are f o r th e u se o f th e F e d e r a l R e s e rv e B a n k o f N e w Y o r k )

Safekeeping Record

Received from Federal Reserve Bank of New Y ork the above described United
States obligations in the amount subscribed for.

ceived
Subscriber
keeked
and
ivered




D ate...........

By.

( I f space is insufficient in schedules below , attach separate listin g)

List of Accounts Included in this Subscription
(Leave this
»puce blank)

Name and address of account
(Please print or typewrite)

2 % % Bond
(1961)

$

Our own account ............................................................................................................
Total subscription

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

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

Denominations and Serial Numbers of Securities Surrendered

S ch ed u le fo r Issue o f R egistered N otes
( I f registered notes, which are m ailed directly by Treasury Department, W ashington, D . C., are not to be sent to the
registered owner, give m ailing instructions below .)

(Indicate under appropriate denominations, number of notes desi:

Name in which notes shall be registered and post-office
address for interest checks and other mail.

(Please print or typewrite)

Mail registered notes to




Amount

$1,000

$5,000

$10,000

$100,000

$1,000,0

ft
ztu~^

DUPLICATEr—SECURITY RECORDS “ IN TICKET”

Tiber’s Reference No.

Subscription No.

^ -2

E X C H A N G E S U B S C R IP T IO N

For United States of America 31/4 Percent Treasury Notes of Series E-1963
Dated November 15, 1961, Due February 15, 1963

>ebal R eserve B ank of New Y ork,
Fiscal Agent of the United States,
New York 45, N. Y.
lR

Dated at
.1961

Sirs :

Subject to the provisions of Treasury Department Circular No. 1069, dated November 6, 1961, the
ersigned hereby subscribes for United States of America 3 ^ percent Treasury Notes of Series E-1963,
;he amount of $........................................ * and tenders in payment therefor a like par amount of the
irities—

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

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

To be withdrawn from securities held by you.................................................

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

r-"1o be delivered b y ..........................................................................................

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

Please fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription.” )

SECURITIES SURRENDERED
( List serial numbers on reverse side)

F ace A m o u n t

o Treasury Bonds of 1 9 6 1 .........................................................................

$.

^Check one of the boxes below)
□

Registered

□

Bearer (detach coupons)

Submitted by

-

A d d r e s s ...............................................................................................................................
---------------------------------------- ----------,----------------------- — --------- — ------------------------------------------------- --------- --------------- J .
S E C U R IT Y

R E C O R D S

“ O U T

T IC K E T ”

Subscription No.

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 3*4 Percent Treasury Notes of Series E-1963
Dated November 15, 1961, Due February 15, 1963

BEARER NOTES DESIRED IN EXCHANGE
(Use schedule on reverse side for R E G I S T E R E D notes)

t

Denomi­
natio n

Tace am ount

(Leave thi$ apace blank)

J................... $
1,000
f

if

5,000
10,000
100,000
1,000,000
TO T A L

L .




Submitted by

Address

Dispose of securities issued as follows:
□ 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:

(II space Is insufficient In schedules below, attach separate listing)

List of Accounts Included in this Subscription
(Indicate amount surrendered by each customer and by yourself)
( Ltav* this
tpac* blank)

2y<i%Bone
(1961)

Name and address of account
( Please print or typewrite)

•
$

Our own account ...........................................................................................................
Total subscription

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

Denominations and Serial Numbers of Securities Surrendered

*•

i
Schedule for Issue of Registered Notes
( I f registered notes, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the
registered owner, give mailing instructions below.)

(In d ica te under appropriate denom inations, num ber of notes des
N am e in w hich notes shall be registered and post-office
address for interest checks and other mail.

( Please print or typewrite)

A m ou n t

$1,000

$5,000

$10,000

$100,000

$1,000,

j

I

Mail registered notes to




TRIPLICATE— TREASURY REPORTS COPY

criber’s Reference No.

^.3

Subscription No.

