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FEDERAL RESERVE BANK OF N EW YORK Fiscal Agent of the United States r Circular No. 6 0 1 0 ~1 July 28, 1967 J I CASH OFFERING SV4 Percent Treasury Notes of Series D-1968 To All Banking Institutions, and Others Concerned, in the Secord Federal Reserve D istrict: The subscription books will be open Monday, July 31, fo r one day only, for a Treasury offering, at 99.94, of 514 percent Treasury Notes of Series D-1968, dated August 15, 1967, maturing November 15, 1968, in the amount of $9.6 billion, or thereabouts. , Subscriptions will be subject to allotment. Payment must be made by August 15, in cash, or in pci cent I reasury Certificates of Indebtedness of Series A-1967, 3% percent Treasury Notes of Series A-1967, or 4% percent Treasury Notes of Series E-1967, all maturing August 15, 1967. Payment cannot be made by credit to Treasury Tax and Loan Accounts. The terms of the offering are set forth in Treasury Department Circular No. 7-67, Public Debt Series, a copy of which is printed on the following pages. Subscriptions from all sub scribers, 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 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; if the maturing securities are retained, the risk and expense involved in forwarding them to this Rank will thus be avoided. Commercial banks are urged to enter subscriptions for their own account, and for account of 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 July 26 1967, 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 subscription, 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 will be received by this Bank as fiscal agent of the United States. Sub scriptions should be submitted immediately on the enclosed Form N -l ; if maturing securities accompany a subscription, the enclosed Form N-2 should be submitted with Form N-l. If filed by telegram or letter, the subscriptions should be confirmed immediately by mail on the forms provided. The subscription books will remain open for one day only, Monday, July 31. Any subscription addressed to a Federal Reserve Bank or Branch or to the Treasury Department and placed in the mail before midnight, Monday, will be considered timely. A lfred H ay es, President. UNITED STATES OF AMERICA 5H PERCENT TREASURY NOTES OF SERIES D -1968 Dated and bearing interest from August 15, 1967 Due November 15, 1968 DEPARTM ENT CIRCULAR TREASURY DEPARTM ENT, Public Debt Series — No. 7-67 O f f ic e of t h e S ecretary, Washington, July 27,1967. I. OFFERING OF NOTES 1. The Secretary of the Treasury, pursuant to the authority of the Second Liberty Bond Act, as amended, offers $9,600,000,000, or thereabouts, of notes of the United States, designated 5*4 percent Treasury Notes of Series D-1968, at 99.94 percent of their face value and accrued interest. The following securities, maturing August 15, 1967, will be accepted at par in payment or exchange, in whole or in part, to the extent subscriptions are allotted by the Trea sury : 51/4 percent Treasury Certificates of Indebtedness of Series A-1967; 3 % percent Treasury Notes of Series A-1967; or 4 % percent Treasury Notes of Series E-1967. The books will be open only on July 31, 1967, for the receipt of subscriptions. II. DESCRIPTIO N OF NOTES 1. The notes will be dated August 15, 1967, and will bear interest from that date at the rate of 5*4 percent per annum, payable on a semiannual basis on November 15, 1967, and on May 15 and November 15, 1968. They will mature November 15, 1968, and will not be subject to call for redemption prior to matu rity. 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, gift or other excise taxes, whether Federal or State, but are exempt from all taxation now or hereafter imposed on the principal or interest thereof by any State, or any of the possessions of the L nited States, or by any local taxing authority. 3. The notes will be acceptable to secure deposits of public moneys. They will not be acceptable in pay ment of taxes. 4. Bearer notes with interest coupons attached, and notes registered as to principal and interest, will be issued in denominations of $1,000, $5,000, $10,000, $100,000, $1,000,000, $100,000,000 and $500,000,000. Provision will be made for the interchange of notes of different denominations and of coupon and registered notes, and for the transfer of registered notes, under rules and regulations prescribed by the Secretary of the Treasury. 5. The notes will be subject to the general regula tions of the Treasury Department, now or hereafter prescribed, governing United States notes. III. SUBSCRIPTION AND ALLOTMENT 1. Subscriptions accepting the offer made by this circular will be received at the Federal Reserve Banks and Branches and at the Office of the Treasurer of the United States, Washington, D. C. 20220. Only the Federal Reserve Banks and the Treasury Depart ment are authorized to act as official agencies. Com mercial banks, which for this purpose are defined as banks accepting demand deposits, may submit sub scriptions for account of customers provided the names of the customers are set forth in such sub scriptions. Others than commercial banks will not be permitted to enter subscriptions except for their own account. Subscriptions from commercial banks for their own account will be restricted in each case to an amount not exceeding 50 percent of the combined capital (not including capital notes or debentures), surplus and undivided profits of the subscribing bank. Subscriptions will be received without deposit from banking