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FEDERAL RESERVE BANK
OF NEW YORK
Fiscal Agent of the United States

r Circular No. 5 1 3 8 *1

L

January IS, 1962

CASH OFFERING
4 Percent Treasury Bonds of 1969, Additional Issue, at 99.75

To All Banking Institutions, and Others Concerned,
in the Second Federal Reserve D istrict:

The subscription books are open for a cash offering, at 99.75, of an
additional issue of 4 percent Treasury Bonds of 1969, dated October 1,
1957, with interest from January 24, 1962, maturing October 1, 1969.
The terms of the offering are set forth in Treasury Department
Circular No. 1-62, Public Debt Series, a copy of which is printed on
the following pages.
All subscribers are required to agree not to purchase or to sell, or
to make any agreements with respect to the purchase or sale or other
disposition of any bonds of this additional issue, until after midnight
J anuary 15, 1962.
A commercial bank submitting a subscription direct to the Federal
Reserve Bank of its District may, if it is a qualified depositary, pay by
credit in its Treasury Tax and Loan Account for bonds allotted on
such subscription; however, a commercial bank submitting a subscrip­
tion through a correspondent bank may not pay by credit in its Tax
and Loan Account for bonds allotted on the subscription of the
correspondent bank.
Subscriptions will be received by this Bank as fiscal agent of the
United States. Subscriptions should be made on official subscription
forms, copies of which are enclosed, and should be mailed immediately.
I f filed by telegram or letter, subscriptions should be confirmed immedi­
ately by mail on the forms provided.

The subscription books will

remain open for one day only, Monday, January 15. Any subscription
addressed to a Federal Reserve Bank or Branch or to the Treasury
Department and placed in the mail before midnight January 15, will
be considered timely.




A

lfred

H

ayes,

President.

j

UNITED STATES OF AMERICA
4 PERCENT TREASURY BONDS OF 1969
Dated October 1, 1957, with interest from January 24, 196*2

Due October 1, 1969

Interest payable April 1 and October 1
ADDITIONAL ISSUE
DEPAR TM EN T CIRCULAR
Public Debt Series—No. 1—62

TREASU RY DEPARTM ENT,
O ffice

of t h e

S ec r e t ar y ,

Washington, January 15, 1962.
I.

OFFERING OF BONDS

1. The Secretary of the Treasury, pursuant to
the authority o f the Second Liberty Bond Act, as
amended, invites subscriptions, at 99.75 percent of
their face value and accrued interest, from the
people o f the United States for bonds of the United
States, designated 4 percent Treasury Bonds of 1969.
The amount of the offering under this circular is
$1,000,000,000, or thereabouts. In addition to the
amount offered for public subscription, the Secretary
of the Treasury reserves the right to allot up to
$100,000,000 of these bonds to Government Investment
Accounts. The books will be open only on January 15,
1962, for the receipt o f subscriptions for this issue.

n.

DESCRIPTION OF BONDS

1.
The bonds now offered will be an addition to
and will form a part of the series o f 4 percent Treas­
ury Bonds of 1969 issued pursuant to Department
Circulars Nos. 996, 1024 and 1056, dated September
16, 1957, March 23, 1959, and November 18, 1960,
respectively, 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 January 24, 1962. Subject to the
provision for the accrual of interest from January 24,
1962, on the bonds now offered, the bonds are described
in the following quotation from Department Circular
No. 996:
“ 1. The bonds will be dated October 1, 1957,
and will bear interest from that date at the rate of
4 percent per annum, payable semiannually on
A pril 1 and October 1 in each year until the prin­
cipal amount becomes payable. They will mature
October 1, 1969, and will not be subject to call for
redemption prior to maturity.
“ 2. The income derived from the bonds is sub­
ject to all taxes imposed under the Internal Rev­
enue Code of 1954. The bonds are subject to estate,
inheritance, gift or other excise taxes, whether Fed­
eral or State, but are exempt from all taxation now
or hereafter imposed on the principal or interest
thereof by any State, or any o f the possessions of
the United States, or by any local taxing authority.
“ 3. The bonds will be acceptable to secure de­
posits o f public moneys.
“ 4. Bearer bonds with interest coupons attached,
and bonds registered as to principal and interest,
will be issued in denominations o f $500, $1,000,




