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FEDERAL RESERVE BANK OF NEW YORK Fiscal Agent of the United States r Circular No. 5890*1 L October 28, 1966 J CASH OFFERING 5% Percent Treasury Notes of Series A-1968 5% Percent Treasury Notes of Series B-1971 To A ll Banking Institutions, and Others Concerned, in the Second Federal Reserve D istrict: The subscription books will be open Tuesday, November 1, for one day only, for a Treasury offering, at par, of — 5 % percent Treasury Notes o f Series A-1968, dated November 15, 1966, maturing February 15, 1968, and 5 % percent Treasury Notes o f Series B-1971, dated November 15, 1966, m aturing November 15, 1971. Subscriptions w ill be subject to allotment. Payment must be made by November 15, in cash, or in 3% percent Treasury Bonds of 1966, 4 percent Treasury Notes of Series E-1966, or 4% percent Treasury Certificates of Indebtedness of Series A-1966, all maturing November 15, 1966. Payment cannot be made by credit to Treasury Tax and Loan Accounts. The terms of the offering are set forth in Treasury Department Circulars Nos. 7-66 and 8-66, Public Debt Series; a copy of each is printed on the following pages. Subscriptions from all subscribers, except banking institutions for their own account and others as specified in Section III of the Treasury circular, must be accompanied by payment of 2 percent (in cash or in maturing securities) of the amount of securities applied for. If subscribers required to make deposits desire to deposit the maturing securities but do not have the denominations to meet exactly the minimum deposit requirement, they are urged to leave any excess on deposit to avoid denominational exchanges and unnecessary movement of securities. Only commercial banks may submit subscriptions for account of customers, provided the names of the customers are set forth in such subscriptions. On subscriptions for account of customers other than individuals, their location (City and State) must also be furnished. On subscriptions for account of customers of correspondent banks, the names of such customers, and if not individuals, their locations, must be furnished. Others than commercial banks may submit subscriptions only for their own account. Commercial banks are urged to retain the required deposits (cash or maturing securities) of their customers until after allotment of the new securities; i f the maturing securities are retained, the risk and expense involved in for warding them to this Bank will thus be avoided. Commercial banks are urged to enter sub s c r ip tio n s for their own account, and for account o f their customers, with the Federal Reserve Bank or Branch in the District in which they are located. Subscriptions eligible for full allotment— A subscription by or for account of any State, political subdivision or instrumentality thereof, public pension and retirement and other public fund, international organization in which the United States holds membership, foreign central bank, foreign State, Government Investment Account, or Federal Reserve Bank will be allotted in full if accompanied by a certification that at 4 p.m., Eastern Daylight Saving time, Octo ber 27, 1966, it owned or had contracted to purchase for value the maturing securities in an amount equal to or greater than the amount of its subscription, and that such securities will be submitted in payment for its subscription. Any such subscriber may enter an additional sub scription, which will be subject to a percentage allotment. Copies of a certification form are enclosed for all commercial banks and public institutions of the types listed above. Subscriptions w ill be received by this Bank as fiscal agent of the United States. Sub scriptions should be submitted immediately on the enclosed Form A -l for the 5% percent 15-month notes or Form B -l for the 5% percent 5-year notes; if maturing securities accompany a subscription, the enclosed Form A-2 or B-2 should be submitted with Form A -l or B-l, respectively. If filed by telegram or letter, the subscriptions should be confirmed immediately by mail on the forms provided. The subscription books w ill remain open fo r one day only, Tuesday, November 1. Any subscription addressed to a Federal Reserve Bank or Branch or to the Treasury Department and placed in the mail before midnight, Tuesday, w ill be considered timely. A lfred H a ye s, President. UNITED STATES OF AMERICA 55/a PERCENT TREASURY NOTES OF SERIES A-1968 Dated and bearing interest from N ovem ber 15, 1966 Due February 15,1968 TREASU RY DEPARTM ENT, DEPARTMENT CIRCULAR O f f ic e I. O F F E R IN G O F N O TE S II. 1. The Secretary o f the Treasury, pursuant to the authority o f the Second Liberty Bond A ct, as amended, offers $2,500,000,000, or thereabouts, o f notes o f the United States, designated 5 % percent Treasury Notes o f Series A-1968, at. par and accrued interest. The follow ing securities, maturing November 15, 1966, will be accepted at par in paym ent or exchange, in whole or in part, to the extent subscrip tions are allotted by the Treasury: 3 % percent Treasury Bonds o f 1966; 4 percent Treasury Notes o f Series E-1966; or 4 % percent Treasury Certificates o f Indebtedness o f Series A-1966. t h e S ecretary, D E S C R IP T IO N O F N O T E S 1. The notes will be dated November 15, 1966, and will bear interest from that date at the rate o f 5 % percent per annum, payable on a semiannual basis on February 15 and August 15, 1967, and February 15, 1968. They will mature February 15, 1968, 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 o f 1954. The notes are subject to estate, inheritance, gift or other excise taxes, whether Federal or State, but are exempt from all taxation now or hereafter im posed on the principal or interest thereof by any State, or any o f the possessions o f the United States, or by any local taxing authority. 3. The notes will be acceptable to secure deposits o f public moneys. They will not be acceptable in pay ment o f taxes. The books will be open only on N ovem ber 1, 1966, for the receipt of subscriptions. of W ashington, October 28, 1966. Public Debt Series — No. 7-66 2 4. Bearer notes with interest coupons attached, and notes registered as to principal and interest, will be issued in denominations o f $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000 and $500,000,000. Provision will be made fo r the interchange o f notes o f different denominations and o f coupon and regis tered notes, and fo r the transfer o f registered notes, under rules and regulations prescribed by the Secre tary o f the Treasury. account o f their customers, and that their customers have no beneficial interest in the banks’ subscriptions fo r their own account. 4. Under the Second Liberty B ond A ct, as amended, the Secretary o f the Treasury has the au thority to reject or reduce any subscription, to allot less than the amount o f notes applied for, and to make different percentage allotments to various classes o f subscribers when he deems it to be in the public inter est; and any action he may take in these respects shall be final. Subject to the exercise o f that authority, sub scriptions will be allotted : 5. The notes will be subject to the general regula tions o f the Treasury Department, nowr or hereafter prescribed, governing United States notes. III. S U B S C R IP T IO N AN D A L L O T M E N T (1 ) in fu ll if the subscription is fo r a State, politi cal subdivision or instrumentality thereof, pub lic pension and retirement and other public fund, international organization in which the United States holds membership, foreign cen tral bank and foreign State, Federal Reserve Bank, or Government Investment A ccount and such subscriber certifies in w riting that at 4 p.m., Eastern Daylight Saving time, October 27, 1966, it owned or had contracted to p u r chase fo r value securities o f the three issues enumerated in paragraph 1 o f Section I hereof, in an aggregate amount equal to or greatei* than the amount o f such subscription (any such subscriber may enter an additional sub scription subject to a percentage allotm ent); and 1. Subscriptions accepting the offer made by this circular 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. 20220. Only the Federal Reserve Banks and the Treasury Department are authorized to act as official agencies. Commercial banks, which fo r this purpose are defined as banks accepting demand deposits, may submit subscriptions fo r account o f customers provided the names o f the customers are set forth in such subscriptions. Others than commercial banks will not be permitted to enter subscriptions except fo r their own account. Subscrip tions from commercial banks for their own account will be restricted in each case to an amount not ex ceeding 50 percent o f the combined capital (not in cluding capital notes or debentures), surplus and undivided profits o f the subscribing bank. Subscrip tions will be received without deposit from banking institutions for their own account, Federally insured savings and loan associations, States, political sub divisions or instrumentalities thereof, public pension and retirement and other public funds, international organizations in which the United States holds mem bership, foreign central banks and foreign States, dealers who make prim ary markets in Government securities and report daily to the Federal Reserve Bank o f New Y ork their positions with respect to Government securities and borrowings thereon, F ed eral Reserve Banks and Government Investment A c counts. Subscriptions from all others must be accom panied by payment (in cash or in securities o f the three issues enumerated in paragraph 1 o f Section I hereof, which will be accepted at par) o f 2 percent o f the amount o f notes applied for, not subject to withdrawal until after allotment. Registered securi ties submitted as deposits should be assigned as pro vided in Section V hereof. Follow ing allotment, any portion o f the 2 percent payment in excess o f 2 per cent o f the amount o f notes allotted may be released upon the request o f the subscribers. (2 ) on a percentage basis, to be publicly nounced. Allotment notices will be sent out prom ptly upon allotment. IV . PAYM ENT 1. Payment at par and accrued interest, if any, for notes allotted hereunder must be made or com pleted on or before November 15, 1966, or on later allotment. Payment will not be deemed to have been completed where registered notes are requested if the appropriate identifying number as required on tax returns and other documents submitted to the Inter nal Revenue Service (an individual’s social security number or an employer identification num ber) is not furnished. In every case where full paym ent is not completed, the payment with application up to 2 per cent o f the amount o f notes allotted shall, upon dec laration made by the Secretary o f the Treasury in his discretion, be forfeited to the United States. Payment may be made for any notes allotted hereunder in cash or by exchange o f securities o f the three issues enum erated in paragraph 1 o f Section I hereof, which will be accepted at par. W hen payment is made with securities in bearer form , coupons dated November 15, 1966, should be detached and cashed when due. W hen payment is made with registered securities, the final interest due on November 15, 1966, will be paid by issue o f interest checks in regular course to holders o f record on October 14, 1966, the date the transfer books closed. 2. A ll 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 o f any notes o f this issue at a specific rate or price, until after midnight November 1, 1966. 