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FEDERAL RESERVE BANK OF N EW YORK Fiscal Agent of the United States r Circular No. 54 75 1 U March 27, 1964 J CASH OFFERING 3 % Percent Treasury Notes of Series D -1965, Additional Issue To All Banking Institutions, and Others Concerned, in the Second Federal Reserve District: The subscription books will be open on March 31 for a cash offering, at 99.70, of 3 % percent Treasury Notes of Series D-1965, dated February 15, 1964 with interest from April 8, 1964, maturing August 13, 1965. The terms of the offering are set forth in Treasury Department Circular No. 5-64, 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 notes of this additional issue at a specific rate or price, until after midnight, March 31, 1964. 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 notes allotted on such subscription; however, a commercial bank submitting a subscription through a correspondent bank may not pay by credit in its Tax and Loan Account for notes 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. If filed by telegram or letter, subscriptions should be confirmed immediately by mail on the forms provided. The subscription books will remain open for one day only, Tuesday, March 31. Any subscription addressed to a Federal Reserve Bank or Branch or to the Treasury Department and placed in the mail before midnight, March 31, will be considered timely. A lfred H ayes, President. 19 14 F I F T I E T H A N N I V E R S A R Y 19 6 4 UNITED STATES OF AMERICA 3 % PERCENT TREASURY NOTES OF SERIES D-1965 Dated February 15, 1964, with interest from April 8, 1964 Due August 13, 1965 ADDITIONAL ISSUE TREASU RY DEPARTM ENT, DEPARTM EN T CIRCULAR Public Debt Series— No. 5—64 O f f ic e of the S ecretary, Washington, March 27, 1964. I. OFFERING OF NOTES 1. The Secretary of the Treasury, pursuant to the authority of the Second Liberty Bond Act, as amended, invites subscriptions, at 99.70 percent of their face value and accrued interest, from the people of the United States for notes of the United States, designated 3% percent Treasury Notes of Series D-1965. The amount of the offering under this circu lar is $1,000,000,000, or thereabouts. The books will be open only on March 31, 1964, for the receipt of subscriptions for this issue. will be issued in denominations of $1,000, $5,000, $ 10,000, $ 100,000, $ 1,000,000, $ 100,000,000 and $500,000,000. Provision will be made for the inter change of notes of different denominations and of coupon and registered notes, and for the transfer of registered notes, under rules and regulations pre scribed by the Secretary of the Treasury. “ 5. The notes will be subject to the general regu lations of the Treasury Department, now or here after prescribed, governing United States notes.” III. II. DESCRIPTION OF NOTES 1. The notes now offered will be an addition to and will form a part of the 3% percent Treasury Notes of Series D-1965 issued pursuant to Department Circular, Public Debt Series— No. 3-64, dated Janu ary 31, 1964, will be freely interchangeable therewith, and are identical in all respects therewith except that interest on the notes to be issued under this circular will accrue from A pril 8, 1964. Subject to the provi sion for the accrual of interest from April 8, 1964, on the notes now offered, the notes are described in the following quotation from Department Circular, Public Debt Series— No. 3-64: “ 1. The notes will be dated February 15, 1964, and will bear interest from that date at the rate of 3% percent per annum, payable on a semiannual basis on August 15, 1964, and February 15 and August 13, 1965. They will mature August 13, 1965, and will not be subject to call for redemption prior to maturity. “ 2. The income derived from the notes is subject to all taxes imposed under the Internal Revenue Code of 1954. The notes are subject to estate, in heritance, 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 of the possessions of the United States, or by any local taxing authority. “ 3. The notes will be acceptable to secure de posits of public moneys. They will not be acceptable in payment of taxes. “ 4. Bearer notes with interest coupons attached, and notes registered as to principal and interest, 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, D. C. 20220. Only the Federal Reserve Banks and the Treasury Department are authorized to act as official agencies. Commercial banks, which for this purpose are defined as banks accepting demand deposits, may submit subscriptions for account of customers pro vided the names of the customers are set forth in such subscriptions. Others than commercial banks will not be permitted 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 50 percent of the com bined capital (not including capital notes or deben tures), surplus and undivided profits of the subscrib ing bank. Subscriptions will