$5,000, $10,000, $100,000 and $1,000,000. Provision
will be made for the interchange of bonds of differ­
ent denominations and of coupon and registered
bonds, and for the transfer of registered bonds,
under rules and regulations prescribed by the Secre­
tary of the Treasury.
“ 5. Any bonds issued hereunder which upon the
death of the owner constitute part of his estate, will
be redeemed at the option of the duly constituted
representatives 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
decedent at the time of his death; and
(b) that the Secretary of the Treasury be au­
thorized to apply the entire proceeds of
redemption to the payment of Federal estate
taxes.
Registered bonds submitted for redemption here­
under must be duly assigned to “ The Secretary of
the Treasury for 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 o f stopping payment of interest
to the registered owner during the closed period,
registered bonds received after the closing of 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 pay­
ment date ;2 bonds received during the closed period
for payment at a date after the books reopen will
be paid at par plus accrued interest from the re­
opening of the books to the date of payment. In
either case checks for the full six months’ interest
due on the last day of the closed period will be
forwarded to the owner in due course. All bonds
submitted must be accompanied by Form PD 1782,3
properly completed, signed and sworn to, and by
1 An exact half-year ’a interest is computed for each full halfyear period irrespective of the actual number of days in the
half year. For a fractional part of any half year, computation
ia on the baais of the actual number of day8 in such half year.
2 The transfer booka are closed from March 2 to April 1 and
from September 2 to October 1 (both dates inclusive) in each
year.
3 Copies of Form PD 1782 may be obtained from any Federal
Reserve Bank or from the Treasury Department, Washington,

proof of the representatives’ authority in the form
of a court certificate or a certified copy of the repre­
sentatives’ letters o f appointment issued by the
court. The certificate, or the certification to the
letters, must be under the seal o f 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 submis­
sion. Upon payment of the bonds appropriate
memorandum receipt will be forwarded to the rep­
resentatives, which will be followed in due course
by formal receipt from the District Director of
Internal Revenue.
‘ ‘ 6. The bonds will be subject to the general regu­
lations o f the Treasury Department, now or here­
after prescribed, governing United States bonds.”
III.

SUBSCRIPTION AND ALLOTMENT

1. Subscriptions will be received at the Federal
Reserve Banks and Branches and at the Office of the
Treasurer of the United States, Washington. Only
the Federal Reserve Banks and the Treasury Depart­
ment are authorized to act as official agencies. Com­
mercial banks, which for this purpose are defined as
banks accepting demand deposits, may submit sub­
scriptions for account of customers provided the
names of the customers are set forth in such subscrip­
tions. Others than commercial banks will not be per­
mitted to enter subscriptions except for their own
account. Subscriptions from commercial banks for
their own account will be restricted in each case to an
amount not exceeding 5 percent of the combined
amount o f time and savings deposits, including time
certificates o f deposit, or 15 percent o f the combined
capital, surplus and undivided profits, of the subscrib­
ing bank, whichever is greater. Subscriptions from
banking institutions generally for their own account
and from States, political subdivisions or instrumen­
talities thereof, public pension and retirement and
other public funds, and dealers who make primary
markets in Government securities and report daily to
the Federal Reserve Bank of New York their positions
with respect to Government securities and borrowings
thereon, will be received without deposit. Subscripfrom all others must be accompanied by payment
, . Pcrcent of the amount of bonds applied for, not
subject to withdrawal until after allotment. Follow­
ing allotment^ any portion o f the 25 percent payment
m excess of 25 percent of the amount of bonds allotted
may be released upon the request of the subscribers.
2. All subscribers are required to agree not to pur­
chase or to sell, or to make any agreements with re­
spect to the purchase or sale or other disposition of