3. Commercial banks in submitting subscriptions will be required to certify that they have no beneficial interest in any o f the subscriptions they enter fo r the an 3 V. ASSIGNMENT OF REGISTERED SECURITIES 1. Treasury securities in registered form tendered as deposits and in payment fo r notes allotted here under should be assigned by the registered payees or assignees thereof, in accordance with the general reg ulations o f the Treasury Department, in one o f the forms hereafter set forth. Securities tendered in pay ment should be surrendered to a Federal Reserve Bank or Branch or to the Office o f the Treasurer of the United States, W ashington, D. C. 20220. The maturing securities must be delivered at the expense and risk o f the holder. I f the new notes are desired registered in the same name as the securities surren dered, the assignment should be to “ The Secretary of the Treasury fo r 5 % percent Treasury Notes o f Series A-1968” ; if the new notes are desired registered in another name, the assignment should be to “ The Sec retary o f the Treasury for 5 % percent Treasury Notes o f Series A-1968 in the name o f ................................ if new notes in coupon form are desired, the assign ment should be to “ The Secretary o f the Treasury for 5 % percent Treasury Notes o f Series A-1968 in cou pon form to be delivered t o .........................................” . V I. G E N E R A L P R O V IS IO N S 1. A s fiscal agents o f the United States, Federal Reserve Banks are authorized and requested to receive subscriptions, to make such allotments as may be pre scribed by the Secretary o f the Treasury, to issue such notices as may be necessary, to receive payment for and make delivery o f notes on full-paid subscriptions a llotted and they may issue interim receipts pending delivery o f the definitive notes. 2. The Secretary o f the Treasury may at any time, or from time to time, prescribe supplemental or amendatory rules and regulations governing the offer ing, which will be communicated prom ptly to the Federal Reserve Banks. H E N R Y H. FO W L E R , Secretary of the Treasury. UNITED STATES OF AMERICA 5% PERCENT TREASURY NOTES OF SERIES B-1971 Dated and bearing interest from N ovem ber 15, 1966 D ue N ovem ber 15, 1971 TREASU RY DEPARTM ENT, DEPARTMENT CIRCULAR Washington, October 28, 1966. O f f ic e Public Debt Series — No. 8-66 I. O F F E R IN G O F N O TE S 1. The Secretary o f the Treasury, pursuant to the authority o f the Second Liberty Bond A ct, as amended, offers $1,600,000,000, or thereabouts, of notes o f the United States, designated 5 % percent Treasury Notes o f Series B-1971, at par and accrued interest. The follow ing securities, maturing November 15, 1966, will be accepted at par in payment or exchange, in whole or in part, to the extent subscrip tions are allotted by the T reasu ry: 3 % percent Treasury Bonds o f 1966; 4 percent Treasury Notes o f Series E-1966; or 4 % percent Treasury Certificates o f Indebtedness o f Series A-1966. D E S C R IP T IO N O F N O TE S 1. The notes will be dated November 15, 1966, and will bear interest from that date at the rate o f 5% t h e Secretary, percent per annum, payable semiannually on M ay 15 and November 15 in each year until the principal amount becomes payable. They will mature November 15, 1971, and will not be subject to call fo r 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, inheritance, g ift or other excise taxes, whether Federal or State, but are exempt from all taxation now or hereafter im posed on the principal or interest thereof b y any State, or any o f the possessions o f the United States, or by any local taxing authority. 3. The notes will be acceptable to secure deposits o f public moneys. They will not be acceptable in pay ment o f taxes. The books will be open only on Novem ber 1, 1966, for the receipt o f subscriptions. II. of 4 4. Bearer notes with interest coupons attached, and notes registered as to principal and interest, will be issued in denominations o f $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000 and $500,000,000. Provision will be made fo r the interchange o f notes have no beneficial interest in the banks’ subscriptions for their own account. o f different denominations and o f coupon and regis tered notes, and fo r the transfer o f registered notes, under rules and regulations prescribed by the Secre tary o f the Treasury. 4. Under the Second Liberty B ond A ct, as amended, the Secretary o f the Treasury has the au thority to reject or reduce any subscription, to allot less than the amount o f notes applied for, and to make different percentage allotments to various classes o f subscribers when he deems it to be in the public inter est; and any action he may take in these respects shall be final. Subject to the exercise o f that authority, sub scriptions w ill be a llotted : 5. The notes will be subject to the general regula tions o f the Treasury Department, now or hereafter prescribed, governing United States notes. III. S U B S C R IP T IO N AN D A L L O T M E N T 1. Subscriptions accepting the offer made b y this circular will be received at the Federal Reserve Banks and Branches and at the Office o f the Treasurer o f 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 fo r this purpose are defined as banks accepting demand deposits, may submit subscriptions fo r account o f customers provided the names o f the customers are set forth in such subscriptions. Others than commercial banks will not be permitted to enter subscriptions except for their own account. Subscrip tions from commercial banks for their own account will be restricted in each case to an amount not ex ceeding 50 percent o f the combined capital (not in cluding capital notes or debentures), surplus and undivided profits o f the subscribing bank. Subscrip tions will be received without deposit from banking institutions fo r their own account, Federally insured savings and loan associations, States, political sub divisions or instrumentalities thereof, public pension and retirement and other public funds, international organizations in which the United States holds mem bership, foreign central banks and foreign States, dealers who make prim ary markets in Government securities and report daily to the Federal Reserve Bank o f New Y ork their positions with respect to Government securities and borrowings thereon, F ed eral Reserve Banks and Government Investment A c counts. Subscriptions from all others must be accom panied b y payment (in cash or in securities o f the three issues enumerated in paragraph 1 o f Section I hereof, which will be accepted at par) o f 2 percent o f the amount o f notes applied for, not subject to withdrawal until after allotment. Registered securi ties submitted as deposits should be assigned as pro vided in Section V hereof. Follow ing allotment, any portion o f the 2 percent payment in excess o f 2 per cent o f the amount o f notes allotted may be released upon the request o f the subscribers. (1 ) in fu ll if the subscription is fo r a State, politi cal subdivision or instrumentality thereof, pub lic pension and retirement and other public fund, international organization in which the United States holds membership, foreign cen tral bank and foreign State, Federal Reserve Bank, or Government Investment A ccount and such subscriber certifies in w riting that at 4 p.m., Eastern Daylight Saving time, October 27, 1966, it owned or had contracted to p u r chase fo r value securities o f the three issues enumerated in paragraph 1 o f Section I hereof, in an aggregate amount equal to or greater than the amount o f such subscription (any such subscriber may enter an additional sub scription subject to a percentage a llotm en t); and (2 ) on a percentage basis, to be publicly nounced. Allotment notices will be sent out prom ptly upon allotment. IV . PAYM ENT 1. Payment at par and accrued interest, if any, for notes allotted hereunder must be made or com pleted on or before November 15, 1966, or on later allotment. Payment will not be deemed to have been completed where registered notes are requested if the appropriate identifying number as required on tax returns and other documents submitted to the Inter nal Revenue Service (an individual’s social security number or an employer identification number) is not furnished. In every case where fu ll paym ent is not completed, the paym ent with application up to 2 per cent o f the amount o f notes allotted shall, upon dec laration made by the Secretary o f the Treasury in his discretion, be forfeited to the United States. Payment may be made fo r any notes allotted hereunder in cash or b y exchange o f securities o f the three issues enum erated in paragraph 1 o f Section I hereof, which will be accepted at par. W hen payment is made with securities in bearer form , coupons dated November 15, 1966, should be detached and cashed when due. W hen payment is made with registered securities, the final interest due on November 15, 1966, will be paid by issue o f interest checks in regular course to holders of record on October 14, 1966, the date the transfer books closed. 2. A ll 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 o f any notes o f this issue at a specific rate or price, until after midnight November 1, 1966. 3. Commercial banks in submitting subscriptions will be required to certify that they have no beneficial interest in any o f the subscriptions they enter fo r the account o f their customers, and that their customers an 5 V. ASSIGNMENT OF REGISTERED SECURITIES 1. Treasury securities in registered form tendered as deposits and in payment fo r notes allotted here under should be assigned by the registered payees or assignees thereof, in accordance with the general reg ulations o f the Treasury Department, in one o f the form s hereafter set forth. Securities tendered in pay ment should be surrendered to a Federal Reserve Bank or Branch or to the Office o f the Treasurer o f the United States, Washington, D. C. 20220. The maturing securities must be delivered at the expense and risk o f the holder. I f the new notes are desired registered in the same name as the securities surren dered, the assignment should be to “ The Secretary of the Treasury for 5 % percent Treasury Notes o f Series B-1971” ; if the new notes are desired registered in another name, the assignment should be to “ The Sec retary o f the Treasury fo r 5 % percent Treasury Notes o f Series B-1971 in the name o f ................................ if new notes in coupon form are desired, the assign 6 ment should be to “ The Secretary o f the Treasury for 5 % percent Treasury Notes o f Series B-1971 in cou pon form to be delivered t o ......................................... ” . V I. G E N E R A L P R O V IS IO N S 1. As fiscal agents o f the United States, Federal Reserve Banks are authorized and requested to receive subscriptions, to make such allotments as may be pre scribed by the Secretary o f the Treasury, to issue such notices as may be necessary, to receive payment for and make delivery o f notes on full-paid subscriptions allotted, and they may issue interim receipts pending delivery o f the definitive notes. 2. The Secretary o f the Treasury may at any time, or from time to time, prescribe supplemental or amendatory rules and regulations governing the offer ing, which will be communicated prom ptly to the Federal Reserve Banks. H EN R Y H. FO W LER, Secretary o f the Treasury. FORM A - l Subscriber’s Reference N o. (Please type or print legibly) Subscription No. SUBSCRIPTION— SUBJECT TO ALLOTMENT For United States of America 5% Percent Treasury Notes of Series A-1968 Dated November 15, 1966, Due February 15, 1968 IM PO R TAN T INSTRUCTIONS P a y m en t. P a ym en t at p a r f o r th e n otes to b e a llo tte d h e re u n d e r m ay b e m a d e in ca sh , o r b y e x ch a n g e o f 3 % % T r e a s u ry B on d s o f 1 9 6 6 , 4 % T r e a s u ry N ote s o f S eries E -1 9 6 6 , o r 4 % % T re a s u ry C ertifica tes o f I n d e b te d ness o f S e rie s A -1 9 6 6 , a ll m a tu rin g N o v e m b e r 15, 1 9 6 6 . C ou p on s d a te d N o v e m b e r 15, 1 9 6 6 sh ou ld b e d e ta c h e d fr o m th e m atu rin g s ecu rities in b e a r e r fo r m a n d ca s h e d w h en d u e. P a y m en t f o r th e n ew n o te s ca n n o t b e m a d e b y c r e d it th ro u g h T re a s u r y T a x a n d L oa n A c c o u n t. D e p o s it. S u b scrip tion s fr o m b a n k in g in stitu tion s f o r th e ir ow n a cco u n t a n d fr o m ce rta in oth ers as s p e cifie d in S e ctio n III o f T r e a s u ry D ep a rtm en t C ircu la r N o. 7 -6 6 , P u b lic D e b t S eries, w ill b e r e c e iv e d w ith o u t d e p o s it. S u b s crip tio n s fr o m all oth ers m ust b e a c c o m p a n ie d b y p a y m en t ( in ca sh o r in m a tu rin g s e c u r itie s ) o f n ot less than 2 % o f th e a m ou n t o f n o tes a p p lie d fo r , e x c e p t th at c o m m e rcia l ba n k s su b scrib in g f o r a cco u n t o f cu stom ers are u rg e d to reta in th e ir cu sto m e r s ’ d e p o s its u ntil a ft e r a llotm en t. C h eck s a cco m p a n y in g th e su b scrip tion s sh ou ld b e m a d e p a y a b le to th e F e d e ra l R e s e rv e B ank o f N ew Y o rk . S u b scrip tio n a m ou n ts. A m o u n t o f n otes a p p lie d f o r m ust b e in m u ltip les o f $ 1 ,0 0 0 . The subscription books will be open only on November 1 for the receipt of subscriptions. 