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: Margaret B. Johnson City Clerk (Seal) STATE OF IOWA COUNTY OF JOHNSON CITY OF TIFFIN SS: CITY TREASURER'S CERTIFICATE The original issuance of the Bonds, of which this Bond is a part, was duly and properly recorded in my office as of ________________, 1999. City Treasurer 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.