any bonds of this additional issue, until after mid­
night January 15, 1962.
3. Commercial banks in submitting subscriptions
will be required to certify that they have no beneficial
interest in any of the subscriptions they enter for the
account of their customers, and that their customers
have no beneficial interest in the banks’ subscriptions
for their own account.
4. The Secretary of the Treasury reserves the right
to reject or reduce any subscription, to allot less than
the amount of bonds applied for, and to make different
percentage allotments to various classes of subscrib­
ers ; and any action he may take in these respects shall
be final. The basis of the allotment will be publicly
announced, and allotment notices will be sent out
promptly upon allotment.
IV.

PAYMENT

1.
Payment at 99.75 percent of their face value
and accrued interest from October 1, 1961, to January
24, 1962 ($12.63736 per $1,000), for bonds allotted
hereunder must be made or completed on or before
January 24, 1962, or on later allotment. The total
amount of such payment will be $1,010.13736 per
$1,000 face amount of bonds allotted. In every case
where payment is not so completed, the payment with
application up to 25 percent of the amount of bonds
allotted shall, upon declaration made by the Secretary
o f the Treasury in his discretion, be forfeited to the
United States. Any qualified depositary will be per­
mitted to make payment by credit in its Treasury Tax
and Loan Account for bonds allotted to it for itself
and its customers up to any amount for which it shall
be qualified in excess o f existing deposits, when so
notified by the Federal Reserve Bank of its District.
V.

GENERAL PROVISIONS

1. As fiscal agents of the United States, Federal
Reserve Banks are authorized and requested to receive
subscriptions, to make allotments on the basis and up
to the amounts indicated by the Secretary of the
Treasury to the Federal Reserve Banks of the respec­
tive Districts, to issue allotment notices, to receive pay­
ment for bonds allotted, to make delivery 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 offer­
ing, which will be communicated promptly to the
Federal Reserve Banks.
DOUGLAS DILLON,
Secretary of the Treasury.

Subscription Number

CASH SUBSCRIPTION
For United States of America 4 Percent Treasury Bonds of 1969
Dated October 1, 1957, with interest from January 24, 1962, Due October 1, 1969
ADDITIONAL ISSUE
Subscription books will be open only cm Monday,
January 15, for the receipt of cash subscriptions.

Important
1. Payment at 99.75 and accrued interest from October 1, 1961 for these securities must be made on or before January
24, 1962.
2. Subscriptions from banking institutions generally for their own account and from States, political subdivisions or
instrumentalities thereof, public pension and retirement and other public funds, and dealers who make primary markets
in Government securities and report daily to the Federal Reserve Bank o f New York their positions with respect to
Government securities and borrowings thereon, will be received without deposit. Subscriptions from all others must be
accompanied by payment of 25 percent of the amount of bonds applied fo r ; checks for such payments should be made
payable to the order o f the Federal Reserve Bank of New York, Fiscal Agent of the United States.
3. Commercial banks subscribing for account o f customers should hold the 25 percent deposits paid to them by their
customers (see certification below).
4. Amount o f bonds applied for must be in multiples of $500.
F ederal R eserve B a n k

of

New Y

Dated at

ork,

Fiscal Agent o f the United States,
Federal Reserve P. 0. Station,
New York 45, N. Y.

