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APPENDIX$ <br /> FORM OF 2011 BOND ' <br /> No. R- <br /> UNITED STATES OF AMERICA <br /> STATE OF INDIANA COUNTY OF ST. JOSEPH <br /> CITY OF SOUTH BEND <br /> SEWAGE WORKS REVENUE BOND OF 2011 <br /> Interest Maturity Original Authentication <br /> Rate Date Date Date CUSIP <br /> % 1 , 20_ , 2p_ , 20_ <br /> REGISTERED OWNER: Cede & Co. <br /> PRINCIPAL SUM: Dollars ($ ) <br /> The City of South Bend, in St. Joseph County, State of Indiana, for value received, <br /> hereby promises to pay to the Registered Owner set forth above, solely out of the special fund <br /> hereinafter referred to, the Principal Sum set forth above on the Maturity Date set forth above <br /> (unless this bond is subject to and is called for redemption prior to maturity as hereinafter <br /> provided), and to pay interest thereon until the Principal Sum shall be fully paid at the Interest <br /> Rate per annum specified above from the interest payment date to which interest has been paid <br /> next preceding the Authentication Date of this bond unless this bond is authenticated after the <br /> fifteenth day of the month preceding an interest payment date and on or before such interest <br /> payment date in which case interest shall be paid from such interest payment date, or unless this <br /> bond is authenticated on or before 15, 20_ in which case it shall bear interest <br /> from the Original Date, which interest is payable semi-annually on the first day of June and <br /> December of each year, beginning on 1, 20 <br /> The principal of this bond is payable at the office of , <br /> (the "Registrar" or "Paying Agent"), in , Indiana. All payments of interest <br /> on this bond shall be paid by check or draft mailed one business day prior to the interest payment <br /> date to the registered owner hereof as of the fifteenth day of the month preceding the interest <br /> payment date at the address as it appears on the registration books kept by the Registrar or at <br /> such other address as is provided to the Paying Agent in writing by the registered owner. All <br /> payments of principal of this bond shall be made upon surrender thereof at the principal <br /> corporate trust office of the Paying Agent in any coin or currency of the United States of <br /> B-1 I <br /> i <br />