Minutes-9/8/1999

IN TESTIMONY WHEREOF, the City of Tiffin, Iowa, has caused this Bond to be executed by its Mayor and attested by its City Clerk, and to be sealed with the official seal of the City, all as of ____________________________, 1999. CITY OF TIFFIN, IOWA By______________________________________________ Mayor Attest: City Clerk (Seal) ABBREVIATIONS The following abbreviations, when used in this Bond, shall be construed as though they were written out in full according to applicable laws or regulations: TEN COM - as tenants in common TEN ENT - as tenants by the entireties JT TEN - as joint tenants with right of survivorship and not as tenants in common UTMA__________________________(Custodian) As Custodian for__________________________(Minor) under Uniform Transfers to Minors Act (State) Additional abbreviations may also be used though not in the list above. ASSIGNMENT For valuable consideration, receipt of which is hereby acknowledged, the undersigned assigns this Bond to ____________________________________________ (Please print or type name and address of Assignee) PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE and does hereby irrevocably appoint ____________________________, Attorney, to transfer this Bond on the books kept for registration thereof with full power of substitution. Dated: ________________ Signature guaranteed: ______________________________________ NOTICE: The signature to this Assignment must correspond with the name of the registered owner as it appears on this Bond in every particular, without alteration or enlargement or any change whatever.