.1962
Attention: Securities Department— 9th Floor

D e a r S ir s *

Pursuant to the provisions o f Treasury Department Circular No. 1-62, Public Debt Series, dated January 15, 1962, the
undersigned hereby subscribes at 99.75 for United States of America 4 percent Treasury Bonds of 1969, Additional Issue,
as stated below :
For own a c c o u n t.................................................................................................................
For our customers as listed on reverse side (for use of commercial banks only)
Total subscription...........................................
The undersigned subscriber is, or is subscribing for account of, a savings-type investor, as follows (a commercial
bank, when listing its savings-type investor customers on reverse side, should indicate the kinds of investors by the
letters used b e lo w ):
□
□
□
□
□
□

A. Pension and retirement funds— public
and private
B. Endowment funds (where principal ordinarily
is not expendable)
C. Insurance companies
D. Mutual savings banks
E. Fraternal benefit associations and labor
unions’ insurance funds
F. Savings and loan associations

G. Credit unions
H. Other savings organizations, not including com­
mercial banks (state type)
□ I. States, political subdivisions or instrumentalities
thereof, and public funds
□ J. Common trust funds under Regulation F of the
Board o f Governors o f the Federal Reserve
System.
□
□

(Commercial banks should not include savings-type investor customers on the same form with other customers)
<,If a commercial bank is subscribing for its own account or for account o f customers, the following certifications are made a part o f this subscription)

W e H e r e b y C e r t i f y that we have received applications from our customers in the amounts set opposite the customers’
on the hst which is made a part o f this subscription; that there has been paid to us by each such customer as
official offering circular, not subject to withdrawal until after allotment, not less than 25 percent o f the amount
to c 16 i
^ We
ve n°t made unsecured loans, or loans collateralized in whole or in part by the securities applied for,
of
^ t 6 amoun*s
such payments to any of such customers; that we have no beneficial interest in the applications
\VpCpS ° mers’ p11(^
none of our customers has any beneficial interest in the amount subscribed for our own account,
to soil nr r THl R
TIFY ^ a t
subscribers for whom subscriptions are hereby entered, have agreed not to purchase or
issue until after T a m ^ i^ l6" ^ ^ ;? 8
resPec^
the purchase or sale or other disposition of any bonds of this additional
j,

o f tirnp flmlRTJ^ vfr.^ EI\IIFY
subscription for our own account does not exceed 5 percent of our combined amount
undivided profits w hichever^ greater11” ^ me cert^ cates
deposit, or 15 percent of our combined capital, surplus and
and for the a cco u n t^ T b lfr
aPPlications received by us, if any, from other commercial banks for their own account
set forth in this subscription form 281*8
6611 entere(*
us u^der the same conditions, agreements and certifications as
The undersigned agrees not to purchase or to sell, or to make any agreements with respect to the purchase or sale or
other disposition o f any bonds of this additional issue, until after January 15, 1962.
TO SU BSCRIBER:
. ..
. ,
. _
. .
(Fill in all required spaces before signing)

Mark (X ) in proper space
to indicate if this is:
(Name of subscriber— Please print or typewrite)

Original subscription .................. □
Confirmation of a telegram........ | [

By.

Confirmation of a letter................

Address

□

(Official signature)

(Title)

(Spaces below are for the use of Federal Reserve Bank of New York)
— —

DEPOSIT

...

■" .■ 1 . ----- -----—

Blotter..............................

..................'

■
■ »■■■■■■ -------

ALLOTMENT

Examined........................
$

$

------------ — -------------- — ------------------------------

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

Acknowledged.................
Figured

Checked

Advised

Carded.............................
____

(I f acknowledgment of this subscription is desired, complete this stub)

Receipt is acknowledged o f your subscription for $............................................... , 4% Treasury Bonds of
1969, Additional Issue, dated October 1, 1957, with interest from January 24, 1962, and maturing
October 1, 1969.
For use of Federal Reserve Bank

Time Stamp

T o .....................................................