E X C H A N G E S U B S C R IP T IO N

For United States of America 3 % Percent Treasury Notes of Series E-1963
Dated November 15, 1961, Due February 15, 1963

R eserve B ank of New Y ork,
Fiscal Agent of the United States,
New York 45, N. Y.

deral

ar

Dated at
.1961

Sirs :

Subject to the provisions of Treasury Department Circular No. 1069, dated November 6, 1961, the
dersigned hereby subscribes for United States of America 3^4 percent Treasury Notes of Series E-1963,
the amount of $........................................ * and tenders in payment therefor a like par amount of the
urities—

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

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

To be withdrawn from securities held by you.................................................

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

To be delivered b y ..........................................................................................

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

•(Please fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription. ” )

SECURITIES SURRENDERED
( List serial numbers on reverse side)

Face A m ount

2V2%

Treasury Bonds of 1 9 6 1 .........................................................................

$.

(Check one of the boxes below)
□

Registered

□

Bearer (detach coupons)

Submitted by

Address

NONNEGOTIABLE RECEIPT

Subscriber:

Subscription No.

Fiscal Agent of the United State*, hereby acknowledges receipt of
jcurities tendered with subscription numbered as above in exchange for
3% PERCENT TREASURY NOTES OF SERIES E-1963
ecurities allotted on this subscription will be delivered on
iovember 15, 1961, in accordance with your instructions. ----------------------'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 ,

Teller
Government Bond Division— Issues & Redemption Section

BEARER NOTES DESIRED IN EXCHANGE
(Use schedule on reverse side for REGISTERED notes)

Denomi­
nation

(L eave this space blank)

Tace amount

1,000
5,000
10,000

Dispose of securities issued as follows:
□ 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:

100,000
1,000,000
TOTAL

F ederal R eserve B a n k

of

N ew

Y ork,

Fiscal Agent o f the United States

Submitted by

(Date)

a are hereby authorized to deliver to

(N a m e of representative)

>se signature appears below,

Address

$.......................................... par amount
securities issued pursuant to this subscription.
Name.........................................................................

------- —------------------------------------------------------------------------------------------------ 1

(P lea se prin t)

To Subscriber:
(O fficia l signature required)

'(S ig n a tu r e o f authorized repre»entative)




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 of delivery.

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

List of Accounts Included in this Subscription
(Indicate amount surrendered by each customer and by yourself)
( Leave this
spact blank)

Name and address of account

Bone
(1961)

2y2%

( Please print or typewrite)

Our own account . . . .
Total subscription
Denominations and Serial Numbers of Securities Surrendered

1
Schedule for Issue of Registered Notes
( I f registered notes, w hich are m ailed d ire ctly b y T reasury Departm ent, W ashin gton , D. C., are not to be sent to the
registered owner, giv e m ailing instruction s b e lo w .)

(Indicate under appropriate denominations, number of notes desii
Name in which notes shall be registered and post-office
address for interest checks and other mail.
(Please print or typewrite)

Amount

$1,000

$5,000

$10,000

$100,000

$1,000,0

--

Mail registered notes to

I




.....

iber ’8Reference No.

(Please type or print legibly and submit in triplicate)

g j

Subscription No.

E X C H A N G E S U B S C R IP T IO N

For United States of America 3% Percent Treasury Bonds of 1966
Dated November 15, 1960, with Interest from November 15, 1961, Due May 15, 1966
ADDITIONAL ISSUE
e i d e ? I ? nf l / r Sf rUCr <l"**

1 *. A <,®Pa r a t e .»«b » « ip tio n

^■ent d e 'liv e ry i n s t r u ^ t i o n s ^ 'r e ^ ^ i v e r ^ ^
‘ «d a p p e a r ^ i ^ t r i p li c a t e .
®

fo rm sh o u ld b e u s e d

(a )

f o r lis tin g bearer s e c u ritie s

S ^ * ^ * ^ * 1^ ere<*’ ^
M ]
— *■ ^ o i p o f n l T l c ^ Z \ H
3
S ig n a tu re s are re q u ire d on orig in a l o n ly ; a ll oth e r fille d -in m a tte r

4sra Ij R e s e r v e B a n k

of N e w Y o r k ,
Dated at
Fiscal Agent of the United States,
New York 45, N. Y.
^
Attention: Government Bond Division