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 , Dated a t .......................................................... Fiscal A gent o f the United States, New York, N. Y . 10045 ....................................................................1966 A tten tion : Government Bond Division Gentlem en : Pursuant to the provisions o f Treasury Department Circular No. 7-66, Public Debt Series, dated October 28, 1966, the undersigned hereby subscribes at par for United States o f Am erica 5 % percent Treasury Notes o f Series A-1968 as follows : F or own account ............................................................................................................... ......$ F or our customers, shown on reverse sicle (fo r use o f commercial banks) . . . . $ Total subscription ..................................................... ......$ ( I f s e cu ritie s are su b m itted w ith this s u b s crip tio n , th e secu rities sh ou ld b e a cco m p a n ie d b y F orm A -2 , w h ich f o r m shall b e m a d e a p a rt o f y o u r s u b s c r ip tio n .) ( I f the subscriber is, or is subscribing for account of, a member o f one o f the investor classes listed below, a check in the appropriate box should be indicated. A subscription from or for account o f such member will receive full allotment only if accompanied by a written certification that at 4 p.m., Eastern D aylight Saving time, October 27, 1966, it owned or had contracted to purchase for value, an equal or greater amount o f 3 % % Treasury Bonds o f 1966, 4 % Treasury Notes o f Series E-1966, or 4 % % Treasury Certificates of Indebtedness o f Series A-1966, all m aturing November 15, 1966, and that such securities will be submitted in payment fo r its subscription. A form for the certification is enclosed. Subscriptions accompanied by such certifications should not be included on the same form with other subscriptions. I f the investor classes listed below desire to enter an additional subscription, to be subject to allotment, a separate subscription form must be used.) □ States, political subdivisions or instrumentalities thereof □ Public pension and retirement and other public funds □ International organizations in which the United States holds membership □ Foreign central banks and foreign States ( I f a commercial bank is subscribing for its own account or for account of customers, the following certifications are made a part of 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’ names on the list which is made a part o f this subscription; that there has been paid to us by each such customer as required by official offering circular, not subject to withdrawal until after allotment, not less than 2 percent o f the amount applied f o 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 o f such payments to any o f such customers; that we have no beneficial interest in the applications o f such customers, and that none o f our customers has any beneficial interest in the amount subscribed fo r 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 o f any notes o f this issue at a specific rate or price, until after midnight, November 1, 1966. 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 o f 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 the account o f their customers have been entered with us under the same conditions, agreements, and certifications as set forth in this subscription form . The undersigned agrees not to purchase or to sell, or to make any agreements with respect to the p u r chase or sale or other disposition o f any notes o f this issue at a specific rate or price until after midnight, November 1, 1966. TO S U B S C R IB E R : Mark ( X ) in proper space to indicate if this i s : (F ill in all required spaces before signing) (Nam e of subscriber— Please print or typewrite) Original s u b s cr ip tio n ........... □ By Confirmation o f a telegram . □ Confirmation o f a letter . . . . □ (Official signature) (Title) Address ( D o n ot w rite in s p a ce b e lo w ) Deposit received by .... ............................................................. Allotm ent $.......... Figured Advised ( I f a ck n o w le d g m e n t o f this su b s crip tio n is d e s ire d , c o m p le te this s tu b ) Receipt is acknowledged o f your subscription fo r $ .............................................o f 5 % % Treasury Notes o f Series A-1968, dated November 15, 1966, m aturing February 15, 1968. For use of Federal Reserve Bank Time Stamp To. (N am e) (Address) (F o r use o f commercial bank subscribers only) Lists of Accounts Included in this Subscription ( I f space is insufficient in schedule below, attach separate listing) Leave blank Name and location (City and State) of ultimate purchaser (Location of individuals not required) Am ount Subscribed Leave blank (Note— Do not include subscriptions entitled to full allotment on the same form as other subscriptions.) Subscriber’s Reference No. FORM A -2 (Submit in triplicate ) Subscription No. Securities Accompanying Subscription For United States of America 5% Percent Treasury Notes of Series A-1968 Dated November 15, 1966, Due February 15, 1968 F ed er al R eserve B a n k op N ew Y ork, n Fiscal A gent o f the United States, New York, N. Y . 10045 * j Dated a t ......................................................... ...................................................................................... 1 9 6 6 G entlem en : R eferring to subscription entered in the amount o f $................................................... fo r United States o f Am erica 5 % percent Treasury Notes o f Series A-1968, the undersigned delivers the follow ing securities herewith, with coupons detached: F a c e am ount 3 % % Treasury Bonds o f 1966 ................................................................................... $............................... 4 % Treasury Notes o f Series E-1966 ....................................................................... ................................ 4 % % Treasury Certificates o f Indebtedness o f Series A-1966 .......................... ................................ T o t a l .......................... $................................ ( D o n o t fill in b o x e s b e lo w ) G o v e r n m e n t B o n d D iv is io n Received Checked Cancelled CONTROL COPY Submitted by A d d r e s s .......... Subscriber’s Reference No. Subscription No. Securities Accompanying Subscription For United States of America 5% Percent Treasury Notes of Series A -1968 Dated November 15, 1966, Due February 15, 1968 F e d e ra l R eserve B a n k o f N ew Y o rk , Fiscal A gent o f the United States, New York, N. Y . 10045 ~ +. a Uated. at ......................................................... ..................................................................19oo G entlem en : Referring to subscription entered in the amount o f $.................................................. for United States of America 5 % percent Treasury Notes of Series A-1968, the undersigned delivers the follow ing securities herewith, with coupons detached: F a ce a m ou n t 3 % % Treasury Bonds o f 1966 .................................................................................... $............................... 4 % Treasury Notes o f Series E-1966 ....................................................................... ................................ 4 % % Treasury Certificates o f Indebtedness o f Series A-1966 .......................... ............................... T o t a l .......................... $................................ Submitted by ............................................................................................................._ A d d r e ss........................................................................................................ .................... S E C U R IT Y R ECOR DS “ I N T I C K E T ” Subscriber’s Reference N o. Subscription N o. NONNEGOTIABLE RECEIPT To Subscriber: B a n k o f N e w Y o r k , Fiscal A gent o f the United States, hereby acknowledges receipt o f securities deposited in the amount indicated below with subscription numbered as above in exchange fo r F e d e ra l R eserve 5 % P E R C E N T T R E A S U R Y N O TE S O F S E R IE S A-1968 ■, xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Securities allotted on this subscription will be delivered on XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XT u K i n « • November 15, 1966, in accordance with your instructions. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX ................................... ................................ . ... . . . Teller Government Bond Division— Issues & Redemption Section To F e d e r a l R e s e r v e B a n k o f N e w Y o r k , F a ce am ou nt Fiscal A gent of the United States 3 % % Bonds, 1966 .............. (Date) You are hereby authorized to deliver to 4 % Notes, E-1966 ................. 43/4% C of P., A -1966 ____ (Nam e of representative) whose signature appears below, I ............................................ par amount Total ..................... $ Submitted by ............................................. of securities issued pursuant to this subscription. Name .................................................................................. Address ........................- ................................ (Please print) (Official signature required) (Signature of authorized representative) T o Subscriber: I f securities are to be delivered over the counter at this Bank to your representative, the authority in the box to the left should be executed on the date of delivery. FORM B -l (Please type or print legibly) Subscriber’s Reference N o. Subscription N o. SUBSCRIPTION— SUBJECT TO ALLOTMENT For United States of America 5% Percent Treasury Notes of Series B-1971 Dated November 15, 1966, Due November 15, 1971 IM PO R TANT INSTRUCTIONS P a y m en t. P a ym en t at p a r f o r th e n otes to b e ^H otted h e re u n d e r m ay b e m a d e in ca sh , o r b y 3 % % T r e a s u ry B on d s o f 1 9 6 6 , 4 % T r e a s u ry N otes o f S eries E -1 9 6 6 , o r 4 % % T rea su ry C ertifica tes ness o f S e rie s A -1 9 6 6 , a ll m a tu rin g N o v e m b e r 15, 1 9 6 6 . C ou p on s d a te d N o v e m b e r 15, 1 9 6 6 sh ou ld fr o m th e m a tu rin g s ecu rities in b e a re r fo r m a n d ca s h e d w h en d u e. P a y m en t f o r th e n ew n o te * ca n n o t c r e d it th ro u g h T re a s u r y T a x an d L oa n A c c o u n t. e x ch a n g e o f o f In d e b te d b e d e ta c h e d be m ade by D e p o s it. S u b scrip tion s fr o m b a n k in g in stitu tion s f o r th eir ow n a cco u n t a n d fr o m certa in oth ers as sp e cifie d in S e ctio n III o f T re a s u ry D ep a rtm en t C ircu la r N o. 8 -6 6 , P u b lic D e b t S eries, w ill b e r e c e iv e d w ith ou t d e p o s it. S u b s crip tio n s fr o m all oth ers m ust b e a c co m p a n ie d b y p a ym en t (in cash o r in m atu rin g s e c u r itie s ) o f n ot less than 2 % o f th e a m ou n t o f n otes a p p lie d fo r , e x c e p t that co m m e rcia l banks su b scrib in g f o r a cco u n t o f cu stom ers are u rged to re ta in th eir cu sto m e r s ’ d e p o s its until a ft e r a llotm en t. C h eck s a cco m p a n y in g the su b scrip tion s sh ou ld b e m ad e p a y a b le to the F e d era l R e s e rv e B ank o f N ew Y o r k . S u b scrip tio n a m ou n ts. A m o u n t o f n otes a p p lie d f o r m ust b e in m u ltip les o f $ 1 ,0 0 0 . The subscription books will be open only on November 1 for the receipt of subscriptions. Dated at F e d e r a l R eserve B a n k o f N ew Y o r k , Fiscal Agent o f the United States, New York, N. Y . 