(Name)

(Address)

■

-- —

(F or use o f commercial bank subscribers only)
LIST OF CUSTOMERS INCLUDED IN THIS SUBSCRIPTION
(Please print or typewrite)

(D o not list savings-type investor customers
on the same form with other customers)
( I f savingstype investor,
indicate kind
by letter— see
other side)




Name of Customer

Amount Subscribed

Leave blank

Subscription Number

FEDERAL RESER VE BANK
O F N E W Y O RK
F is c a l

Agent

o f

t h e

U n it e d

S tates

1

NOTICE OF ALLOTM ENT
For United States of America 4 Percent Treasury Bonds of 1969
ADDITIONAL ISSUE

To Subscriber:

On your subscription, numbered as above, for $

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY BONDS OF 1969, ADDITIONAL ISSUE
DATED OCTOBER 1, 1957, WITH INTEREST FROM JANUARY 24, 1962, DUE OCTOBER 1, 1969

which you filed pursuant to the provisions of Treasury Department Circular No. 1-62, Public Debt Series, dated January 15,
1962, the Secretary of the Treasury has allotted bonds to you in the amount of—

$
Important
1. To expedite delivery of the securities allotted to you and to facilitate prompt completion of this transaction, please
fill in, sign and return immediately the attached Letter o f Instructions to the Federal Reserve Bank of New York,
Fiscal Agent of the United States, New York 4 5, N. Y .

Payment
2. Payment at 99.75 plus accrued interest of $12.63736 per $1,000 for securities allotted must be made on or before
January 24, 1962. Payment may be made by check, cash, charge, or credit as follows:
By Check — The check should be made payable to the order o f the FEDERAL RESERVE BANK OF NEW YORK, FISCAL AGENT OF
THE UNITED STATES.
The securities will not be delivered by this Bank until the proceeds o f a check have been collected. The proceeds
of a check drawn on the Federal Reserve Bank o f New York are immediately available.

By Cash

Payment may be made in cash.

B y (J ia r g e
A member bank may make payment by requesting us to charge its reserve account, or a nonmember clearing bank may make
payment by requesting us to charge its clearing account.
B y C r e d it
(a ) I f subscriber is a depositary of public moneys qualified under the provisions o f Treasury Department Circular No. 92
(Kevised), it will be permitted to make payment by credit in the Treasury Tax and Loyn Account for the securities allotted to it for its
own account and for its customers (up to any amount for which it shall be qualified in excess of existing deposits).
(b ) Securities of this issue allotted to a qualified depositary for its own account may be pledged with the Federal Reserve Bank o f New
^ork as collateral security for deposits in the Treasury Tax and Loan Account.

Delivery
3. (a) Delivery of the securities allotted will be made by the Federal Reserve Bank of New York at its Head Office
in New York City, and will not be made before Januarjr 24, 1962.

(b)
The securities will be delivered over the counter to a representative of the subscriber, provided the representa
tive presents a letter of authority identifying him and signed officially by the subscriber.

Safekeeping
4. Secuiities allotted to member banks for their own account may be left with this Bank for safekeeping pursuant to
the terms of our Operating Circular No. 14.

F e d e r a l R e se r ve B a n k of N e w Y
Fiscal Agent o f the United States.
Checked by




ork,

v ams leuer or instructions, accompanied by attached ‘ duplicate copy,
should be filled in and returned to Federal Reserve Bank of New York)

"

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

Subscription iNumber

LETTER OF INSTRUCTIONS
To F e d e r a l R ese r ve B a n k of N e w Y o r k ,
Fiscal Agent of the United States,
Federal Reserve P. 0 . Station,
New York 45, N. Y.

2

Attention: Government Bond Division— 2nd Floor

From (Name and address of Subscriber)

Dated at ......................................................
............................................................... 1962

On our subscription, numbered as above, for $

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY BONDS OF 1969, ADDITIONAL ISSUE
DATED OCTOBER 1, 1957, WITH INTEREST FROM JANUARY 24, 1962, DUE OCTOBER 1, 1969

which we filed pursuant to the provisions of Treasury Department Circular No. 1-62, Public Debt Series, dated January 15,
1962, we have received your notice of allotment stating that the Secretary of the Treasury has allotted bonds to us in the
amount of—