.1961

I n j e c t to the provisions of Treasury Department Circular No. 1070, dated November 6, 1961, the
ersigned hereby subscribes for United States of America 3% percent Treasury Bonds of 1966, in
amount of $............................................. • and tenders in payment therefor a like par amount o f ’ the
irities—
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.” )

SECURITIES SURRENDERED
(List serial numbers on reverse side)

Face A m ount

V z% Treasury Bonds of 1961.........................................................................
(Check one of the boxes below)
C Registered

$

[] Bearer (detach coupons)

Pay discount ($2.50 per $1,000) as follows:
□ By check

□

By credit to our Reserve Account
(Signature (s ) required also on Delivery Instructions below)

(D o not fill in b o i e i b elow )

Submitted b y ................................................................................

G o v e r n m e n t B o n d D iv is io n

Received

Checked

(Please print)

Canceled
B y.

......................,

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

(Authorized signature^) required)

T it le ...

Title.

Address

Subscription No.

D ELIVER Y INSTRUCTIONS— EXCHANGE SUBSCRIPTION

For United States of America 3% Percent Treasury Bonds of 1966
Dated November 15, 1960, with Interest from November 15, 1961, Due May 15, 1966
ADDITIONAL ISSUE
BEARER BONDS DESIRED IN EXCHANGE
(U se schedule on reverse side for R E G I S T E R E D bonds)

Denomi­
nation

ces

Face amount

Dispose of securities issued as follows:

(L eave this space blank)

500
1,000
5,000

□ 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:

10,000
100,000

1,000,000
TOTAL

'h e u n d e rs ig n e d h e re b y c e rtifie s t h a t th e
e c u ritie s to b e d is p o s e d o f a s in d ic a te d
a ite m 2 o r 3 a b o v e a r e o w n e d so le ly b y
lie u n d e r s ig n e d .

(IM P O R T A N T : N o c h a n g e s in d e liv e ry in stru c tio n s w ill b e
a c c e p te d . A s e p a ra te su b s c rip tio n fo rm m u st b e s u b m itte d f o r
e a c h g ro u p o f se c u ritie s f o r w h ic h d iffe re n t d e liv e ry in s tru c ­
tio n s a re g iv e n .)

Submitted by
(Pleate print)

ie subscription books will open on
jfovember 6, and close at the close of
siness November 9, 1961.

B y ..

B y.
(A u th orized sign a tu re (s) required)

Title.

...........

T itle............................

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

(S p a c e s b e lo w a re fo r th e u se o f th e F e d e ra l R e se rv e B an k o f N ew Y o r k )
S a f e k e e p in g R ecord

eceived

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

ecked
and
divered




Date.

By

ork

the above described United

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

List of Accounts Included in this Subscription
(Indicate amount surrendered by each customer and by yourself)
(Leave this
space blank)

Name and address of account

2%% Bon<
(1961)

________ (Please print or typewrite)

Our own account ___
Total subscription

Denominations and Serial Numbers of Securities Surrendered

Schedule for Issue of Registered Bonds
( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. 0., are not to be sent to the
registered owner, give mailing instructions below.)

Name in which bonds shall be registered, and post-office
address for interest checks and other mail
(Please print or typewrite)

Mail registered bonds to




(Indicate under appropriate denominations, number of bonds desired.)
A m ount

$500

91,000

$5,000

$10,000

$100,000

Tiber’s Keference No.

DUPLICATE— SECURITY RECORDS “ IN TICK ET”

Subscription No.

g_£

I

E X C H A N G E S U B S C R IP T IO N

For United States of America 3% Percent Treasury Bonds of 1966
Dated November 15, 1960, with Interest from November 15, 1961, Due May 15, 1966
ADDITIONAL ISSUE
■

'

New Y o r k ,
Fiscal Agent of the United States,
New York 45, N. Y.

d e ra l R eserve B a n k o f

Dated at
.1961

Sms:
Subject to the provisions of Treasury Department Circular No. 1070, dated November 6, 1961, the
lersigned hereby subscribes for United States of America 3% percent Treasury Bonds of 1966, in
amount of $............................................. * and tenders in payment therefor a like par amount of the
urities—
ar

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.” )

SECURITIES SURRENDERED
( List serial numbers on reverse side)

Face A m ount

% Treasury Bonds of 1961................................................................... $.
_ ack one of the boxes below)

□ Registered

□ Bearer (detach coupons)

y discount ($2.50 per $1,000) as follows
'J By check

□ By credit to our Reserve Account

Submitted by
!