institutions for their own account, Fed erally-insured savings and loan associations, 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, dealers who make primary markets in Govern ment securities and report daily to the Federal Re serve Bank of New York their positions with respect to Government securities and borrowings thereon, Federal Reserve Banks and Government Investment Accounts. Subscriptions from all others must be ac companied by payment (in cash or in securities of the issues enumerated in Paragraph 1 of Section I hereof, which will be accepted at par) of 2 percent of the amount of notes applied for, not subject to withdrawal until after allotment. Registered notes submitted as deposits should be assigned as provided in Section V hereof. Following allotment, any portion of the 2 percent payment in excess of 2 percent of the amount of notes allotted may be released upon the request of the subscribers. 2. All subscribers are required to agree not to purchase or to sell, or to make any agreements with respect to the purchase or sale or other disposition of any notes of this issue at a specific rate or price, until after midnight July 31, 1967. 3. Commercial banks in submitting subscriptions will be required to certify that they have no bene ficial interest in any of the subscriptions they enter lor the account of their customers, and that their customers have no beneficial interest in the banks’ subscriptions for their own account. 4. Under the Second Liberty Bond Act, as amended, the Secretary of the Treasury has the au thority to reject or reduce any subscription, to allot less than the amount of notes applied for, and to make different percentage allotments to various classes of subscribers when he deems it to be in the public interest; and any action he may take in these respects shall be final. Subject to the exercise of that authority, subscriptions will be allotted: (1) in full if the subscription is for a State, politi cal subdivision or instrumentality thereof, public 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 Account and such subscriber certifies in writing that at 4 p.m., Eastern Daylight Saving time, July 26, 1967, it owned or had contracted to purchase for value securities of the issues enumerated in Paragraph 1 of Section I hereof, in an aggre gate amount equal to or greater than the amount of such subscription (any such sub scriber may enter an additional subscription subject to a percentage allotment); and (2) on a percentage basis, to be publicly announced. Allotment notices will be sent out promptly upon allotment. IV. PAYMENT 1. Payment at 99.94 percent of their face value and accrued interest, if any, for notes allotted here under must be made or completed on or before August 15, 1967, 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 Internal Revenue Service (an individual’s social security number or an employer identification number) is not furnished. In every case where full payment is not completed, the payment with application up to 2 percent of the amount of notes allotted shall, upon declaration made by the Secretary of 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 of securities of the issues enumerated in Paragraph 1 of Section I hereof, which will be accepted at par. A cash adjustment will be made for the difference ($0.60 per $1,000) between the par value of maturing securities accepted in exchange and the issue price of the new notes. The payment will be made by check or by credit in any account maintained by a banking institution with the Federal Reserve Bank of its District, following acceptance of the maturing securities. In the case of registered notes, the payment will be made in accordance with the assignments on the notes surrendered. When payment is made with securities in bearer form coupons dated August 15, 1967, should be detached and cashed when due. When payment is made with registered notes, the final interest due on August 15 1967 will be paid by issue of interest checks in regular course to holders of record on July 14, 1967, the date the transfer books closed. V. ASSIGNMENT OF REGISTERED NOTES 1. Treasury notes in registered form tendered as deposits and in payment for notes allotted hereunder should be assigned by the registered payees or assignees thereof, in accordance with the general regulations of the Treasury Department, in one of the forms hereafter set forth. Notes tendered in payment should be surrendered to a Federal Reserve Bank or Branch or to the Office of the Treasurer of the United States, Washington, D. C. 20220. The maturing notes must be delivered at the expense and risk of the holder. If the new notes are desired registered in the same name as the notes surrendered, the assignment should be to “ The Secretary of the Treasury for percent Treasury Notes of Series D-1968” ; if the new notes are desired registered in another name, the assignment should be to “ The Secretary of the Treasury for 5*4 percent Treasury Notes of Series D-1968 in the name o f ........................ ............................ if new notes in coupon form are desired, the assignment should be to “ The Secretary of the Treasury for 5x/4 percent Treasury Notes of Series D-1968 in coupon form to be delivered to VI. GENERAL PROVISIONS 1. As fiscal agents of the United States, Federal Reserve Banks are authorized and requested to receive subscriptions, to make such allotments as may be prescribed by the Secretary of the Treasury, to issue such notices as may be necessary, to receive payment for and make delivery of notes on full-paid subscrip tions allotted, and they may issue interim receipts pending delivery of the definitive notes. 