10045 A tten tion : ....................................................... ................................................................... 1966 Government Bond Division G entlem en : Pursuant to the provisions o f Treasury Department Circular No. 8-66, Public Debt Series, dated October 28, 1966, the undersigned hereby subscribes at par for United States o f America 5 % percent Treasury Notes o f Series B-1971, as fo llo w s: F or own account ............................................................................................................... ...... $ F or our customers, shown on reverse side (fo r use o f commercial banks) . . . . $ Total subscription ..................................................... ...... $ ( I f se cu rities are su b m itted w ith this s u b s crip tio n , the secu rities sh ou ld b e a cco m p a n ie d b y F orm B -2 , w h ich fo r m shall b e m a d e a p a rt o f y o u r s u b s c r ip tio n .) ( I f the subscriber is, or is subscribing for account of, a member o f one o f the investor classes listed below, a check in the appropriate box should be indicated. A subscription from or fo r account o f such member will receive full allotment only if accompanied by a written certification that at 4 p.m., Eastern Daylight Saving time, October 27, 1966, it owned or had contracted to purchase for value, an equal or greater amount o f 3 % % Treasury Bonds o f 1966, 4 % Treasury Notes of Series E-1966, or 4 % % Treasury Certificates o f Indebtedness o f Series A-1966, all maturing November 15, 1966, and that such securities will be submitted in payment for its subscription. A form fo r the certification is enclosed. Subscriptions accompanied by such certifications should not be included on the same form with other subscriptions. I f the investor classes listed below desire to enter an additional subscription, to be subject to allotment, a separate subscription form must be used.) □ States, political subdivisions or instrumentalities thereof Q Public pension and retirement and other public funds □ International organizations in which the United States holds membership Q Foreign central banks and foreign States ( I f a commercial bank is subscribing for its own account or for account of customers, the following certifications are made a part of 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 ’ names on the list which is made a part o f this subscription; that there has been paid to us by each such customer as required by official offering circular, not subject to withdrawal until after allotment, not less than 2 percent o f the amount applied f o 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 o f such payments to any o f such custom ers; that we have no beneficial interest in the applications o f such customers, and that none o f our customers has any beneficial interest in the amount subscribed fo r 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 o f any notes o f this issue at a specific rate or price, until after midnight, November 1, 1966. 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 o f 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 fo r their own account and for the account o f their customers have been entered with us under the same conditions, agreements, and certifications as set forth in this subscription form. The undersigned agrees not to purchase or to sell, or to make any agreements with respect to the p u r chase or sale or other disposition o f any notes o f this issue at a specific rate or price until after midnight, November 1, 1966. TO S U B S C R IB E R : Mark ( X ) in proper space to indicate if this i s : (F ill in all required spaces before signing) (Nam e of subscriber— Please print or typewrite) Original s u b s cr ip tio n ........... □ By (Official signature) Confirmation o f a telegram . □ Confirmation o f a letter . . . . □ (Title) Address ( D o n ot w rite in s p a ce b e lo w ) ..................................... Allotm ent $ Deposit received by Figured Advised ( I f a ck n o w le d g m e n t o f this su b scrip tio n is d e s ire d , c o m p le te this s tu b ) Receipt is acknowledged o f your subscription for $............................ Series B-1971, dated November 15, 1966, maturing November 15, 1971. o f 5 % % Treasury Notes o f For use of Federal Reserve Bank Time Stamp To (N am e) (Address) (For use of commercial bank subscribers only) Lists of Accounts Included in this Subscription ( I f space is insufficient in schedule below, attach separate listing) Leave blank Name and location (City and State) of ultimate purchaser (Location of individuals not required) Amount Subscribed (Note— Do not include subscriptions entitled to full allotment on the same form as other subscriptions.) (Submit with subscription) Certification by States, Political Subdivisions or Instrumentalities Thereof, Public Pension and Retirement and Other Public Funds, International Organi zations in W hich the United States Holds Membership, Foreign Central Banks, Foreign States, Federal Reserve Banks, or Government Investment Accounts, Pursuant to Section III, Paragraph 4 ( 1 ) , Treasury Department Circu lars Nos. 7-66 and 8-66, Public Debt Series (This certificate may be executed by a subscriber in one of the classes listed above or by a commercial bank entering a subscription for account of such a subscriber.) ... ..................... ......... , 1966 To the Federal Reserve Bank o f New York: The undersigned hereby certifies: (1) That it is one of the types of subscribers designated above and has entered for preferred full allotment under the provisions of Section III, paragraph 4(1), of Treasury Department Circu lar No. 7-66 or 8-66, Public Debt Series, subscription(s) in the amount of $.................................. ; (2) That at 4 p.m., Eastern Daylight Saving time, October 27, 1966, it owned or had contracted to purchase for value 4%% Treasury Certificates of Indebtedness of Series A-1966, 4% Treasury Notes of Series E-1966, and 3%% Treasury Bonds of 1966 in an amount equal to or greater than the amount of said subscription(s); and (3) That such securities w ill be submitted in payment for said subscription (s). (Nam e of organization) .................................................................. > .................................... (Official signature) (Title) ( A commercial bank executing this certificate should sign below) (Nam e of bank) B y ........................................................................... , .............................. (Official signature) for above-named organization. (Title) Subscriber’s Reference No. Subscription No. NONNEGOTIABLE RECEIPT To Subscriber: B a n k o f N e w Y o r k , Fiscal Agent of the United States, hereby acknowledges receipt of securities deposited in the amount indicated below with subscription numbered as above in exchange for F e d e ra l R eserve 5% P E R C E N T T R E A S U R Y N O T E S OF S E R IE S B-1971 Securities allotted on this subscription will be delivered on XT u 1C in c c • , ... • , November 15, 1966, in accordance with your instructions. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XX XX XX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XX XX XX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx - Tel!er T, TV • g Redemption n i • c Government* Bond Division— Issues & Section To F ederal R eserve B a n k of N ew Y ork, F a ce a m ou n t F i s c a l A g e n t o f th e U n it e d S ta t e s 3 % % Bonds, 1966 $ (Date) Y o u a r e h e r e b y a u t h o r iz e d t o d e liv e r to 4 °7c Notes, E-1966 ..................... 4% % C of I’s, A -1966 (Nam e of representative) w h o s e s ig n a t u r e a p p e a r s b e lo w , f ................................................ p a r a m o u n t Total S u b m it t e d b y .......................... $ ................................................................................................................ o f s e c u r it ie s is s u e d p u r s u a n t t o th is s u b s c r ip t io n . N a m e ......................................................................................... (Please print) (Official signature required) (Signature of authorized representative) To Subscriber: I f s e c u r it ie s a r e t o b e d e liv e r e d o v e r th e c o u n t e r a t th is B a n k t o y o u r r e p r e s e n t a t iv e , th e a u t h o r i t y in t h e b o x t o t h e l e f t s h o u ld b e e x e c u t e d o n th e d a te o f d e liv e r y . FORM B-2 (Submit in triplicate) Subscriber’ s Reference No. Subscription No. Securities Accompanying Subscription For United States of America 5% Percent Treasury Notes of Series B-1971 Dated November 15, 1966, Due November 15, 1971 F e d e ra l R eserve B a n k o f N ew Y o rk , n Fiscal Agent of the United States, New York, N. Y . 10045 + a a ............................................................. ...................................................................... 19oo G entlem en : Referring to subscription entered in the amount of $ ..................................................... for United States of America 5 % percent Treasury Notes of Series B-1971, the undersigned delivers the following securities herewith, with coupons detached: F a ce am ou nt 3 % % Treasury Bonds of 1966 ......................................................................................... $.................................. 4 % Treasury Notes of Series E-1966 ............................................................................ .................................. 4 % % Treasury Certificates of Indebtedness of Series A-1966 ........................... .................................. T o t a l ............................ $ .................................. ( D o n o t fill in b o x e s b e lo w ) Governm ent B ond D iv is io n Received Submitted by Checked A d d r e s s .......... Cancelled C O N T R O L CO P Y Subscriber’ s Reference No. Subscription No. Securities Accompanying Subscription For United States of America 5% Percent Treasury Notes of Series B-1971 Dated November 15, 1966, Due November 15, 1971 F eder al R eserve B a n k of N e w Y ork, _ Fiscal Agent of the United States, New York, N. Y . 10045 , Uated at ............................................................. ......................................................................................1 9 b b G entlem en : Referring to subscription entered in the amount of $ ..................................................... for United States of America 5 % percent Treasury Notes of Series B-1971, the undersigned delivers the following securities herewith, with coupons detached: F a ce am ou nt 3 % % Treasury Bonds of 1966 ......................................................................................... $.................................. 4 % Treasury Notes of Series E-1966 ........................................................................... .................................. 4 % % Treasury Certificates of Indebtedness of Series A-1966 ........................... ................................. T o t a l ........................... $ .................................. S u b m it t e d b y ............................. ........................ .................................................................. A d d r e s s .... ................................................................................................................................... S E C U R IT Y RECORDS “ I N T I C K E T ” 1 FEDERAL RESERVE BANK OF N E W Y O R K Subscription Number F I S C A L A G EN T OF T H E U N I TE D S T A T E S NOTICE OF ALLOTMENT For United States of America 5 % Percent Treasury Notes of Series A-1968 To Subscriber: r ~\ L J On your subscription, numbered as above, for $ (par amount) of— UNITED STATES OF AM ERICA 5 % PERCENT TREASURY NOTES OF SERIES A -1 9 6 8 DATED NOVEMBER 15, 19 66, DUE FEBRUARY 15, 1968 which you filed pursuant to the provisions of Treasury Department Circular No. 7 -6 6 , Public Debt Series, dated October 28, 1966, the Secretary of the Treasury has allotted notes to you in the amount of— $ Important 1. To expedite delivery of the notes allotted to you and to facilitate prompt completion of this transaction, please fill in, sign and return immediately the attached Letter of Instructions to the Federal Reserve Bank of New York, Fiscal Agent of the United States, New York, N. Y. 10045. Paym ent 2. Payment at par for notes allotted must be made on or before November 15, 1966, as follows: By Check— The check should be made payable to the order of the FEDERAL RESERVE BANK OF NEW YORK, FISCAL AGENT OF THE UNITED STATES. The notes 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 By C a s h — Payment may be made in cash. C h a 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 Maturing Securities— 4% % Payment may be made by exchange of 3 % % Treasury Bonds of 1966, 4 % Treasury Certificates of Indebtedness o f Series A -1966, all maturing November 15, 1966. Treasury Notes of Series E -1966, or The coupons due November 15, 1966 should be detached from the securities and cashed in regular course. D e liv e r y 3. (a) Delivery of the notes 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 November 15, 1966. (b) The notes allotted may be received over the counter by a representative of the subscriber, provided the repre sentative presents a letter of authority identifying him and signed officially by the subscriber. S a fe k e e p in g 4. Notes 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 ederal R eser ve B a n k of N e w Y ork, Fiscal Agent of the United States. Checked by 2 (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 ra l R eserve B a n k o f N ew Y o rk , Fiscal Agent of the United States, Federal Reserve P. 0 . Station, New York, N. Y . 10045 Attention: Government Bond Division— 2nd Floor From (Name andfaddress of Subscriber) Dated at ............................................................. ........................................................................ 1966 On our subscription, numbered as above, for $ (par amount) of— UNITED S T A T E S O F A M E R IC A 5 % PER CEN T T R E A SU R Y N OTES O F SERIES A -1 9 6 8 D A T E D N O VEM BE R 15, 1 9 6 6 , DUE FEB RU ARY 15, 19 6 8 which we filed pursuant to the provisions of Treasury Department Circular No. 7-66, Public Debt Series, dated October 28, 1966, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— $ and, as requested, we send you the following instructions: Deposit has been made— By check or c a s h ................................................................................................................ $.................................. By maturing 3 % % Treasury Bonds of 1966 ................................ ................... $ .................................. (par amount) By maturing 4% Treasury Notes of Series E-1966 ............................................ $ .................................. (par amount) B y maturing 4 % % Treasury Certificates of Indebtedness of Series A-1966 $ .................................. (par amount) Balance due, if any— □ B y charge to our reserve account, which you are authorized to make □ Treas. Bonds o f 1966 By maturing securities— By check □ By Cash 4°/c Treas. N otes Series E-1966 4 % % Treas. C. o f I. Series A -1966 Delivered to you h erew ith ............................................ $ .................................. $ .................................. $ .................................. To be withdrawn from safekeeping with you . . . . $ .................................. $ .................................. $ .................................. To be delivered b y ............................................................ $ .................................. $ .................................. $.................................. T o t a l .............................................................................. $ .................................. $ .................................. $ .................................. I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities). Excess amount of maturing securities to be red eem ed....................... (use Form G.B.311) B E A R E R N O T E S D E S IR E D sees $ Face amount $.................................. Dispose of securities issued, as follows: (F o r R E G IS T E R E D notes— use only reverse side) Denomi nation ......... (Leave this space blank) 1,000 □ 1. Deliver over the counter to the undersigned □ 2. Hold in safekeeping (for member bank only)* □ □ 3. 4. Hold as collateral for Treasury Tax and Loan Account* Ship to the undersigned □ 5. Special instructions: 5,000 10,000 * If this item is ch eck ed , the u ndersigned certifies that the a llotted n otes will be ow n ed solely b y the u ndersigned. 100,000 --- - 1,000,000 (IM P O R T A N T : b e a c c e p t e d .) TOTAL This letter of instructions must be signed officially in the space provided and re turned immediately to Federal Reserve Bank of New York, N o ch a n g es in d e liv e ry in stru ction s w ill Submitted by (Please print) By (Authorized signature(s) required) ...................... T i t l e ................. T i t l e ................... Fiscal Agent of the United States. Address .................................................................................................................. (S p a c e s b e lo w a re f o r th e u se o f th e F ed era l R e s e rv e B ank o f N ew Y o r k ) G overnm ent B ond D iv is io n Received S a f e k e e p i n g D iv i s i o n Checked Cancelled Deliver against payment o f $ ..................................................... Delivered ...................................... D E L IV E R Y R E C E IP T Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above described securities allotted in the amount indicated above. D a te ....................................................... Subscriber. By. 1 Schedule for Issue of Registered Notes (Indicate under appropriate denominations, number of notes desired.) N am e in which notes shall be registered, taxpayer identifying number (Social Security Account Num ber or Employer Identification N u m ber), and post-office address for interest checks and other mail. (Please print or typewrite) Am ount $1,000 $5,000 $10,000 $100,000 $1,000,000 Ident. No............................................................................ ...................... Address..................................................................................................... Ident. No................................................................................................... Address...................................................................................................... Ident N o .................................................................................................. Address...................................................................................................... ( I f registered notes, which are mailed directly by Treasury Department, W ashington, D. C., are not to be sent to the registered owner, give mailing instructions below.) Mail registered notes to 3 Subscription Number (D U P L I C A T E F O R U S E O F F E D E R A L R E S E R V E B A N K O F N E W Y O R K ) BLOTTER RECORD— GOVERNMENT BOND DIVISION To F e d e ra l R eserve B a n k o f N ew Y o rk , Fiscal Agent of the United States, Federal Reserve P. 0 . Station, New York, N. Y . 10045 Attention: Government Bond Division— 2nd Floor Dated a t ............... From (Name and address of Subscriber) .1966 On our subscription, numbered as above, for $ (par amount) of— UN ITED S T A T E S O F A M E R IC A 5 % PE R C E N T T R E A S U R Y N O TES O F SERIES A - 19 6 8 D A T E D N O V E M B E R 15, 1 9 6 6 , D U E FE B R U A R Y 15, 1 9 6 8 which we filed pursuant to the provisions of Treasury Department Circular No. 7 -6 6 , Public Debt Series, dated October 28, 1966, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— and, as requested, we send you the following instructions: Deposit has been made— B y check or c a s h ................................................................................................................. B y maturing 3 % % Treasury Bonds of 1966 ....................................................... (par amount) By maturing 4 % Treasury Notes of Series E-1966 ............................................ (par amount) B y maturing 4 % % Treasury Certificates of Indebtedness of Series A-1966 (par amount) Balance due, if any— □ □ By charge to our reserve account, which you are authorized to make 3 % % Treas. Bonds o f 1966 By maturing securities— By check □ 4 % Treas. N otes Series E -1966 By Cash 4 % % Treas. C. o f 1. Series A -1966 Delivered to you h erew ith ................................................$ To be withdrawn from safekeeping with you . . . . $ To be delivered b y ............................................................ ....$ T o t a l .............................................................................. $- $.................................. $.................................. $ .................................. I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities). Excess amount of maturing securities to be red eem ed ..................................... (use Form G.B.311) B E A R E R N O T E S D E S IR E D Dispose of securities issued, as follows: (F o r R E G IS T E R E D notes— use only reverse side) Pieces Denomi nation $ Face amount $ .................................. (Leave this space blank) 1,000 □ □ 1. 2. Deliver over the counter to the undersigned Hold in safekeeping (for member bank only)* □ □ 3. 4. Hold as collateral for Treasury Tax and Loan Account* Ship to the undersigned □ 5. Special instructions: 5,000 10,000 100,000 * If this item is ch e ck e d , the u ndersigned certifies that the a llotted n otes w ill b e ow n ed solely b y the u ndersigned. 