Address

Subscription No.
S E C U R IT Y

R E C O R D S

“ O U T

T IC K E T ”

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 3% Percent Treasury Bonds of 1966
Dated November 15, 1960, with interest from November 15, 1961, due May 15, 1966
ADDITIONAL ISSUE
BEARER BONDS DESIRED IN EXCHANGE
( Use schedule on reverse side for REGISTERED bonds)

|pes£

Denomi­
nation

Face amount

( Leave this space blank)

500
1,000
5,000
10,000

100,000
1,000,000
TOTAL




Submitted by

Address

Dispose of securities issued as follows:
□ 1. Deliver over the counter to
the undersigned
Q 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:

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

List of Accounts Included in this Subscription
(Indicate amount surrendered by each customer and by yourself)
(L tave this
space blank)

Name and address of account

2 % % B ond
(1 9 6 1 )

(Please print or typewrite)

Our own account ................................................ .
Total subscription ................................................

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

Denominations and Serial Numbers of Securities Surrendered

Schedule for Issue of Registered Bonds
( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. 0., are not to be sent to the
registered owner, give mailing instructions below.)

Name in which bonds shall be registered, and post-office
address for interest checks and other mail.
(Please print or typewrite)

Mail registered bonds to




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

$500

SI,000

$5,000

$10,000

$100,000

$1,000,01

TRIPLICATE— TREASURY REPORTS COPY

Iber’s Reference No.

Subscription No.

B-3

E X C H A N G E S U B S C R IP T IO N

For United States of America 3% Percent Treasury Bonds of 1966
Dated November 15, 1960, with Interest from November 15, 1961, Due May 15, 1966
ADDITIONAL ISSUE

e b a l R e se rv e B a n k op N ew Y o rk ,

Dated at

fiscal Agent o f the United States,
New York 45, N. Y.

.1961

a Sirs :
Subject to the provisions of Treasury Department Circular No. 1070, dated November 6, 1961, the
krsigned hereby subscribes for United States of America 3% percent Treasury Bonds of 1966, in
amount of $............................................. * ana tenders in payment therefor a like par amount of the
nties—
Delivered to you herewith.......................................................................................
To bo withdrawn from securities held by y o u ............................................. .

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

To be delivered b y ...................................................................................................

$__

( I lease fill in on the reverse side the schedule “ List o f Accounts Included in this Subscription., , )

SECURITIES SURRENDERED
( List serial numbers on reverse side)

Vz%Treasury Bonds of 1961...................................................................

F ace A m oun t

$.

Check one of the boxes below)

□ Registered

[] Bearer (detach coupons)

ay discount ($2.50 per $1,000) as follows:

□ By credit to our Reserve Account

Submitted by

Address

NONNEGOTIABLE RECEIPT

Subscription No.

Subscriber :
Fiscal Agent o f the United States, hereby acknowledges receipt of
rities tendered with subscription numbered as above in exchange for
33/4 PERCENT TREASURY BONDS OF 1966, ADDITIONAL ISSUE
irities allotted on this subscription will be delivered on
ember 15, 1961, in accordance with your instructions. ..................................................................................
e r a l R ese rv e B a n k op N ew Y o r k ,

Teller
Government Bond Division— Issues & Redemption Section

BEARER BONDS DESIRED IN EXCHANGE
(U se schedule on reverse side for REGISTERED bonds)

es

Denomi­
nation
$

Face amount

( Leave this space blank)

500
1,000
5,000

Dispose of securities issued as follows:
□ 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:

10,000
100,000

1,000,000
TO TAL

|F e d e r a l

R eserve B a n k

op

N ew

Y ork,

Submitted by

Fiscal Agont o f the United States
(D a t e )

are hereby authorized to deliver to

(N a m e o f representative)

fse signature appears below,

Address

$.......................................... par amount
(jecurities issued pursuant to this subscription.
Name...................... ..................................................
(P lease print)

To Subscriber:
(O fficia l signature required)

Digitized for
(S igFRASER
n a tu re o f authorized representative)


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.