2. The Secretary of the Treasury may at any time, or from time to time, prescribe supplemental or amendatory rules and regulations governing the offering, which will be communicated promptly to the Federal Reserve Banks. HENRY H. FOW LER, Secretary of the Treasury. Subscriber's Reference No. FORM N -2 (Submit in triplicate) Subscription No. Securities Accompanying Subscription For United States of America 5/4 Percent Treasury Notes of Series D-1968 Dated August 15, 1967, Hue November 15, 1968 F e d e r a l R eserve B a n k o f N ew Y ork , Dated at ......................................................... Fiscal Agent of the United States, New York, N. Y. 10045 ............................................................... 1967 Gentlem en : Referring to subscription entered in the amount of $................................................... for United States of America 5% percent Treasury Notes of Series D-1968, the undersigned delivers the following securities herewith, with coupons detached: Face amount 5 14 % Treasury C of I ’s, Series A-1967 ................. ............................................... $ 3 % % Treasury Notes of Series A-1967 .................................................................. 4 % % Treasury Notes of Series E-1967 .................................................................. (D o not fill in boxes b e lo w ) T o ta l.......................... $............................... G o v e r n m e n t B o nd D iv is io n Received Submitted by ............................................................................................. Checked Address ..................................... .............................. Cancelled CONTROL COPY Subscriber’s Reference No. Subscription No. NONNEGOTIABLE RECEIPT To Subscriber: 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 , 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 514 PERCENT TREASUR Y NOTES OF SERIES D-1968 Securities allotted on this subscription will be delivered on XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX August 15 , ±1967 in accordance with vour instructions XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX y o /, in accordance wim your instructions. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX au g u st; i d .............................r„................................ xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Government Bond Division-Issues & Redemption Section XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX To F ederal R eserve B ank of N ew Y ork, Face amount Fiscal Agent of the United States (Date) You are hereby authorized to deliver to 5 % % C of r«, A -196 7 $ 3 % % Notes, A -196 7 4 % % Notes, E-1967 (Name of representative) whose signature appears below, $...............-.....-................ par amount of securities issued pursuant to this subscription. Total ............ Submitted by Address .......... Name (Please print) (Official signature required) (Signature of authorized representative) To 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. Subscriber’s Reference No. Subscription No. Securities Accompanying Subscription For United States of America 5% Percent Treasury Notes of Series D-1968 Dated August 15, 1967, Due November 15, 1968 F e d e r a l R eserve B a n k o f N ew Y ork, Dated at ......................................................... Fiscal Agent of the United States, New York, N. Y . 10045 .................................................................. 1967 Gentlem en : Referring to subscription entered in the amount of $................................................... for United States of America 5V4 percent Treasury Notes of Series D-1968, the undersigned delivers the following securities herewith, with coupons detached: Face amount Sy4 % Treasury C of I ’s, Series A-1967 ................................................................ $................................ 3^4% Treasury Notes of Series A-1967 .................................................................. ................................ 4 % % Treasury Notes of Series E-1967 .................................................................. ................................ T o ta l.......................... $............................... Submitted by .................................................................................................... Address ............................................................... ................................................ SECURITY RECORDS “ IN TICKET” (Submit with subscription) Certification by States, Political Subdivisions or Instrumentalities Thereof, Public Pension and Retirement and Other Public Funds, International Organi zations in Which 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 lar No. 7-67, 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.) ............................................... , 1967 To the Federal Reserve BanTc o f New Y ork: 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 Cir cular No. 7-67, Public Debt Series, subscription(s) in the amount of $................................................; (2) That at 4 p.m., Eastern Daylight Saving time, July 26, 1967, it owned or had contracted to purchase for value 5% % Treasury Certificates of Indebtedness of Series A-1967, S% % Treasury Notes of Series A-1967, or 4% % Treasury Notes of Series E-1967, or any combination thereof, in an amount equal to or greater than the amount of said subscription(s); and (3) That such securities will be submitted in payment for said subscription (s). (Name of organization) By............................................................ ......................... (Official signature) (Title) (A commercial bank executing this certificate should sign below) (Name of bank) By...................-....................................... , ........................ (Official signature) for above-named organization. (Title) FORM N -l Subscriber’s Reference No. (Please type or print legibly) Subscription No. SUBSCRIPTION— SUBJECT TO ALLOTMENT For United States of America SVi Percent Treasury Notes of Series D-1968 Dated August 15, 1967, Due November 15, 1968 IM P O R TAN T INSTRUCTIONS P a y m e n t. Paym ent at 99.94 fo r the notes to be allotted hereunder may be m ade in cash or by exchange o f 5 % % Treasury Certificates o f Indebtedness o f Series A -1 9 6 7 , 3 % % Treasury Notes o f Series A -1 96 7 or 4 % % Treasury Notes o f Series E-1967, all maturing August 15, 1967. Coupons dated August 15, 1967 should be d e ta c h e d from the maturing securities in bearer form and cashed when due. P a y m e n t f o r th e n e w n o te a c a n n o t b e m a d e b y c r e d it in T r e a s u r y T a x a n d L o a n A c c o u n ts . D e p o s it. Subscriptions from banking institutions fo r their ow n account and from certain others as specified in Section III o f Treasury D epartm ent Circular No. 7-67, Public D ebt Series, w ill be received without deposit. Sub scriptions from all others must be accom panied by paym ent (in cash or in maturing secu rities) o f not less than 2 % o f the am ount o f notes applied for, except that com m ercial banks subscribing fo r account o f custom ers are urged to retain their custom ers’ deposits until a fter allotm ent. Checks accom panying the subscriptions should be made payable to the Federal Reserve Bank o f New Y ork. S u b s c r ip tio n a m o u n ts . Am ount o f notes applied fo r must be in multiples o f $1,000. The subscription books will be open only on July 31 for the receipt of subscriptions. F e d e r a l R eserve B an k o f N ew Y ork, Dated a t .......................................................... Fiscal Agent of the United States, New York, N. Y . 10045 .................................................................... 1967 Attention : Government Bond Division Gentlem en : Pursuant to the provisions of Treasury Department Circular No. 7-67, Public Debt Series, dated July 27, 1967, the undersigned hereby subscribes at 99.94 for United States of America 5*4 percent Treasury Notes of Series D-1968 as follows: For own account ................................................................................................................ $ For our customers, shown on reverse side (for use of commercial banks) . . . . Total subscription ...................................................... $ ( I f securities are subm itted with this subscription, the securities should be accom panied by Form N-2, which form shall be m ade a part o f your subscription .) (If the subscriber is, or is subscribing for account of, a member of one of the investor classes listed below, a check in the appropriate box should be indicated. A subscription from or for account of such member will receive full allotment only if accompanied by a written certification that at 4 p.m., Eastern Daylight Saving time, July 26, 1967, it owned or had contracted to purchase for value, an equal or greater amount of 5*4% Treasury Certificates of Indebtedness of Series A-1967, 3 % % Treasury Notes of Series A-1967, or 4 % % Treasury Notes of Series E-1967, all maturing August 15, 1967, and that such securities will be submitted in payment for 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. If 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 of 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 of the amount applied fo r ; that we have not made unsecured loans, or loans collateralized in whole or in part by the securities applied for, to supply the amounts of such payments to any of such customers; that we have no beneficial interest in the applications of such customers, and that none of our customers has any beneficial interest in the amount subscribed for our own account. W e F u r t h e r C e r t i f y that all subscribers for whom subscriptions are hereby entered have agreed not to purchase or to sell, or to make any agreements with respect to the purchase or sale or other disposition of any notes of this issue at a specific rate or price, until after midnight, July 31, 1967. W e F u r t h e r C e r t i f y that the subscription for our own account does not exceed 50 percent of our combined capital (not including capital notes or debentures), surplus, and undivided profits. W e F u r t h e r C e r t i f y that applications received by us, if any, from other commercial banks for their own account and for the account of their customers have been entered with us under the same conditions, http://fraser.stlouisfed.org/ o^T.aamontc anrl cprtificfltinns as set forth in this subscription form. Federal Reserve Bank of St. Louis The undersigned agrees not to purchase or to sell, or to make any agreements with respect to the pur chase or sale or other disposition of any notes of this issue at a specific rate or price until after midnight, July 31, 1967. TO SU BSCRIBER: Mark (X ) in proper space to indicate if this is : Original subscription . . . . . . (F ill in all required spaces before signing) (Name of subscriber— Please print or typewrite) □ By (Official signature) Confirmation of a telegram . □ Confirmation of a letter . . . . □ (Title) Address (D o not w rite in space b e l o w ) , Deposit received by ................................................................. Allotment $............................................... Figured ........................ Advised ( I f acknow ledgm ent o f this subscription is desired, com plete this stub) Receipt is acknowledged of your subscription for $.............................................. of 5*4% Treasury Notes of Series D-1968, dated August 15, 1967, maturing November 15, 1968. For use of Federal Reserve Bank Time Stamp To. (Name) (Address) (For use of commercial bank subscribers only) Lists of Accounts Included in this Subscription (If 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 Leave blank • (Note— Do not include subscriptions entitled to full allotment on the same form as other subscriptions.) 1 Subscription Number FEDERAL RESERVE BANK OF NEW YORK F is c a l a g e n t o f t h e U n it e d s t a t e s NOTICE OF ALLOTMENT For United States of America 5X /4 Percent Treasury Notes of Series D-1968 To Subscriber: On your subscription, numbered as above, for $ (par amount) of— UNITED STATES OF AMERICA 5*4 PERCENT TREASURY NOTES OF SERIES D-1968 DATED AUGUST 15, 1967, DUE NOVEMBER 15, 1968 which you filed pursuant to the provisions of Treasury Department Circular No. 7-67, Public Deht Series, dated July 27, 1967, 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. Payment 2. Payment at 99.94 for notes allotted must be made on or before August 15, 1967, 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 Cash— Payment may be made in cash. By Charge— A member bank may make payment by requesting us to charge its reserve account, or a nonmember clearing bank may make payment by requesting us to charge its clearing account. By Maturing Securities— Payment may be made by exchange of 5*4% Treasury Certificates of Indebtedness of Series A-1967, 3% % Treasury Notes of Series A-1967, or 4%% Treasury Notes of Series E-1967, all maturing August 15, 1967. The coupons due August 15, 1967 should be detached from the securities and cashed in regular course. Delivery 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 August 15, 1967. (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. Safekeeping 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 ed er al R eserv e B a n k of N e w Y o rk , Fiscal Agent of the United States. Checked by Subscription Number (This letter o f instructions, accompanied by attached three copies, should be filled in and returned to Federal Reserve Bank of New York) LETTER OF INSTRUCTIONS r.;bi ofiittssbl To F e d e r a l R e s e r v e B a n k op N e w Y o r k , Fiscal Agent of the United States, Federal Reserve P. 0 . Station, New York, N. Y . 10045 JniiociA Attention: Government Bond Division— 2nd Floor . Dated a t .............. From (Name and address of Subscriber) .1967 On our subscription, numbered as above, for $ (par amount) of— UNITED S T A T E S OF A M E R IC A S U PERCEN T T R E A S U R Y NO TES OF SERIES D -1968 D A T E D A U G U S T 15, 1967, DUE NO VEM BER 15, 1968 which we filed pursuant to the provisions of Treasury Department Circular No. 7-67, Public Debt Series, dated July 27, 1967, we have received your notice of allotment stating that the Secretary of the Treasury has allotted notes to us in the amount of— _______ _____ ______ 1 . $ __________________________________ and, as requested, we send you the following instructions: Deposit has been made— By check or cash ........................ i ............................................................................... $................................ By maturing 5*4% Treasury Cert, of Ind. of Series A-1967 ................... $....................... (par amount) By maturing 3% % Treasury Notes of Series A-1967 ................... ...... $ ...:.................. (par amount) By maturing 4 % % Treasury Notes of Series E-1967 .................................. .. $....................... (par amount) Balance due, if any— □ By charge to our reserve account, which you are authorized to make □ 5*4% Treas. C of I ’s By maturing securities— 4 7/8% Treas. Notes Series E-1967 $ ..................................... $..................................... Delivered to you herewith ............. . vi-v.'vvv.. . . . $....................................... $ To be withdrawn from safekeeping with y o u ___ ............................ ..... $ .Total , . . . . . . . . . .................... □ B y cash 8 % % Treas. Notes Series A-1967 Series A-1967 To be delivered b y ........................................................ By check ...... ... $ $. $ .................. ................... If payment for the notes allotted is by maturing securities, pay the discount of $0.60 per $1,000 on the issue price of the new securities, as follows: □ By check— □ By credit to our reserve account------- • • •'•r •" • 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) BEARER NOTES DESIEED Dispose of securities issued, as follows: (For REGISTERED notes— use only reverse side) ?iecee Denomi nation $ Face amount $................................ (Leave this space blank) 1,000 □ Q 0 □ □ 1. 2. 3. 4. 5. Deliver over the counter to the undersigned Hold in safekeeping (for member bank only)* Hold as collateral for Treasury Tax and Loan Account* Ship to the undersigned Special instructions: 5,000 10,000 * If this item is checked, the undersigned certifies that the allotted notes will be owned solely by the undersigned. 