1,000,000 (IM P O R T A N T : b e a c c e p t e d .) TOTAL This letter of instructions must be signed officially in the space provided and re turned immediately to Federal Reserve Bank of New York, N o ch a n g es in d e liv e r y in stru ctio n s w ill Submitted by (Please print) By By ................... (Authorized signature(s) required) ...................... T i t l e ................. T i t l e ................... Fiscal A gent of the United States. Address .................................................................................................................. (S p a c e s b e lo w a re f o r th e u se o f th e F e d e ra l R e s e rv e B ank o f N ew Y o r k ) G o v e r n m e n t B o n d D iv is io n Received S a f e k e e p in g C h eck ed D iv is io n Cancelled Checked . Paym ent received ...................... Delivered Deliver against payment of $. D E L I V E R Y R E C E IP T Received from Federal Reserve Bank of New York, Fiscal A gent of the United States, the above described securities allotted in the amount indicated above. Date Subscriber Schedule for Issue of Registered Notes (Indicate under appropriate denominations, number of notes desired.) N am e in which notes shall be registered, taxpayer identifying number (Social Security Account Num ber or Employer Identification N u m ber), and post-office address for interest checks and other mail. (Please print or typewrite) Am ount $1,000 $5,000 $10,000 $100,000 $1,000,000 Address...................................................................................................... Ident. No................................................................................................... Address..................................................................................................... Ident. No................................................................................................... A ddress...................................................................................................... Ident. No................................................................................................... Address...................................................................................................... ( I f registered notes, which are mailed directly by Treasury Department, W ashington, D. C., are not to be sent to the registered owner, give mailing instructions below.) Mail registered notes to Subscription Number (T R I P L I C A T E F O R U S E O F F E D E R A L R E S E R V E B A N K O F N E W Y O R K ) RELOCATION OFFICE— OUT To F e d e ra l R eserve B a n k o f N ew Y o rk , 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 ............... .1966 On our subscription, numbered as above, for $ (par amount) of— UNITED S T A T E S O F A M E R IC A 5 % PE R C E N T T R E A S U R Y N O TES O F SERIES A -1 9 6 8 D A T E D N O V E M B E R 15, 1 9 6 6 , D U E F E B R U A R Y 15, 1 9 6 8 which we filed pursuant to the provisions of Treasury Department Circular No. 7 -6 6 , Public Debt Series, dated October 28, 1966, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— and, as requested, we send you the following instructions: Deposit has been made— By check or c a s h ................................................................................................................. B y maturing 3 % % Treasury Bonds of 1966 ....................................................... (par amount) By maturing 4 % Treasury Notes of Series E-1966 ............................................ (par amount) B y maturing 4 % % Treasury Certificates of Indebtedness of Series A-1966 (par amount) Balance due, if any— □ B y charge to our reserve account, which you are authorized to make □ 3 % % Treas. Bonds o f 1966 By maturing securities— Delivered to you h erew ith ............................................ $ To be withdrawn from safekeeping with you . . . . $ To be delivered b y ............................................................ $. T o t a l .............................................................................. $ By check 4 % Treas. N otes Series E-1966 □ By Cash 4 % % Treas. C. o f I. Series A-1966 I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities). Excess amount of maturing securities to be redeemed (use Form G.B.311) B E A R E R N O T E S D E S IR E D Dispose of securities issued, as follows: (F o r R E G IS T E R E D notes— use only reverse side) Denomi nation eces $ Face amount (Leave this space blank) 1,000 □ 2. Hold in safekeeping (for member bank only)* □ □ 3. 4. Hold as collateral for Treasury Tax and Loan Account* Ship to the undersigned □ 5. Special instructions: 5,000 10,000 100,000 * If this item is ch e ck e d , the undersigned certifies that the allotted notes will be ow n ed solely b y the undersigned. 1,000,000 (I M P O R T A N T : b e a c c e p t e d .) TOTAL This letter of instructions must be signed officially in the space provided and re turned immediately to Federal Reserve Bank of New York, N o ch a n ges in d e liv e r y in stru ction s w ill Submitted by (Please print) By By (Authorized signature(s) required) ...................... Title T i t l e ................... Fiscal A gent of the United States. Address .................................................................................................................. ( S p a c e s b e lo w a re f o r th e u se o f th e F ed era l R e s e rv e B ank o f N ew Y o r k ) G o v e r n m e n t B o n d D iv is io n Received S a f e k e e p in g D iv is io n Checked Cancelled Deliver against payment of $ ................................................. D E L I V E R Y R E C E IP T Received from Federal Reserve Bank o f New York, Fiscal Agent of the United States, the above described securities allotted in the amount indicated above. D ate................................................ Subscriber............................................................................. B y....................................................................................... I Schedule for Issue of Registered Notes (Indicate under appropriate denominations, number of notes desired.) N am e in which notes shall be registered, taxpayer identifying number (Social Security Account Num ber or Employer Identification N um ber), and post-office address for interest checks and other mail. ( Please print or typewrite) Am ount $1,000 $5,000 $10,000 $100,000 $1,000,000 Ident. No................................................................................................... Ident. No................................................................................................... Address...................................................................................................... Ident. No................................................................................................... A ddress...................................................................................................... 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 (Q U A D R U P L I C A T E F O R U S E O F F E D E R A L R E S E R V E B A N K O F N E W Y O R K ) Subscription Number DELIVERY TICKET— SAFEKEEPING DIVISION To F e d e ra l R eserve B a n k op N ew Y o rk , Fiscal Agent of the United States, Federal Reserve P. O. Station, New York, N. Y . 10045 Attention: Government Bond Division— 2nd Floor From (Name and address of Subscriber) Dated at ............................................................. ........................................................................ 1966 On our subscription, numbered as above, for $ (par amount) of— UN ITED S T A T E S O F A M E R IC A 5 % P E R C E N T T R E A S U R Y N O TES O F SERIES A -1 9 6 8 D A T E D N O V E M B E R 15, 1 9 6 6 , D U E FE B R U A R Y 15, 1 9 6 8 which we filed pursuant to the provisions of Treasury Department Circular No. 7 -6 6 , Public Debt Series, dated October 28, 1966, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— and, as requested, we send you the following instructions: Deposit has been made— B y check or c a s h ................................................................................................................. $ Treasury Bonds of 1966 ....................................................... $ (par amount) B y maturing 4 % Treasury Notes of Series E-1966 ............................................ $ (par amount) B y maturing 4 % % Treasury Certificates of Indebtedness of Series A -1966 $ (par amount) B y maturing Balance due, if any— □ B y charge to our reserve account, which you are authorized to make □ S % % Treas. Bonds o f 1966 B y maturing securities— By check 4 % Treas. N otes Series E -1966 Q By Cash 4 % % Treas. C. o f 1. Series A -1966 Delivered to you h er ew ith ................................................$ To be withdrawn from safekeeping with you . . . . $ To be delivered b y ............................................................ .... $ T o t a l .............................................................................. .... & $. I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem exeess amount indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities). Excess amount of maturing securities to be red eem ed ..................................... (use Form G.B.311) B E A R E R N O T E S D E S IR E D (F o r R E G IS T E R E D notes— use only reverse side) Denomi nation ecea $ Dispose of securities issued, as follows: (Leave this space blank) Face amount $.................................. 1,000 □ 1. □ 2. Deliver over the counter to the undersigned Hold in safekeeping (for member bank only)* □ □ 3. 4. Hold as collateral for Treasury Tax and Loan Account* Ship to the undersigned □ 5. Special instructions: 5,000 10,000 100,000 * If this item is ch e ck e d , the u ndersign ed certifies that the allotted n otes w ill b e ow n ed solely b y the u ndersigned. 1,000,000 (IM P O R T A N T : b e a c c e p t e d .) TOTAL This letter of instructions must be signed officially in the space provided and re• turned immediately to Federal Reserve Bank of New York, N o ch a n g es in d e liv e r y in stru ction s w ill Submitted by (Please print) By ......... By (Authorized signature(s) required) Title............ ...................... T i t l e ................... Fiscal A gent of the United States. Address .................................................................................................................. (S p a c e s b e lo w a re f o r th e u se o f th e F e d e ra l R e s e rv e B ank o f N ew Y o r k ) S a f e k e e p in g D iv is io n G o v e r n m e n t B o n d D iv is io n Received 1 Checked Cancelled Paym ent received ...................... Checked ., Deliver against payment of $. Delivered D E L I V E R Y R E C E IP T Received from Federal Reserve Bank of New York, Fiscal A gent of the United States, the above described securities allotted in the amount indicated above. Date. Subscriber............................................................................. By. Schedule for Issue of Registered Notes (Indicate under appropriate denominations, number of notes desired.) Nam e in which notes shall be registered, taxpayer identifying number (Social Security Account Num ber or Employer Identification N u m ber), and post-office address for interest checks and other mail. (Please print or typewrite) Am ount $1,000 $5,000 $10,000 $100,000 $1,000,000 Ident No............................. -...... .......................... ................... A ddress...................................................................................... Address...................................................................................... ( I f registered notes, which are mailed directly by Treasury Department, W ashington, D. C., are not to be sent to the registered owner, give mailing instructions below.) Mail registered notes to ALLOTMENT NOTICE FOR GOVERNMENT BOND DIVISION Subscription..................... $ (par amount) of— UNITED S T A T E S O F A M E R IC A 5 % PE R CEN T T R E A S U R Y NO TES O F SERIES A - 19 6 8 D A T E D N O VEM BE R 15, 1 9 6 6 , D U E FE B R U A R Y 15, 19 6 8 Allotment ......................... $ D I S P O S I T I O N Over Counter D E P O S IT Check or C a s h ...............................................................................................................$ 3% % 4% Treasury Bonds of 1966 ......................................................................... $. Treasury Notes Series E -1966 Safekeeping .................................................................. $. 4 % % Treasury C. of I. Series A -1966 ...................................................... .... $. T . T . & L. Excess amount Treasury Bonds of 1966 to be redeemed ..................... $. Excess amount Treasury Notes Series E -1966 to be redeemed . . . . $. Excess amount Treasury C. of I. Series A -1966 to be redeemed . . $ Ship Excess cash payment to be refunded ......................................................... ....$. Special Instructions .............................................' PAYM ENT Check or C a s h ........................................................................................................... Treasury Bonds of 1966 $. .......................................................................................$. Treasury Notes Series E -1966 ...........................................................................$. Treasury C. o f I. Series A -1966 .........................................................................$. Reserve account ..........................................................................................................$ Balance ...................................................................................................................... ....