be received without deposit from banking institutions for their own account, Federally-insured savings and loan associa tions, States, political subdivisions or instrumentali ties thereof, public pension and retirement and other public funds, international organizations in which the United States holds membership, foreign central banks and foreign States, Government investment accounts and dealers who make primary markets in Government securities and report daily to the Fed eral Reserve Bank of New York their positions with respect to Government securities and borrowings thereon. Subscriptions from all others must be ac companied by payment of 2 percent of the amount of notes applied for, not subject to withdrawal until after allotment. Following allotment, any portion of the 2 percent payment in excess of 2 percent of the amount of notes allotted may be released upon the request of the subscribers. 2. All subscribers requesting registered notes will be required to furnish appropriate identifying num bers as required on tax returns and other documents submitted to the Internal Revenue Service, i.e., an individual’s social security number or an employer identification number. 3. 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 notes of this additional issue at a specific rate or price, until after midnight March 31, 1964. 4. 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. 5. The Secretary of the Treasury reserves the right to reject or reduce any subscription, to allot less than the amount of notes applied for, and to make different percentage allotments to various classes of subscribers; and any action he may take in these respects shall be final. The basis of the allotment will be publicly an nounced, and allotment notices will be sent out promptly upon allotment. not been furnished; provided, however, if a subscriber has applied for but is unable to furnish the identify ing number by the payment date only because it has not been issued, he may elect to receive, pending the furnishing of the identifying number, interim receipts and in this case payment will be deemed to have been completed. In every case where full payment is not completed, the payment with application up to 2 per cent of the amount of notes allotted shall, upon decla ration made by the Secretary of the Treasury in his discretion, be forfeited to the United States. Any qualified depositary will be permitted to make pay ment by credit in its Treasury Tax and Loan Account for notes allotted to it for itself and its customers up to any amount for which it shall be qualified in excess of 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 payment for notes allotted, to make delivery of notes on full-paid subscriptions allotted, and they may issue IV. PAYMENT interim receipts pending delivery of the definitive 1. Payment at 99.70 percent of their face value notes. and accrued interest from February 15 to April 8, 2. The Secretary of the Treasury may at any time, 1964 ($5.64217 per $1,000), for notes allotted here or from time to time, prescribe supplemental or under must be made or completed on or before April amendatory rules and regulations governing the offer 8, 1964, or on later allotment. The total amount of ing, which will be communicated promptly to the such payment will be $1,002.64217 per $1,000 face Federal Reserve Banks. amount of notes allotted. Payment will not be deemed to have been completed where registered notes are HENRY H. FOWLER, requested if the appropriate identifying number, as required by paragraph 2 of Section III hereof, has Acting Secretary of the Treasury. Subscriber’s Reference No. Subscription No. CASH SUBSCRIPTION For United States of America 3 % Percent Treasury Notes of Series D-1965 Dated February 15, 1964, with interest from April 8, 1964, Due August 13, 1965 ADDITIONAL ISSUE IMPORTANT INSTRUCTIONS P a y m en t. Payment at 9 9 .7 0 and accrued interest from February 15, 1 9 6 4 for the notes to be allotted hereunder must be made on or before April 8, 1 9 64 . A qualified depositary will be permitted to make payment by credit in its Treasury Tax and Loan Account. D e p o s it. Subscriptions from banking institutions and others as specified in Section III of Treasury Department Circular No. 5—64, Public Debt Series, will be received without deposit. Subscriptions from all others must be accompanied by payment of 2 % of the amount o f notes applied for, except that commercial banks subscribing for account o f customers are urged to retain their customers’ deposits until after allotment. Checks accompanying the subscriptions should be made payable to the order o f Federal Reserve Bank o f New York, Fiscal Agent o f the United States. S u b scrip tio n a m ou n ts. Am ount o f notes applied for must be in multiples o f $ 1 ,0 0 0 . The subscription books will be open only on March 31 for the receipt of subscriptions. F e d e r a l R eserve B a n k of New Y ork, Dated at Fiscal Agent of the United States, New York, N. Y. 10045 .1964 Attention: Securities Department— 9th Floor G entlem en : Pursuant to the provisions of Treasury Department Circular No. 5-64, Public Debt Series, dated March 27, 1964, the undersigned hereby subscribes at 99.70 and accrued interest from February 15 to April 8, 1964, for United States of America 3% percent Treasury Notes of Series D-1965, Additional Issue, as follows: For own account For our customers, as shown on reverse side (for use of commercial b a n k s )............................ $................................... 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 below) : □ F. Savings and Loan Associations □ A. Pension and Retirement Funds— public and private □ G. Credit Unions □ H. Other Savings Organizations, not including com □ B. Endowment Funds (where principal ordinarily is not expendable) mercial banks (state type) □ I. States, Political Subdivisions or Instrumentalities □ C. Insurance Companies thereof, and Public Funds □ D. Mutual Savings Banks □ J. Common trust funds under Regulation 9 of the □ E. Fraternal Benefit Associations and Labor Unions’ Insurance Funds Comptroller of the Currency ( I f a commercial bank is subscribing for its own account or for account of customers, the following certifications are made a part of tiiis 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’ • names on the list which is made a part of this subscription; that there has been paid to us by each such customer as required by the official offering circular, not subject to withdrawal until after allotment, not less than 2 percent of the amount applied fo r ; that we have not made unsecured loans, or loans collateralized in whole or in part by the securities applied for, to supply the amounts of such payments to any of such customers; that we have no beneficial interest in the applications of such customers, and that none of our customers has any beneficial interest in the amount subscribed for our own account. W e F u r t h e r C e r t i f y that all subscribers for whom subscriptions are hereby entered have agreed not to purchase or to sell, or to make any agreements with respect to the purchase or sale or other disposition of any notes of this additional issue at a specific rate or price, until after midnight, March 31, 1964. W e F u r t h e r C e r t i f y that the subscription for our own account does not exceed 50 percent of our combined capital (not including capital notes or debentures), surplus and undivided profits. W e F u r t h e r C e r t i f y that applications received by us, if any, from other commercial banks for their own account and for account of their customers have been entered with us under the same conditions, agreements, and certifications Digitized for the FRASER http://fraser.stlouisfed.org/ as set forth in this subscription form. Federal Reserve Bank of St. Louis The undersigned agrees not to purchase or to sell, or to make any agreements with respect to the purchase or sale or , other disposition of any notes of this additional issue at a specific rate or price, until after midnight, March 31, 1964. '• TO SU BSC R IB E R : Mark ( X ) in proper space to indicate if this is: (Fm in all (Name of subscriber— Please print or typewrite) Original subscription.................... □ Confirmation of a telegram.......... □ - Confirmation of a letter................ □ require(1 spaces before signing) By. Address (Official signature) (Title) ................................................................................. (Spaces below are for the use of Federal Reserve Bank of New York) DEPOSIT Examined........................ ALLOTMENT Acknowledged................. $ . . ... $ ...... - ............... ..... ............. Coded............................... Figured k Advised Carded............................ ( I f acknowledgment o f this subscription is desired, complete this stub) Receipt is acknowledged of your subscription for $..............................................., 3 % % Treasury Notes of Series D-1965, Additional Issue, dated February 15, 1964, with interest from April 8, 1964, and maturing August 13, 1965. For use of Federal Feserve Bank Time Stamp T o .................................................... (Name) (Address) (For use of commercial banks only) List of Customers Included in this Application ( I f savingstype_ investor, indicate kind by letter— see other side) (I f space is insufficient in schedule below, attach separate listing) Name of Customer Amount Subscribed Leave blank Subscription .Number FED ER A L R ESERV E BANK O F NEW YO R K F isc al a g e n t o f t h e u n it e d s t a t e s NOTICE OF ALLOTMENT , For United States o f Am erica 3 % Percent Treasury Notes o f Series D-1965 ADDITIONAL ISSUE To Subscriber: On your subscription, numbered