\

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

i

j
|

List of Accounts Included in this Subscription
___________________ (Indicate amount surrendered by each customer and by yourself)
(Leave this
space blank)

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

Name and address of account

2%% B ob

(Please print or typewrite)

(1 9 6 1 )

Our own account .........................................................................................................
Total subscription

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

$..................-

Denominations and Serial Numbers of Securities Surrendered

i

>
i

Schedule for Issue of Registered Bonds
( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to th
registered owner, give mailing instructions below.)
(Indicate under appropriate denominations, number of bonds desired.
Name in which bonds shall be registered, and post-office
address for interest checks and other mail.
( Please print or typewrite)

Mail registered bonds to




Amount

$500

$1,000

$5,000

$10,000

$100,000

$1,000

iber’a Reference No.

(P le a se ty p e o r print leg ib ly a n d subm it in trip lica te)

Subscription No.

£ _|

EXCHANGE SUBSCRIPTION
For United States of America 3% Percent Treasury Bonds of 1974
>ated December 2, 1957, with Interest from November 15, 1961, Due November 15, 1974
ADDITIONAL ISSUE
Im portant In stru ction .
1. A s e p a ra te s u b s c rip tio n fo rm sh o u ld b e u se d ( a ) fo r lis tin g bearer s e c u ritie s
e n d e re d , ( b ) fo r lis tin g registered s e c u ritie s s u r r e n d e r e d , a n d ( c ) fo r e a c h g ro u p o f new s e c u ritie s f o r w h ich
jr e n t d e liv e ry in s tru c tio n s a r e g iv en . 2 . S ig n a tu re s a re r e q u ir e d on o rig in a l only; a ll o th e r filled -in m a tte r
Ud a p p e a r in tr ip lic a te .
eral R eserve B ank of New Y ork,
Dated a t ..........
Fiseal Agent of the United States,
New York 45, N. Y.
.............................................................1961
Attention: Government Bond Division
ja S irs :
Subject to the provisions of Treasury Department Circular No. 1071, dated November 6, 1961, the
ersigned hereby subscribes for United States of America 3% percent Treasury Bonds of 1974, in
amount of $......... ...................................• and tenders in payment therefor a like par amount of the
irities—

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

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

To be withdrawn from securities held by you

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

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

be delivered b y .................................. ....................... ............. ..........................

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

3e fill in on the reverse aide the schedule “ List o f Account* Included in this Subscription.” )

SECURITIES SURRENDERED
( List serial numbers on reverse side)

Face Amount

Wz%Treasury Bonds of 1961...................................................................

$.

(Checi: one of the boxes below)

□ Registered

□ Bearer (detach coupons)

Pay discount ($10.00 per $1,000) as follows:

□ By check

□ By credit to our Reserve Account
(S ig n a tu re s ) required also on Delivery Instructions below)

(D o not fill ia b « x u b elow )

Submitted b y ............................

“G o v e r n m e n t B o n d D i v i s i o n

(Please print)

Canceled

Checked

B y.

...................... ,

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

(Authorized signature (s) required)

T it le ...

Title.

Address

Subscription No.

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 3% Percent Treasury Bonds of 1974
)ated December 2, 1957, with Interest from November 15, 1961, Due November 15, 1974
ADDITIONAL ISSUE
BEARER BONDS DESIRED IN EXCHANGE
(Use schedule on reverse side for R E G I S T E R E D bonds)

Denomi­
nation

sea

*

Dispose of securities issued as follows:

(L eave this space 'blank)

Face amount

500
1,000
5,000

Q 1. Deliver over the counter to
the undersigned
□ 2. Hold in safekeeping (for
member bank only)
Q 3. Hold as collateral for Treas­
ury Tax and Loan Account
□ 4. Ship to the undersigned
Q 5. Special instructions:

10,000
100,000

1,000,000
TOtTAL

he undersigned hereby certifies that the
icurities to be disposed o f as indicated
item 2 or 3 above are owned solely by
« undersigned.

