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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