as above, for $ (par amount) of— U N ITED S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES D -1 9 6 5 , A D D IT IO N A L ISSUE D A T E D F E B R U A R Y 15, 19 64, W IT H IN TER EST FROM APR IL 8, 19 64, DUE A U G U S T 13, 1965 which you filed pursuant to the provisions of Treasury Department Circular No. 5-64, Public Debt Series, dated March 27, 1964, the Secretary of the Treasury has allotted notes 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 of Instructions in quadruplicate to the Federal Reserve Bank of New York, Fiscal Agent of the United States, New York, N. Y. 10045. Payment 2. Payment at 99.70 plus accrued interest ($5.64217 per $1,000) for securities allotted must be made on or before April 8, 1964. Payment may be made by check, cash, charge or credit as follows: By Check — The cheek should be made payable to the order of the FEDERAL RESERVE BANK OF NEW YO RK, FISCAL AGENT OF THE UNITED STATES. The securities will not be delivered by this Bank until the proceeds of a check have been collected. The proceeds of a check drawn on the Federal Reserve Bank of New York are immediately available. By Cash— Payment may be made in cash. By Charge— 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. By Credit— (a) I f subscriber is a depositary of public moneys qualified under the provisions of Treasury Department Circular No. 92 (Revised), it will be permitted to make payment by credit in the Treasury Tax and Loan 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 of New York 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 April 8, 1964. (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. Securities 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 Checked by R eserve B a n k of N ew Y Fiscal Agent of the United States. ederal ork , D E L IV E R Y RECEIPT Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount indicated above. Date....................................................Subscriber...................................................................................... B y . Q *' If p a y m e n t fu r n is h e d t o th e is to b e F e d e r a l m a d e b y R e s e r v e cr e d it B a n k o f to N e w T re a s u ry Y o r k o n T a x th e and fo r m L o a n A c c o u n t , an advice of the deposit should b e lo w . Advice of Deposit in Treasury Tax and Loan Account To F ederal R eserve Bank of N ew Y ork, Government Bond Division. We will deposit on April 8, 1964, $ to the credit of Federal Reserve Bank of New York, Fiscal Agent of the United States, in Treasury Tax and Loan Account, to be held subject to withdrawal on demand in payment for $ (par value) 3% percent Treasury Notes of Series D-1965, Additional Issue, dated February 15, 1964, with interest from April 8, 1964, due August 13, 1965, allotted as per Notice of Allotment received from you. (Name of Depositary) Address (City and State) (This letter of instructions, accompanied by attached three copies, should be filled in and returned to Federal Reserve Bank of New York) Subscription Number LETTER OF INSTRUCTIONS To F e d e r a l R eserve B a n k of N ew Y 2 ork, Fiscal Agent of the United States, Federal Reserve P. 0 . Station, New York, N. Y. 10045 Attention: Government Bond Division— 2nd Floor From (Name and address of Subscriber) Dated at ...................................................... ................................................................1964 On our subscription, numbered as above, for $ (par amount) of— U N ITED S T A T E S OF A M E R IC A 3 % PERCENT TR E A SU R Y N OTES OF SERIES D -1 9 6 5 , A D D IT IO N A L ISSUE D A T E D FEBR U AR Y 15, 1964, W IT H IN TEREST FROM APRIL 8, 1964, DUE A U G U S T 13, 1965 which we filed pursuant to the provisions of Treasury Department Circular No. 5-64, Public Debt Series, dated March 27, 1964, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— $ As requested, we send you the following instructions: Payment at 99.70 plus accrued interest for the notes allotted ($5.64217 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 Deposit ............................................................................................. $............................ By charge to our reserve account, which you are authorized to make . . . . $............................ By check or cash herew ith................................................................................... $............................ Total payment BEARER NOTES DESIRED (F o r REGISTERED notes— use only reverse side) eces Denomi nation $ (Leave this space blank) Face amount 1,000 Dispose of securities issued, as follows: □ □ □ □ □ 1. 2. 3. 4. 5. Deliver over the counter to the ui Hold in safekeeping (for member bank on ly)# Hold as collateral for Treasury Tax and Loan Account* Ship to the undersigned Special instructions: 5,000 10,000 100,000 * If this item is checked, the subscriber certifies that the allotted securities will be owned solely by the subscriber. 