(IM P O R T A N T i No changes in delivery instructions will be
accepted. A separate subscription form must be submitted for
each group o f securities for which different delivery instruc­
tions are given.)

Submitted by
(Please print)

te subscription books will open on
avember 6, and close at the close of
isiness November 9, 1961.

B y ..,

B y.
(Authorized signature(s) required)

Title.

...........

T itle............................

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

(Spaces below are fo r the use o f the Federal Reserve Bank o f New Y ork )
S a f e k e e p in g R eco rd

ceived

Received from F e d e r a l R e s e r v e B a n k o p N e w Y
States obligations in the amount subscribed for.
Subscriber

eckod
and
ivered




D ate...........

By

ork

the above described United

(I f space U insufficient in schedule* below, attach separate lmtin*)

List of Accounts Included in this Subscription
(Indicate amount surrendered by each customer and by yourself)

(Leave this
tpace blank)

Name and address of account
____

2%% Bon<
(1 9 6 1 )

(Please print or typewrite)

$

♦r

m
m

ttttOM
new;

Our own account ............................................ .........................................
Total subscription ................ , . , , ........ .............................................

$.......- ..............

Denominations and Serial Numbers of Securities Surrendered

Schedule for Issue of Registered Bonds
( I f registered bonds, which are mailed directly by Trewrary Department, Washington, D. 0., are not to be sent to th<
registered owner, give mailing instructions below.)

(Indicate under appropriate denominations, number of bonds desired!

Namein which bonds shall be registered, and post-office
address for interest checks and other maU.
( Please print or typewrite)

Amount

$500

91.000

$5,000

910,000

$100,000

---------------

ffj

Mail registered bond* to




91,000,

nriber’a Reference No.

D U P L IC A T E -S E C U R IT Y RECORDS “ IN TICK ET’*

Subscription No.

C -2

E X C H A N G E S U B S C R IP T IO N

For United States of America 3% Percent Treasury Bonds of 1974
)ated December 2, 1957, with Interest from November 15, 1961, Due November 15, 1974
ADDITIONAL ISSUE

R eserve B ank of New Y ork,
Fiscal Agent o f the United States,
New York 45, N. Y.

Dated a t ....................................................

deral

....................................................... 1961

Sirs :
Subject to the provisions of Treasury Department Circular No. 1071, dated November 6, 1961, the
lersigned hereby subscribes for United States of America 3% percent Treasury Bonds of 1974, in
•mount of $................................ ............ • and tenders in payment therefor a like par amount of the
urities—
ab

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

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

To be withdrawn from securitiea 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.” )

i i
:e

SECURITIES SURRENDERED
;

( Lis* serial numbers <m reverse side)

F ace A m ou n t

ZlA% Treasury Bonds of 1961...................................................................

$.

(Cheek one of the boxes below)

□ Registered

□ Bearer (detach coupons)

Pay discount ($10.00 per $1,000) as follows:

□ By check

□ By credit to our Reserve Account

Submitted by

Address

Subscription No.
S E C U R IT Y

R E C O R D S

"O U T

T IC K E T ”

DELIVERY INSTRUCTIONS— EXCHANGE SUBSCRIPTION
For United States of America 3% Percent Treasury Bonds of 1974
)ated December 2, 1957, with Interest from November 15, 1961, Due November 15, 1974
ADDITIONAL ISSUE
BEARER BONDS DESIRED IN EXCHANGE
(U se schedule on reverse side for REGISTERED bonds)

icea

Denomi­
nation
*

Face amount

(L eave this space blank)

600
1,000
5,000
10,000

100,000
1,000,000
TOTAL




Submitted by

Address

Dispose of securities issued as follows:
□ 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:

(If space is Insufficient In schedules below, attach separate listing)

List of Accounts Included in this Subscription
(Indicate amount surrendered by each customer and by yourself)

{ Leant thu
space blank)

Name and address of account

2 % % Bonds
(1961)

(Please print or typewrite)

Our own account ___
Total subscription

A

Denominations and Serial Numbers of Securities Surrendered

Schedule for Issue of Registered Bonds
( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. 0., are not to be sent to the
registered owner, give mailing instructions below.)