100,000 1,000,000 (IM P O R T A N T : be a cce p te d .) TOTAL This letter of instructions must be signed officially in the space provided and returned immediately to Federal Reserve Bank of New York, Fiscal Agent of the United States. Submitted by No changes in delivery instructions will (Please print) ^ By (Authorized signature(s) required) ................... Title .......... T itle ................. A ddress............................................................................................. (S p a ces below are fo r the ate o f the Federal Reserve Bank o f New Y o rk ) G overnm ent B ond D iv is io n Received S a f e k e e p in g D iv is io n Checked Cancelled DELIVERY RECEIPT R e c e iv e d from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above-described securities allotted in the amount indicated above. .. ....................................................... Subscriber............................................................................. B y........................................................................................................ Schedule for Issue of Registered Notes (Indicate under appropriate denominations, number of notes desired.) Name in which notes shall be registered, taxpayer identifying number (Social Security Account Number or Employer Identification Number), and post-office address for interest checks and other mail. (Pleas* print *r typewrite) .......................................... * (jU lIO IH B 1BCJ) .......................... iu Amount $1,000 $5,000 $10,000 $100,000 $1,000,000 X (I f registered notes, which are mailed directly by Treasury Department, Washington, D. 0., are not to be sent to the registered owner, give mailing instruction* below.) Mail registered notes to ................................................................ .............................................................. (*t«Y mo i? m d M uras h3BPIa8 lo Js 3 (D U PLIC A TE FOR USE OF F E D E R A L RESERVE BAN K OF N EW Y O RK ) 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 f 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 a t .......................................................... ................................................................... 1967 •.- ................ j.......... • — -- i.......... •“ ' • ' j* ... ..... _. On our subscription, numbered as above, for $ ........... • -• • (par amount) of— UNITED STATES OF AMERICA 5 U PERCENT TREASURY NOTES OF SERIES D-1968 DATED AUGUST 15, 1967, DUE NOVEMBER 15, 1968 which we filed pursuant to the provisions of Treasury Department Circular No. 7-67, Public Debt Series, dated July 27, 1967, 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 ca sh .......................................................................................................... $................................ By maturing 51/4 % Treasury Cert, of Ind. of Series A-1967 ................. (par amount) By maturing S%% Treasury Notes of Series A-1967 .................................. (par amount) By maturing 4 % % Treasury Notes of Series E-1967 ................................... (par amount) Balance due, if any— □ By charge to our reserve account, which you are authorized to make □ 5 % % Treas. C of I ’s Series A-1967 By maturing securities— By check Q B y cash 3 % % Treas. Notes Series A-1967 47/s % Treas. Notes Series E-1967 Delivered to you herewith ......................................... $................................ $................................ $................................ To be withdrawn from safekeeping with y o u ___ $................................ $................................ $................................ To be delivered b y ........................................................ $................................ $................................ $................................ T o t a l......................................................................... $................................ $................................ $................................ If payment for the notes allotted is by maturing securities, pay the discount of $0.60 per $1,000 on the issue price of the new securities, as follows: □ By check □ By credit to our reserve account 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) BEARER NOTES DESIRED Dispose of securities issued, as follows: (For REGISTERED notes— use only reverse side) Denomi nation Face amount $................................ (Leave this space blank) 1,000 □ □ □ □ □ 1. 2. 3. 4. 5. Deliver over the counter to the undersigned Hold in safekeeping (for member bank only)* Hold as collateral for Treasury Tax and Loan Account4 Ship to the undersigned Special instructions: 5,000 10,000 100,000 * If this item is checked, the undersigned certifies that the allotted notes will be owned solely by the undersigned. 