1,000,000 (IM P O R T A N T : 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, No changes in delivery instructions will Submitted b y .............................................................................................. (Please print) By .................................................................................. B y .................. (Authorized signature(s) required) T i t le ............................................................................... Title .............. Fiscal Agent of the United States. A d dress......................................................................................................... (Spaces below are for the use of Federal Reserve Bank of Mew York) G o v e r n m e n t B ond D iv isio n Payment received ...................................................................................................................................................... http://fraser.stlouisfed.org/ Deliver against payment of $ Federal Reserve Bank of St. Louis ............. ............................................................................ S a f e k e e p in g D iv is io n Checked ........................................... SCHEDULE FOR ISSUE OF REGISTERED NOTES DESIRED (Indicate under appropriate denominations, number of notes desired.) Name in which notes shall be registered, taxpayer identifying number (Social Security Account Number or Employer Identification Number), (Please print or typewrite) Amount S i.000 $5,000 510,000 $100,000 $1,000,000 Ident. No....................................................................................... Address.......................................................................................... ( 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.) Mail registered notes to Subscription Number (D U PLICATE FOR USE OF F E D E R A L RESERVE BANK OF NEW YO RK ) RELOCATION OFFICE— OUT To F e d eral R eserve B a n k of N ew Y ork, Fiscal Agent of the United States, Federal Reserve P. 0. Station, New York, N. Y. 10045 Attention: Government Bond Division— 2nd Floor From (Name and address of Subscriber) Dated a t ............ .1964 On our subscription, numbered as above, for $ (par amount) of— U N ITE D S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES D -1 9 6 5 , A D D IT IO N A L ISSUE D A T E D F EB R U AR Y 15, 19 64, W IT H IN TER EST FROM APR IL 8, 1 9 6 4 , D UE A U G U S T 13, 19 65 which we filed pursuant to the provisions of Treasury Department Circular No. 5-64, Public Debt Series, dated March 27, 1964, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— $ As requested, we send you the following instructions: Payment at 99.70 plus accrued interest for the notes allotted ($5.64217 per $1,000) will be made in the total amount of $..............................................., as follows: By credit to Treasury Tax and Loan Account as indicated in the attached Advice of Deposit .................................................................................................$. By charge to our reserve account, which you are authorized to make . . . . $. By check or cash h erew ith ...................................................................................... $ Total payment ..................................................................... ....$. BEAR ER NOTES DESIRED (For REGISTERED notes— use only reverse side) Denomi nation ces $ Dispose of securities issued, as follows: (Leave this space blank) Face amount 1,000 □ 1. Deliver over the counter to the undersigned □ 2. Hold in safekeeping (for member bank only)* □ 3. Hold as collateral for Treasury Tax and Loan Account* □ 4. Ship to the undersigned □ 5. Special instructions: 5,000 10,000 100,000 * If this item is checked, the subscriber certifies that the allotted securities will be owned solely by the subscriber. 1,000,000 (I M P O R T A N T : be accepted.) TO TAL This letter of instructions must be signed officially in the space provided and re turned immediately to Federal Reserve Bank of New York, No changes in delivery instructions will Submitted b y .............................................................................................. ( Please print) % ..................................................................................... , B y .................... (Authorized signature(s) required) T i t le .............................................................................. Title .............. Fiscal Agent of the United States. A ddress......................................................................................................... (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 is io n Payment received ...................................................................................................................................................... Deliver