(Indicate under appropriate denominations, number of bonds desired.)

Nun* in which bonds shall be registered, and post-office
address for interest checks and other mail.
( Please print or typewrite)

Mail registered bonds to




Amount

$500

91.000

95,000

910,000

9100,000

$1,000,0

TR IPLIC A TE — TREASURY REPORTS COPY

iber’s Itflfunmco No.

C3

Subscripts No.

E X C H A N G E S U B S C R IP T IO N

For United States of America 3% Percent Treasury Bonds of 1974
ated December 2, 1957, with Interest from November 15, 1961, Due November 15, 1974
ADDITIONAL ISSUE

e r a l R eserve B an k o f N ew Y ork ,

Dated at

fiscal Agent o f the United States,
New York 45, N. Y.

.1961

B S ir s :

Subject to tli© provisions of Treasury Department Circular No. 1071, dated November 6, 1961, the
ersigned hereby subscribes for United States of America 3% percent Treasury Bonds of 1974, in
amount of $............................................. * and tenders in payment therefor a like par amount of the
irities—
Delivered to yon herewith................................................... .
To be withdrawn from securities held by y o u .................. .
To be delivered b y ................................................................
V ^ easo fill in on the reverse aide the schedule “ List o f Accounts Included in this Subscription.” )

SECURITIES SURRENDERED
(List serial numbers on reverse side)

F a ce A m oun t

Treasury Bonds of 1961................................................................... $.
ne of the boxes below)

□ Registered

□ Bearer (detach coupons)

Pay discount ($10.00 per $1,000) as follows:

U By check

□ By credit to our Reserve Account

Submitted by

Address

NONNEGOTIABLE RECEIPT

Subscriber:

Subscription No.

•eral Reserve Bank o p New York, Fiscal Agent of the United States, hereby acknowledges receipt of
irities tendered with subscription numbered as above in exchange for
3% PERCENT TREASURY BONDS OF 1974, ADDITIONAL ISSUE
urities allotted on this subscription will be delivered on
rember 15, 1961, in accordance with your instructions. ..................................................................................
Teller
Government Bond Division— Issues ft Redemption Section

_________

BEARER BONDS DESIRED IN EXCHANGE
(U se schedule on reverse side for REGISTERED bonds)

Denomi­
nation

es

$

Pace amount

(L eave this space blank)

Dispose of securities issued as follows:
□
□

500

□
1,000

□
Q

5,000

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:

10,000
100,000

1,000,000
■ii

TOTAL

F ederal R eserve B a n k

of

N ew

Y ork,

Submitted by .................................................................

Fiscal Agent o f the United States
(D a t e )

i are hereby authorized to deliver to

(N a m e o f representative)

iso signature appears below,
$.......................................... par amount
lecurities issued pursuant to this subscription.
Name........................................................................
(Please print)

To Subscriber:
(O fficial signature required)

(S ig n a tu re o f authorized representative)




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.

(If ipace ii Insufficient in schedules below, attach separate listing)

List of Accounts Included in this Subscription
(Indicate amount surrendered by each customer and by yourself)

(Leave this
space blank)

Name and address of account

2 % % Bon.
(1961)

(Please print or typewrite)

Our own account ................................................ ........................................................
Total subscription ................................................................................................

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

Denominations and Serial Numbers of Securities Surrendered

Schedule for Issue of Registered Bonds
( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to th.
registered owner, give mailing instructions below.)
(Indicate under appropriate denominations, number of bonds desired*'
Name in which bonds shall be registered, and post-office
address for interest checks and other mail.
(Please print or typewrite)

Amount

$500

$1,000

15,000

910,000

9100,000

91.000,

--------•

-----------------

,.

Mail registered bonds to