1, 000,000 (IM P O R T A N T : be a cce p te d .) TOTAL No changes in delivery instructions w ill = This letter of instructions must be signed Submitted by ( Please print) officially in the space provided and re turned immediately to Federal Reserve Bank of New York, By (Authorized signature(s) required) ................... Title............. T itle ................. Fiscal Agent of the United States. Address.................................................................................................... (S p ace* below are fo r the use o f the Federal Reserve Bank o f New 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 Checked Cancelled DELIVERY RECEIPT Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above-described securities allotted in the amount indicated above. Date. Subscriber............................................................................. By. J Schedule for Issue o f Registered Notes Name in which notes shall be registered, taxpayer identifying number (Social Security Account Number or Employer Identification Number), and post-office address for interest checks and other mail. (Please print or typewrite) ii»oI . im&-i arviC (Indicate under appropriate denominations, number of notes desired.) Amount $1,000 $5,000 $10,000 $100,000 $1,000,000 >oct 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 is t s b o o s d i ,b a - u la »i M »fJ *.d? i i * \ I»fo a b s n v ro s d Iliw *t>toa bsfck ’fWHriisb fli » s i asds c (tanq m m H ) >i (b n iu fo i (tyvtusaan'w basitod (iioY wsH le ian iCI mavaaapuB 4 (T R IP LIC A T E FO R USE OF F E D E R A L RESERVE BAN K OF N EW YO RK ) Subscription Number DELIVERY TICKET— SAFEKEEPING DIVISION 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 , Fiscal Agent of the United States, Federal Reserve P. O. Station, New York, N. Y . 10045 Urx&> Attention: Government Bond Division— 2nd Floor From (Name and address of Subscriber) Dated a t .............. ..i . .1967 On our subscription, numbered as above, for $ (par amount) of__ UNITED STATES OF AMERICA 5 U PERCENT TREASURY NOTES OF SERIES D -1968 DATED AUGUST 15, 1967, DUE NOVEMBER 15, 1968 which we filed pursuant to the provisions of Treasury Department Circular No. 7-67, Public Debt Series, dated July 27 1967, 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 cash .......................... .......................................... .................................. .......•>: .ms*- By maturing 5% % Treasury Cert, of Ind. of Series A-1967 ................. (par amount) By maturing 3% % Treasury Notes of Series A-1967 ............. ..................... (par amount) By maturing 4 % % Treasury Notes of Series E-1967 ..................................... Balance due, if any— □ .. .... ... $................................ (par amount) 4........ By charge to our reserve account, which you are authorized to make □ 5 % % Treas. C o f I ’s Series A-1967 By maturing securities— By check [JBy cash 3 % % Treas. Notes Series A-1967 4 7/s % Treas. Notes Series E-1967 Delivered to you herewith ......................................... ....$. To be withdrawn from safekeeping with you . . . . $. To be delivered b y ........................................................ ... $. T o t a l.............................. .............................................. $. $- $- If payment for the notes allotted is by maturing securities, pay the discount of $0.60 per $1,000 on the issue price of the new securities, as follows: □ By check Q By credit to our reserve account - f 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) BEARER NOTES DESIRED Dispose of securities issued, as follows: (For REGISTERED notes— use only reverse side) ecee Denomi nation $ Face amount $....................... (Leave this space blank) 1,000 5,000 0 □ □ □ □ 1. 2. 3. 4. 5. Deliver over the counter to the undersigned Hold in safekeeping (for member bank only)* Hold as collateral for Treasury Tax and Loan Account* Ship to the undersigned Special instructions: 10,000 100,000 * If this item is checked, the undersigned certifies that the allotted notes will he owned solely by the undersigned. 1,000,000 (IM P O R T A N T : be a cce p te 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, No changes in delivery instructions w ill Submitted by (Please print) By By (Authorized signature(s) required) Title ................... T i t l e .................. Fiscal Agent of the United States. Address .................................................................................................... (S p a ces below are fo r the use o f the Federal R eserve Bank o f New Y o rk ) G o v e r n m e n t B ond D iv is io n Received S a f e k e e p in g D iv is io n Checked Cancelled Payment received ............................................................... Cheeked ................................. Deliver against payment of $................................ Delivered ........................... DELIVERY RECEIPT 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. Date................................................ Subscriber. By. Schedule for Issue o f Registered Notes Name in which notes shall be registered, taxpayer identifying number (Social Security Account Number or Employer Identification Number), and post-office address for interest checks and other mail. (Pitas* print #r typewrite) (Indicate under appropriate denominations, number of notes desired.) Amount $1,000 $5,000 $10,000 $100,000 $1,000,000 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 5 (Q U AD RU PLICATE FO R USE OF F E D E R A L RESE RVE BAN K OF N EW Y O R K ) Subscription Number RELOCATION OFFICE— OUT 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 a t .............. .1967 On our subscription, numbered as above, for $ (par amount) of— UNITED STATES OF AMERICA 51,4 PERCENT TREASURY NOTES OF SERIES D-1968 DATED AUGUST 15, 1967, DUE NOVEMBER 15, 1968 which we filed pursuant to the provisions of Treasury Department Circular No. 7-67, Public Debt Series, dated July 27, 1967, 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 ca sh ......................................................................................................... $................................ By maturing 5x/4 % Treasury Cert, of Ind. of Series A-1967 ................. (par amount) By maturing Treasury Notes of Series A-1967 . . . ............................ (par amount) By maturing 4 % % Treasury Notes of Series E-1967 .................................. (par amount) Balance due, if any— □ By charge to our reserve account, which you are authorized to make 5 1,4% Treas. C of I ’s Series A-1967 By maturing securities— Delivered to you herewith ......................................... $ To be withdrawn from safekeeping with you . . . . $. To be delivered b y ........................................................ $ □ By check Q B y cash 3 % % Treas. Notes Series A-1967 4 7/s % Treas. Notes Series E-1967 T o t a l................... ...................................................... If payment for the notes allotted is by maturing securities, pay the discount of $0.60 per $1,000 on the issue price of the new securities, as follows: □ By check □ By credit to our reserve account 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) BEARER NOTES DESIRED Dispose of securities issued, as follows: (For REGISTERED notes— use only reverse side) Denomi nation Face amount $................................ (Leave this space blank) 1,000 □ □ □ □ □ 1. 2. 3. 4. 5. Deliver over the counter to the undersigned Hold in safekeeping (for member bank only)* Hold as collateral for Treasury Tax and Loan Account" Ship to the undersigned Special instructions: 5,000 10,000 100,000 * If this item is checked, the undersigned certifies that the allotted notes will be owned solely by the undersigned. 1, 000,000 (IM P O R T A N T : be a cce p te 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, Submitted by No changes in delivery instructions will (Please print) By By (Authorized signature(s) required) ................... Title T i t l e ................. Fiscal Agent of the United States. A d d r e ss...................................................................................................... (S p a ces below are fo r the use o f the Federal R eserve Bank o f New Y o rk ) 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 ond D iv is io n Received Checked Cancelled Checked .. Delivered Deliver against payment of $........................................... . DELIVERY RECEIPT Received from Federal Reserve Bank of New York, Fiscal Agent of the United States, the above-described securities allotted in the amount indicated above. .. ....................................................... Subscriber............................................................................. By........................................................................................................ f Schedule for Issue of Registered Notes Name in which notes shall be registered, taxpayer identifying number (Social Security Account Number or Employer Identification Number), and post-office address for interest checks and other mail. (Please print or typewrite) (Indicate under appropriate denominations, number of notes desired.) Amount $1,000 $5,000 $10,000 $100,000 $1,000,000 Ident. No....................................................................... ........ (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 A L L O T M E N T N O T IC E F O R G O V E R N M E N T B O N D D IV IS IO N Subscription........................ $ (par amount) of— UNITED ST A T E S OF AM E R IC A 5 U PERCENT T R E A SU R Y NOTES OF SERIES D -1968 D A T E D AU G U ST 15, 1967, DUE NOVEMBER 15, 1968 Allotment ........................ $ D IS P O S IT IO N DEPOSIT Over Counter Check or C a s h ................................................................................................ $ 5*4% Treasury C of I ’s Series A-1967 ............................................. $ ............ 3%% Treasury Notes Series A-1967 ................................................. $ ........................... Safekeeping T. T. & L. Excess amount Treasury C of I ’s Series A-1967 to be redeemed $......................................... Excess amount Treasury Notes Series A-1967 to be redeemed . . . . $......................................... Ship Excess amount Treasury Notes Series E-1967 to be redeemed . . . . $......................................... > Excess cash payment to be refunded ................................................... $......................................... Balance due T rea su ry ................................................................................. $.......................................... Special Instructions PAYM ENT Check or Cash ................................................................................................ $ Treasury C of I ’s Series A-1967 .......................................................... $ Treasury Notes Series A-1967 .............................................................. $ Treasury Notes Series E-1967 .............................................................. $ 7 A L L O T M E N T N O T IC E F O R SE C U R IT IE S D E P A R T M E N T Subscription............. .... $ (par amount) of— UNITED S T A T E S OF A M E R IC A 5 } i PERCENT T R E A S U R Y NOTES OF SERIES D -1968 D A T E D A U G U ST 15, 1967, DUE NO VEM BER 15, 1968 Allotment $ 8 A L L O T M E N T N O T IC E F O R S E C U R IT Y FILE S Subscription........................ $ (par amount) of- UNITED S T A T E S OF A M E R IC A 51,4 PERCEN T T R E A S U R Y NOTES OF SERIES D -1968 D A T E D A U G U ST 15, 1967, DUE N OVEM BER 15, 1968 Allotment $