against payment of $ Checked ............. ......................................................................................... D E LIV E R Y RECEIPT Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the un indicated above. a 110,111 SCHEDULE FOR ISSUE OF REGISTERED NOTES DESIRED <■ • Name in which notes shall be registered, taxpayer identifying number (Social Security Account Number or Employer Identification Number), and post-office address for interest checks and other mail. (Please print or typewrite) i C (Indicate under appropriate denominations, number of notes desired.) Amount 81,000 S i,000 310,000 $100,000 $1,000,000 Ident. No................................... ................................................... Address.......................................................................................... » Ident. No....................................................................................... Address.......................................................................................... Ident. No....................................................................................... Address.......................................................................................... Ident. No....................................................................................... Address.......................................................... (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.) Mail registered notes to Subscription Number (T R IP L IC A T E FOR USE OF FE D E R A L RESERVE BANK OF NEW YORK) DELIVERY TICKET— SAFEKEEPING DIVISION T o F eder al R eserve B a n k of N ew Y 4 ork, Fiscal Agent of the United States, Federal Reserve P. 0 . Station, New York, N. Y. 10045 Attention: Government Bond Division— 2nd Floor From (Name and address of Subscriber) Dated a t ...................................................... .1964 On our subscription, numbered as above, for $ (par amount) of— U NITED S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES D -1 9 6 5 , A D D IT IO N A L ISSUE D A T E D FEB R U A R Y 15, 19 64, W IT H IN TER EST FROM APR IL 8, 1 9 6 4 , D UE A U G U S T 13, 19 65 which we filed pursuant to the provisions of Treasury Department Circular No. 5-64, Public Debt Series, dated March 27, 1964, we have received your notice o f allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— $ As requested, we send you the following instructions: Payment at 99.70 plus accrued interest for the notes allotted ($5.64217 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 Deposit ............................................................................................. $............................ By charge to our reserve account, which you are authorized to make . . . . $. By check or cash h erew ith ................................................................................... $. Total p a y m en t..................................................................... BEARER NOTES DESIRED (For REGISTERED notes— use only reverse side) Denomi nation ces $ Dispose of securities issued, as follow s: (Leave this space blank) Face amount 1,000 $ □ 1. Deliver over the counter to the undersigned □ 2. Hold in safekeeping (for member bank only)* □ 3. Hold as collateral for Treasury Tax and Loan Account* □ 4. Ship to the undersigned □ 5. Special instructions: 5,000 10,000 100,000 If this item is checked, the subscriber certifies that the allotted securities will be owned solely by the subscriber. 1,000,000 (IM P O R T A N T : be accepted.) TO TAL 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 b y ..................................................................................... — 1 ! (Authorized signature(s) required) T i t le .............................................................................. Title Fiscal Agent of tlio 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 ond D ivisio n S a f e k e e p in g D iv is io n Payment received ....................... Checked . Deliver against payment of $. Delivered D ELIVE R Y RECEIPT Received Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount Digitized for from FRASER ’ icated above. SCHEDULE FOR ISSUE OF REGISTERED NOTES DESIRED Name in which notes shall be registered, taxpayer identifying number (Social Security Account Number or Employer Identification Number), and post-office address for interest checks and other mail. ( Please print or typewrite) (Indicate under appropriate denominations, number of notes dssired.) Amount $1,000 $5,000 $10,000 $100,000 $1,000,000 Address......................................................................................... Ident. No....................................................................................... Address.......................................................................................... Ident. No....................................................................................... Address.......................................................................................... (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.) Mail