#. 7 ALLOTMENT NOTICE FOR SECURITIES DEPARTMENT Subscription ......................... $ (par amount) of— U N ITED S T A T E S O F A M E R IC A 5 % PE R C E N T T R E A S U R Y N O TE S O F SERIES A -1 9 6 8 D A T E D N O VEM BE R 15, 1 9 6 6 , D U E FE B R U A R Y 15, 1 9 6 8 Allotment $ ALLOTMENT NOTICE FOR SECURITY FILES Subscription ......................... $ (par amount) of— UN ITED S T A T E S O F A M E R IC A 5 % PE R CEN T T R E A S U R Y N O TES O F SERIES A -1 9 6 8 D A T E D N O VEM BE R 15, 1 9 6 6 , DUE F E B R U A R Y 15, 19 6 8 Allotment $ 1 FEDERAL RESERVE BANK OF N E W Y O R K Fiscal Agent of t h e U nited st a t e s Subscription Number • NOTICE OF ALLOTMENT For United States of America 5 % Percent Treasury Notes of Series B-1971 To Subscriber: r \ L On your subscription, numbered as above, for $ (par amount) of— UN ITED S T A T E S O F A M E R IC A 5 % PE R C E N T T R E A S U R Y N OTES O F SERIES B -1971 D A T E D N O V E M B E R 15, 1 9 6 6 , D U E N O VEM BE R 15, 1971 which you filed pursuant to the provisions of Treasury Department Circular No. 8 -6 6 , Public Debt Series, dated October 28, 1966, the Secretary of the Treasury has allotted notes to you in the amount of— $ important 1. To expedite delivery of the notes allotted to you and to facilitate prompt completion of this transaction, please fill in, sign and return immediately the attached Letter of Instructions to the Federal Reserve Bank of New York, Fiscal Agent of the United States, New York, N. Y. 10045. Paym ent 2. Payment at par for notes allotted must be made on or before November 15, 1966, as follows: B y Check— The check should be made payable to the order of the F E D E R A L R E SE R V E B A N K OF N E W T H E U N IT E D ST A T E S. Y O R K , F ISC A L A G E N T OF The notes 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. B y Cash— Payment may be made in cash. B y 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 Maturing Securities— 4% % Payment may be made by exchange of 3 % % Treasury Bonds of 1966, 4 % Treasury Certificates of Indebtedness o f Series A -1966, all maturing November 15, 1966. Treasury Notes of Series E -1966, or The coupons due November 15, 1966 should be detached from the securities and cashed in regular course. D e liv e r y 3. (a) Delivery of the notes 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 November 15, 1966. (b) The notes allotted may be received over the counter by a representative of the subscriber, provided the repre sentative presents a letter of authority identifying him and signed officially by the subscriber. S a fe k e e p in g 4. Notes 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 ederal R eserve B a n k of N e w Y ork, Fiscal A gent of the United States. Checked by 2 (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 ra l R eserve B a n k o f N ew Y o rk , 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 ............................................................. ........................................................................ 1966 On our subscription, numbered as above, for $ (par amount) of— UNITED S T A T E S O F A M E R IC A 5 % P E R C E N T T R E A S U R Y N OTES O F SERIES B -1971 D A T E D N O V E M B E R 15, 1 9 6 6 , DU E N O VEM BER 15, 1971 which we filed pursuant to the provisions of Treasury Department Circular No. 8-66, Public Debt Series, dated October 28, 1966, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— $ and, as requested, we send you the following instructions: Deposit has been made— By check or c a s h ................................................................................................................. $ .................................. By maturing 3 % % Treasury Bonds of 1966 ....................................................... $.................................. (par amount) By maturing 4 % Treasury Notes of Series E-1966 ............................................ $ .................................. (par amount) B y maturing 4 % % Treasury Certificates of Indebtedness of Series A-1966 $ .................................. (par amount) Balance due, if any— □ B y charge to our reserve account, which you are authorized to make □ 3 % % Treas. Bonds o f 1966 By maturing securities— By check 4 % Treas. N otes Series E-1966 Delivered to you h erew ith ............................................ $ $- To be withdrawn from safekeeping with y o u ____ $.................................. $. $.................................. $ .................................. □ By Cash 4 % % Treas. C. o f I. Series A-1966 To be delivered by T o t a l .............................................................................. $ .................................. I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities). Excess amount of maturing securities to be red eem ed..................................... (use Form G.B.311) B E A R E R N O T E S D E S IR E D Dispose of securities issued, as follows: (F o r R E G IS T E R E D notes— use only reverse side) Denomi nation ieces $ (Leave this space blank) Face amount $.................................. 1,000 □ □ 1. 2. Deliver over the counter to the undersigned Hold in safekeeping (for member bank only)* □ □ 3. 4. Hold as collateral for Treasury Tax and Loan Account* Ship to the undersigned □ 5. Special instructions: 5,000 10,000 100,000 * If this item is ch eck ed , the u ndersigned certifies that the a llotted n otes w ill b e ow n ed solely b y the u ndersigned. 1,000,000 (I M P O R T A N T : b e a c c e p t e d .) TOTAL This letter of instructions must be signed officially in the space provided and returned immediately to Federal Reserve Bank of New York, by Submitted N o ch a n g es in d e liv e r y in stru ction s w ill (Please print) ^ By (Authorized signature(s) required) ...................... T i t l e ............... T i t l e .................... Fiscal A gen t of the United States. A ddress ............................................................................................................................ (S p a c e s b e lo w a re f o r th e v s e o f the F ed era l R e s e rv e B ank o f N ew Y o r k ) S a f e k e e p in g D iv i s io n G o v e r n m e n t B o n d D iv is io n Received Checked Cancelled Checked .. Paym ent received ...................... Delivered Deliver against payment of $. D E L I V E R Y R E C E IP T Received from Federal Reserve Bank of New York, Fiscal A gen t o f the United States, the above described securities allotted in the amount indicated above. Date Subscriber Schedule for Issue of Registered Notes (Indicate under appropriate denominations, number of notes desired.) Nam e in which notes shall be registered, taxpayer identifying number (Social Security Account Num ber or Employer Identification N u m ber), and post-office address for interest checks and other mail. (Please print or typewrite) Am ount $1,000 $5,000 $10,000 $100,000 $1,000,000 Ident. N o. ............................................................ ..................... ................................ 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 (D U P L I C A T E F O R U S E O F F E D E R A L R E S E R V E B A N K O F N E W Y O R K ) Subscription Number BLOTTER RECORD— GOVERNMENT BOND DIVISION To F e d e r a l R e s e r v e B a n k o p N e w Y o r k , 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 ............... .1966 On our subscription, numbered as above, for $ (par amount) of— UNITED S T A T E S O F A M E R IC A 5 % PE R C E N T T R E A S U R Y N O TES O F SERIES B -1971 D A T E D N O V E M B E R 15, 1 9 6 6 , D U E N O VEM BE R 15, 1971 which we filed pursuant to the provisions of Treasury Department Circular No. 8 -66, Public Debt Series, dated October 28, 1966, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— $ and, as requested, we send you the following instructions: Deposit has been made— By check or c a s h ................................................................................................................. $ .................................. By maturing 3 % % Treasury Bonds of 1966 ....................................................... $ (par amount) By maturing 4 % Treasury Notes of Series E-1966 ............................................ $ (par amount) B y maturing 4 % % Treasury Certificates of Indebtedness of Series A-1966 $ (par amount) Balance due, if any— □ □ B y charge to our reserve account, which you are authorized to make $ % % Treas. Bonds o f 1966 By maturing securities— By check Q 4 % Treas. N otes Series E-1966 By Cash 4 % % Treas. C. o f I. Series A-1966 Delivered to you h erew ith ................................... To be withdrawn from safekeeping with you To be delivered b y ................................................... T o t a l ................................................................ $- $■ I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities). Excess amount of maturing securities to be redeem ed..................................... (use Form G.B.311) B E A R E R N O T E S D E S IR E D (F o r R E G IS T E R E D notes— use only reverse side) Denomi nation ieces $ Face amount $ .................................. Dispose of securities issued, as follows: Deliver over the counter to the undersigned (Leave this space blank) 1,000 □ 2. Hold in safekeeping (for member bank only)* □ □ 3. 4. Hold as collateral for Treasury Tax and Loan Account* Ship to the undersigned □ 5. Special instructions: 5,000 10,000 100,000 * If this item is ch e ck e d , the u ndersigned certifies that the allotted n otes w ill be ow n ed solely b y the u ndersigned. 1,000,000 (I M P O R T A N T : b e a c c e p t e d .) TOTAL This letter of instructions must be signed officially in the space provided and re turned immediately to Federal Reserve Bank of New York, N o ch a n g es in d e liv e ry in stru ction s w ill Subm itted by ( Please print) By By (Authorized signature(s) required) ...................... Title T i t l e ................... Fiscal A gen t o f the United States. Address .................................................................................................................. ( S p a c e s b e lo w a re f o r th e u se o f the F ed era l R e s e rv e Bank o f N ew Y o r k ) G o v e r n m e n t B o n d D iv is io n Received S a f e k e e p in g Checked D iv is io n Cancelled Deliver against payment of $................................................. D E L I V E R Y R E C E IP T Received from Federal Reserve Bank of New York, Fiscal A gent of the United States, the above described securities allotted in the amount indicated above. D ate................................................ Subscriber............................................................................. B y ........................................................................................................ Schedule for Issue of Registered Notes (Indicate under appropriate denominations, number of notes desired.) N am e in which notes shall be registered, taxpayer identifying number (Social Security Account Num ber or Employer Identification N um ber), and post-office address for interest checks and other mail. ( Please print or typewrite) Am ount $1,000 $5,000 $10,000 $100,000 $1,000,000 Address...................................................................................................... Ident, No.......................... ....... ................................................................ Address...................................................................................................... ..................... Ident. No................................................................................................... Address............................................................ ......................................... Ident, No................................................................................................... . . ...... A ddress...................................................................................................... ( 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 4 Subscription Number (T R I P L I C A T E F O R U S E O F F E D E R A L R E S E R V E B A N K O F N E W Y O R K ) RELOCATION OFFICE— OUT To F e d e r a l, R e s e r v e B a n k o f N ew Y o rk , 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 ............... .1966 On our subscription, numbered as above, for $ (par amount) of— UNITED STATES OF AMERICA 5 % PERCENT TREASURY NOTES OF SERIES B-1971 DATED NOVEMBER 15, 1966, DUE NOVEMBER 15, 1971 which we filed pursuant to the provisions of Treasury Department Circular No. 8-6 6 , Public Debt Series, dated October 28, 1966, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— and, as requested, we send you the following instructions: Deposit has been made— B y check or c a s h ................................................................................................................. B y maturing S% % Treasury Bonds of 1966 ....................................................... (par amount) By maturing 4 % Treasury Notes of Series E-1966 ............................................ (par amount) B y maturing 4 % % Treasury Certificates of Indebtedness of Series A-1966 (par amount) Balance due, if any— □ By charge to our reserve account, which you are authorized to make □ S % % Treas. Bonds o f 1966 By maturing securities— By check □ 4 % Treas. N otes Series E -1966 By Cash 4 % % Treas. C. o f I. Series A -1966 Delivered to you h erew ith ................................................$ To be withdrawn from safekeeping with you . . . . $ To be delivered b y ............................................................ ....$ T o t a l .............................................................................. $................................ $- $- I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem excess amount indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities). Excess amount of maturing securities to be redeem ed..................................... (use Form G.B.311) BEARER N O T E S D E S IR E D Dispose of securities issued, as follows: (F o r R E G IS T E R E D notes— use only reverse side) Denomi nation ieces $ Face amount $.................................. (Leave this space blank) 1,000 □ 2. Deliver over the counter to the undersigned Hold in safekeeping (for member bank only)* □ □ □ 3. 4. 5. 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 ch e ck e d , the u ndersigned certifies that the allotted n otes w ill be ow n ed solely b y the u ndersigned. 1,000,000 (I M P O R T A N T : b e a c c e p t e d .) TOTAL This letter of instructions must be signed officially in the space provided and re turned immediately to Federal Reserve Bank of New York, N o ch a n g es in d e liv e r y in stru ctio n s w ill Submitted by (Please print) By . By (Authorized signature(s) required) Title ...................... T i t l e ................... Fiscal A gen t of the United States. Address .................................................................................................................. (S p a c e s b e lo w a re f o r th e u se o f th e F e d e ra l R e s e rv e B ank o f N ew Y o r k ) G o v e r n m e n t B o n d D iv is io n Received D e l iv e r agaiust payment of $ S a f e k e e p in g Cheeked D iv is io n Cancelled ________ Delivered ....................................................................... D E L I V E R Y R E C E IP T Received from Federal Reserve Bank of New York, Fiscal A gent of the United States, the above described securities allotted in the amount indicated above. Date Subscriber By Schedule for Issue of Registered Notes (Indicate under appropriate denominations, number of notes desired.) Nam e in which notes shall be registered, taxpayer identifying number (Social Security Account Num ber or Employer Identification N um ber), and post-office address for interest checks and other mail. (Please print or typewrite) Am ount $1,000 $5,000 $10,000 $100,000 $1,000,000 Ident. N o .................................................................................................. Ident. No........ .............................. ........................................................... Address...................................................................................................... Ident No .................................................................................................. Address..................................................................................................... . Ident N o .................................................................................................. A ddress..................................................................................................... . ( I f registered notes, which are mailed directly by Treasury Department, W ashington, D. C., are not to be sent to the registered owner, give mailing instructions below.) Mail registered notes to (Q U A D R U P L I C A T E F O R U S E O F F E D E R A L R E S E R V E B A N K O F N E W Y O R K ) Subscription Number DELIVERY TICKET— SAFEKEEPING DIVISION To F e d e ra l R eserve B a n k o f N ew Y o rk , Fiscal Agent of the United States, Federal Reserve P. 0 . Station, New York, N. Y . 10045 Attention: Government Bond Division— 2nd Floor Dated a t ............... From (Name and address of Subscriber) .1966 On our subscription, numbered as above, for $ (par amount) of— UN ITED S T A T E S O F A M E R IC A 5 % P E R C E N T T R E A S U R Y N O TES O F SERIES B -1971 D A T E D N O V E M B E R 15, 1 9 6 6 , D U E N O VEM BE R 15, 1971 which, we filed pursuant to the provisions of Treasury Department Circular No. 8 -6 6 , Public Debt Series, dated October 28, 1966, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— $ and, as requested, we send you the following instructions: Deposit has been made— By cheek or c a s h ................................................................................................................. $ .................................. B y maturing 3 % % Treasury Bonds of 1966 ....................................................... $ .................................. (par amount) B y maturing 4 % Treasury Notes of Series E-1966 ............................................ $ .................................. (par amount) B y maturing 4 % % Treasury Certificates of Indebtedness of Series A-1966 $ .................................. (par amount) Balance due, if any— □ □ B y charge to our reserve account, which you are authorized to make 5 % % Treas. Bonds o f 1966 By maturing securities— By check □ 4 % Treas. N otes Series E -1966 By Cash 4 % % Treas. C . o f l . Series A -1966 Delivered to you h er ew ith ................................................$ To be withdrawn from safekeeping with you . . . . $ To be delivered b y ............................................................ ....$ T o t a l .............................................................................. $ ................................ $- I f the amount of maturing securities delivered is in excess of the amount of new notes allotted, redeem exeess amount indicated below in accordance with Form G.B.311 (Request for Redemption of Bearer Securities). Excess amount of maturing securities to be redeemed (use Form G.B.311) B E A R E R N O T E S D E S IR E D Dispose of securities issued, as follows: (F o r R E G IS T E R E D notes— use only reverse side) Denomi nation ecea $ (Leave thia space blank) Face amount 1,000 □ 2. Hold in safekeeping (for member bank only)* □ □ 3. 4. Hold as collateral for Treasury Tax and Loan Account* Ship to the undersigned □ 5. Special instructions: 5,000 10,000 * If this item is ch e ck e d , the u ndersigned certifies that the allotted n otes will be ow n ed solely b y the u ndersigned. 100,000 1,000,000 (IM P O R T A N T : b e a c c e p t e d .) TOTAL This letter of instructions must be signed officially in the space provided and returned immediately to Federal Reserve Bank of New York, Submitted by N o ch a n g es in d e liv e r y in stru ctio n s w ill (Please print) ^ By (Authorized signature(s) required) T i t l e ................................................................................... Title Fiscal A gen t o f the United States. Address .................................................................................................................. ( S p a c e s b e lo w a re f o r th e u se o f the F e d e ra l R e s e rv e B ank o f N ew Y o r k ) S a f e k e e p in g G o v e r n m e n t B o n d D iv is io n Received Checked D iv is io n Cancelled Deliver against payment of $................................................. D E L I V E R Y R E C E IP T 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............................................................................. By. Schedule for Issue of Registered Notes (Indicate under appropriate denominations, number of notes desired.) N am e in which notes shall be registered, taxpayer identifying number (Social Security Account Num ber or Employer Identification N um ber), and post-office address for interest checks and other mail. (Please print or typewrite) Am ount $1,000 $5,000 $10,000 $100,000 $1,000,000 Ident N o....................................... .................................. ....................... Address............................................. ............................ ............... ..... 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 6 ALLOTMENT NOTICE FOR GOVERNMENT BOND DIVISION S ubscription ......................... $ (par amount) of— UNITED S T A T E S O F A M E R IC A 5 % PE R C E N T T R E A S U R Y N OTES O F SERIES B -1971 D A T E D N O V E M B E R 15, 1 9 6 6 , D U E N O V E M B E R 15, 1971 Allotment .............................. $ D I S P O S I T I O N Over Counter D E P O S IT Check or C a a h ........................................................................................................... ..................................................................... $. Treasury Notes Series E -1966 .............................................................. $. S% % 4% 4% % Treasury Bonds of 1966 $. Treasury C. of I. Series A -1966 ....................................................... $. Excess amount Treasury Bonds of 1966 to be re d e e m e d ................. $. Excess amount Treasury Notes Series E -1966 to be redeemed . . . . $_ Excess amount Treasury C. of I. Series A -1966 to be redeemed . . $. Excess cash payment to be refunded ......................................................... $. Safekeeping T . T. & L. Ship Special Instructions Balance due T r e a s u r y .......................................................................................... $. PAYM ENT Check or C a s h ........................................................................................................... $_ Treasury Bonds of 1966 $. ................................................................................... Treasury Notes Series E -1966 ....................................................................... $. Treasury C. o f I. Series A -1966 ..................................................................... Reserve account ...................................................................................................... Balance ....................................................................................................................... $. $-■ 7 ALLOTMENT NOTICE FOR SECURITIES DEPARTMENT Subscription..................... $ (par amount) of— UN ITED S T A T E S O F A M E R IC A 5 % PE R C E N T T R E A S U R Y N O TES O F SERIES B -1971 D A T E D N O VEM BE R 15, 1 9 6 6 , D U E N O VEM BE R 15, 1971 Allotment ......................... $ ALLOTMENT NOTICE FOR SECURITY FILES S ubscription......................... $ (par amount) of- UNITED S T A T E S O F A M E R IC A 5 % PE R C E N T T R E A S U R Y NO TES O F SERIES B - l 971 D A T E D N O V E M B E R 1 5 , 1 9 6 6 , D U E N O VEM BE R 15, 1971 Allotment .............................. $
@FedFRASER