$
As requested, we send you the following instructions:
Payment at 99.75 plus accrued interest for the bonds allotted ($1,010.13736 per $1,000) will be made in the
total amount of $..............................................., as follows:
By credit to Treasury Tax and Loan Account as indicated in the attached
Advice o f D e p o s it............................................................................................... ....$.............................
By charge to our reserve account, which you are authorized to m a k e .......... ....$............................
By check or cash h erew ith .......................................................................................$............................
Total p a y m en t..................................................................... ....$.............................
BEARER BONDS D ESlltED
(For REGISTERED bonds— use only reverse side)
Denomi­
nation

eces

$

Face amount

Dispose of securities issued, as follows:
□
□
□
□
□

(Leave this space blank)

500
1,000

1.
2.
3.
4.
5.

Deliver over the counter to the undersigned
Hold in safekeeping (for member bank only)
Hold as collateral for Treasury Tax and Loan Account
Ship to the undersigned
Special instructions:

5,000
10,000
100,000

------- ----------------------------1,000,000

The undersigned (if a bank or trust company) hereby
certifies that the securities to be disposed of as indicated in
item 2 or 3 above are owned solely by the undersigned.
(IM P O R TA N T:
be accepted.)

TOTAL

This letter of instructions must be signed
officially in the space provided and returned immediately to
Federal Reserve Bank of New York,

No changes in delivery instructions will

Submitted by .....................................................................................
(Please print)

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

(Authorized signature(s) required)

Title .........................................................................

Title

Fiscal Agent o f the United States.
Address

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

(Spaces below are for the use of Federal Reserve Bank of New York)
G o v e r n m e n t B o n d D iv is io n

Payment received

S a f e k e e p in g D iv i s i o n

.................
Checked .

Deliver ag ain st paym ent o f $.

Delivered
D ELIVE RY RECEIPT
Received from Federal Reserve Bank o f New York, Fiscal Agent o f thp TTtT+ ^ a*
indicated above.
L m te d
States,
Date.

'

^

the

v

j

-i.

above described securities

allotted

in

the am ount

Subscriber.
I£

•

payment is to be made by credit to Treasury Tax and Loan Account, an advice of the deposit should be
urnished to the Federal Reserve Bank of New York on the form below.

Advice of Deposit in Treasury Tax and Loan Account
To Federal Reserve Bank of New York
Government Bond Division
Y

k
011 January 24, 1962, $
to the credit of the Federal Reserve Bank of New
, isca A^uit of the I nited States, in the Treasury Tax and Loan Account, to be held subject to withdrawal on
uemand m payment for $
(par value) 4 percent Treasury Bonds of 1969>
*11 , 1 n<1
sslu’ ( a*(,l October 1, 1957, with interest from January 24, 1962, due October 1, 1969, allotted as per Notice of
Allotment received from you.
’
’
^


http://fraser.stlouisfed.org/
Date Reserve Bank of St. Louis Subscriber
Federal

(Name of depositary)

Address
(City and State)

SCHEDULE FOR ISSUE OF REGISTERED BONDS DESIRED
(Names and addresses must be printed or typewritten)
( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the registered
owner, give mailing instructions below.)
T T -T T -

Mail




registered

bonds to

(DU PLICATE COP* FO R USE OF F E D E R A L RESERVE B A N K OF NEW

Subscription JNumber

LETTER OF INSTRUCTIONS
T o F e d e r a l R e s e r v e B a n k op N e w Y o r k ,

Fiscal Agent of the United States,
Federal Reserve P. 0 . Station,
New York 45, N. Y.

Attention: Government Bond Division— 2nd Floor
Dated a t ............

