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<br />---;-0. receraTK-ef"erv!! banK or tlram;>l ell <br /> <br />\ l.lD...L....:....-J"-"-CI ...~"-'~'-.;..... '-~...L.'-.J-'-'...l.L..i. <br /> <br />Pursuant to the provisions of Depar~ment of the Treasury Circular. Public Debt Series No. 3-72. current revision, the underSIgned <br />hereby subscribes for the purchase of the fOllowing securities: <br /> <br />a. 0 United States Treasury Certificates of Indebtedness - State and Local Government Series <br />(SCHEDULE 1) <br /> <br />TOTAL AMOUNT $ <br /> <br />72.000 <br /> <br />b. 0 United States Treasury Notes - State and Local Government Series <br />(SCHEDULE 2) <br /> <br />TOTAL AMOUNT S 8 . 81 2 . () () () <br /> <br />c. 0 <br /> <br />United States Treasury Bonds - State and Local Goyernment Series <br />(SCHEDULE 3) <br /> <br />TOT AL AMOUNT S <br />GRAND TOT AL S 8 , 884 , 000 <br /> <br />-0- <br /> <br />as described on the attached schedules, which are incorporated by reference to this subscription, to be used as entries on the <br />books of the Bureau of the Public Debt, Department of the Treasury. <br /> <br />2. The undersigned certifies that the total investment (1) consists only of the proceeds of obligations described in Section 103(.1) <br />of the Internal Revenue COde. and (2) is not more nor less, within authorIzed multiples (S1.000 minimum and increments of <br />$100 o',er such amount) . directly subject to y,eld restrictiOns unoer Section l03(c) of the Code. and the reoulations issued <br />thereunder, except for any portion thereof reqUired for a payment due less than 45 days from the date settlement is mJde for <br />t:>e securities subscribed for. <br /> <br />3. The underSigned requests that book-entry accounts be established for: <br /> <br />Wachovia Bank and Trust Comoany, N.A. as Escrow Agent on behalf <br />N,2!'1"'le of own~r <br />of Citv of San Marcos Industrial Development ~orporation <br /> <br />~. Tr~ '...:nderSlgnec. <br />s-.;;):-:""t5 PJym,"nt ,:'1 full here.....,th for tre above seCUI'(les. as shown below. <br />x: requests that 'SSUJr.::e be deferred untd 6/18/82 (not to exceed by more than 60 days the d.:lte on <br />,,:::-. thiS swbscriotion ,s received at a Federal Reserve Ba:'1k or Branch or. where mailed. by the stamp date apPcJring on the <br />,-~.s:erc::: Qr cen,';,,::; :'1"';; envelope in whicr, i: 's received). ar1d agrees to m.:;ke payment on that date. <br /> <br />"7"- ~ _:,:::::'5 ~'2: ; ...;!~~1e, C::r ~:;leS thJ; t~t" f:; !C'/~J::1; of~< ..: 'z) by tlt1e(s), arc au~hor!zed) subject to the ;>rO'';I$IO:;$ c1 the aOove <br />- r:~..;~.:c- (Eo,.)es~ !CCC~,,::;: s..... ortor to flj..;tur.ty 07 ~:-:t: SCC.~i 'ns (if no one h.:;s been so cuthoflzed. er.ter the \VC:(: "/'tone-'O). <br />~achcvia Bank and Trust Company, ~.A. as Escrow Agen~ <br /> <br />2. S -::'1 C::', Of <br /> <br />t-1av <br /> <br />.19 82 <br /> <br />City of San Marcos Industrial Developn~nt, <br />(Name of State 0' Local Cove'nrnenr 80C:YICorpor a t~ <br /> <br />Elv <br /> <br />1':.':::-:....!'. ,1."j : ,1.1.:' <br /> <br />FOR USE SY G!,;:K i\ TRAi':::::.~1-;-7!:,G PAYMENT FOf1 ABOVE SECURITY <br /> <br />(ire l,s~e ca~e 0: n-,e aCCQUnt wli: be the date s;:>ecified In UllS subscription. provideci payment therefor in readily available funds <br />:s ,e::eived hcre.....,i~h or within the time iimitation specified above. Where payment is submitted separately. it should be accompanied <br />by a co;:>y of thIS subscription.) Wachovia Bank and Trust Company, N.A. <br />!"<~~me of Inst\t\...~!on <br /> <br />ChC::J..-: er.c ,:,~ed <br /> <br />C~,i:r:J," o>.;r re,erve a:c on <br /> <br />C ily <br /> <br />v]i ,.,c:;+-n1"1-~.::ll ""m <br /> <br />State <br /> <br />North Carolina <br /> <br />c': ~!~,. <br /> <br />IOJICi <br /> <br />.'::"wtnorlzed s'g;,~~~fC: and title <br /> <br />FOR ~SE OF FEO::;::;c..L RESERVf: BANK <br /> <br />Th!o~Sh <br /> <br />Applicable Inter...st <br />Rate Tab!e No. <br /> <br />Issue Date <br /> <br />I <br />I 0.:1 te cred' teel to TfeJs. <br />Acct. (ea"':-.,,: be ,ubse. <br />quen: to I,sole Da:e l <br /> <br />;".CCOt;r,.;T ;1.J~.'8E RS <br /> <br />- <br />- <br /> <br />s <br /> <br />ThrC"...::;~. <br /> <br />Tnrc~g:-! <br /> <br />FOR USE OF T1-'E DI\l15101; OF SECURITIES OPERAT1or'JS <br /> <br />r.--,. <br />