registered notes to Subscription Number (QU ADRUPLICATE FOR USE OF FE D E R A L RESERVE BANK OF NEW YORK) BLOTTER To F ederal R eserve B a n k of New Y RECORD 5 ork, Fiscal Agent of the United States, Federal Reserve P. 0. Station, New York, N. Y. 10045 Attention: Government Bond Division— 2nd Floor From (Name and address of Subscriber) Dated at ...................................................... ................................................................1964 On our subscription, numbered as above, for $ (par amount) of— U NITED S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES D -1 9 6 5 , A D D IT IO N A L ISSUE D A T E D F EB R U AR Y 15, 19 64, W IT H IN TER EST FROM A PR IL 8, 1 9 6 4 , D U E A U G U S T 13, 1965 which we filed pursuant to the provisions of Treasury Department Circular No. 5-64, Public Debt Series, dated March 27, 1964, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— $ As requested, we send you the following instructions: Payment at 99.70 plus accrued interest for the notes allotted ($5.64217 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 Deposit ............................................................................................. $............................ By charge to our reserve account, which you are authorized to make . . . . $. By check or cash h erew ith ................................................................................... $. Total payment Dispose of securities issued, as follows: BEAR ER NOTES DESIRED ( F o r REGISTERED notes— use only reverse side) eces Denomi nation $ . (Leave this space blank) Face amount 1,000 □ 1 □ 2. □ 3. □ 4. □ 5. 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 * If this item is checked, the subscriber certifies that the allotted securities will be owned solely by the subscriber. 1,000,000 (IM P O R T A N T : be accepted.) TO TAL This letter of instructions must be signed officially in the space provided and re turned immediately to Federal Reserve Bank of New York, No changes in delivery instructions will Submitted b y .............................................................................................. (Please print) By ................................................................... .. B y .................. (Authorized signature(s) required) T i t le .............................................................................. Title .............. 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 ond D iv isio n S a f e k e e p in g D iv is io n Payment received ...................................................................................................................................................... Deliver against payment of $ ............................................................................ D E L IV E R Y RECEIPT Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount ndicated above. SCHEDULE FOR ISSUE OF REGISTERED NOTES DESIRED Name in which notes shall be registered, taxpayer identifying number (Social Security Account Number or Employer Identification Number), and post-office address for interest checks and other mail. ( Please print or typewrite) (Indicate under appropriate denominations, number of notes desired.) Amount $1,C00 $5,000 $10,000 $100,000 $1,000,000 ' Ident. No....................................................................................... Address.................................... ............................................... .... ( 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.) M ail registered notes to ALLOTMENT NOTICE FOR GOVERNMENT BOND DIVISION To Subscriber: $ (par amount) of— U N ITE D S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES D -1 9 6 5 , A D D IT IO N A L ISSUE D A T E D F E B R U A R Y 15, 1964, W IT H IN T E R E ST FROM APRIL 8, 1 9 6 4 , D UE A U G U S T 13, 1965 $ D I S P O S I T I O N ' 1 * Over Counter Deposit Safekeeping T. T. & L. Balance due Treas. Tax & Loan Ace. Method of payment Reserve Account Ship Check or Cash Special Instructions Refund Refund RELOCATION OFFICE— IN 7 To Subscriber: $ (par am ount) of— U N ITE D S T A T E S OF A M E R IC A 3 % PER CENT T R E A S U R Y N O TE S OF SERIES D -1 9 6 5 , A D D IT IO N A L ISSUE D A T E D FE B R U A R Y 15, 1 9 64 , W IT H IN TE R E ST FROM APR IL 8, 19 64 , DUE A U G U S T 13, 19 65 ALLOTMENT NOTICE FOR SECURITIES DEPARTMENT To Subscriber: $ (par amount) of— U N ITE D S T A T E S OF A M E R IC A 3 % PERCENT T R E A S U R Y N O TE S OF SERIES D -1 9 6 5 , A D D IT IO N A L ISSUE D A T E D F EB R U AR Y 15, 19 64, W IT H IN TER EST FROM APR IL 8, 1 9 6 4 , D UE A U G U S T 13, 1965
@FedFRASER