Prom (Name and address of Subscriber)

.1962

On our subscription, numbered as above, for $

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY BONDS OF 1969, ADDITIONAL ISSUE
DATED OCTOBER 1, 1957, WITH INTEREST FROM JANUARY 24, 1962, DUE OCTOBER 1, 1969

which we filed pursuant to the provisions of Treasurv Department Circular No. 1-62, Public Debt Series, dated January 15,
1962, we have received your notice of allotment stating that the Secretary of the Treasury has allotted bonds to us in the
amount of—

As requested, we send you the following instructions:
Payment at 99.75 plus accrued interest for the bonds allotted ($1,010.13736 per $1,000) will be made in the
total amount of $..............................................., as follows:
By credit to Treasury Tax and Loan Account as indicated in the attached
Advice of D e p o s it............................................................................................... ... $.............................
By charge to our reserve account, which you are authorized to m a k e .......... ... $.............................
By check or cash h erew ith ...................................................................................... $.............................
Total payment
BEARER BONDS DESIRED
(For REGISTERED bonds— use only reverse side)
ieces

Denomi­
nation

Face amount

Dispose of securities issued, as follows:

(Leave this space blank)

500
1,000

□
□
□
□
□

1.
2.
3.
4.
5.

Deliver over the counter to the undersigned
Hold in safekeeping (for member bank only)
Hold as collateral for Treasury Tax and Loan Account
Ship to the undersigned
Special instructions:

5,000
10,000

100,000

The undersigned (if a bank or trust company) hereby
certifies that the securities to be disposed of as indicated in
item 2 or 3 above are owned solely by the undersigned.

1,000,000

(IM P O R TA N T: No changes in delivery instructions will
be accepted.)_________________________________________________
_

TOTAL

This letter of instructions must be signed
officially in the space provided and re­
turned immediately to
Federal Reserve Bank of New York,

Submitted by ......................................................
(Please print)

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

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

Title .........................................................................

Title ...............................

(Authorized signature(s) required)

Fiscal Agent of the United States.
Address

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

(Spaces below are for the use of Federal Reserve Bank of New York)
G o v e r n m e n t B o n d D iv is io n

S a f e k e e p in g D i v i s i o n

Payment received ...............
Checked .
D eliver a g a in st

payment

of $

Delivered
DELIVERY RECEIPT
Received from Federal Reserve Bank of New York, Fiscal Agent of the

indicated above.
e Lnited States, the above described securities allotted in the amount

http://fraser.stlouisfed.org/
TlntP Reserve Bank of St. Louis Subscriber.
Federal

SCHEDULE FOR ISSUE OF REGISTERED BONDS DESIRED
(Names and addresses must be printed or typewritten)
( I f registered bonds, which are mailed directly by Treasury Department, Washington, D. C., are not to be sent to the registered
owner, give mailing instructions below.)
(Indicate number of bonds desired in each denomination)
Names in which bonds of this issue shall be registered, and postoffice addresses for mailing interest checks

Par amount desired

$500

11,000

$5,000

$10,000

$100,000

j
$1,000,000

1.

1

2.

3.

4.
Total

Mail registered bonds to




ALLOTMENT NOTICE FOR GOVERNMENT BOND DIVISION

To Subscriber:

$

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY BONDS OF 1969, ADDITIONAL ISSUE
DATED OCTOBER 1, 1957, WITH INTEREST FROM JANUARY 24, 1962, DUE OCTOBER 1, 1969




$

4

ALLOTMENT NOTICE FOR SECURITY FILES

To Subscriber:

$

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY BONDS OF 1969, ADDITIONAL ISSUE
DATED OCTOBER 1, 1957, WITH INTEREST FROM JANUARY 24, 1962, DUE OCTOBER 1, 1969




ALLOTMENT NOTICE FOR SECURITIES DEPARTMENT

To Subscriber:

$

(par amount) of—

UNITED STATES OF AMERICA 4 PERCENT TREASURY BONDS OF 1969, ADDITIONAL ISSUE
DATED OCTOBER 1, 1957, WITH INTEREST FROM JANUARY 24, 1962, DUE OCTOBER 1, 1969




$

6