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198

____________________________
____________________________
Dated:________________
_____________________

In the presence of:
_____________________________

ASSIGNMENT

FOR VALUE RECEIVED, the undersigned registered owner thereof hereby sells, assigns and transfers the within bond unto
____________________________
____________________________
Dated:________________
_____________________

In the presence of:
_____________________________
(As provided in the within bond, notice of any assignment thereof shall be given by the assignor by registered mail to the Treasurer of the Board as Bond Registrar, such notice to be in such form as shall be satisfactory to the Bond Registrar, and upon receipt of such notice the bond shall be registered as to both principal and interest on the registration books in the name of the assignee named above.)

PAYMENT RECORD


Due Date Principal Payment (Enter Amounts) Principal Balance Due Interest Payment Date Paid Name of Paying Agent, Authorized Official and Title

March 1,1963 $______ $______ $______ _____ ________
September 1,1963 $______ $______ $______ _____ ________
(Enter due dates of principal and interest)

(80 due dates - leave one-half inch space between due dates, etc. for manual interlining, if necessary; also half a page at end for any explanation that might be required)

(To be inserted under the headings "Interest Paid" and "Date Paid" opposite March 1, 1963: "Obligor is not liable for interest due March 1, 1963, which interest date expired prior to delivery of this Bond.")

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