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APPENDIX A <br />FORM OF REFUNDING BOND <br />R- <br />UNITED STATES OF AMERICA <br />STATE OF INDIANA COUNTY OF ST. JOSEPH <br />CITY OF SOUTH BEND, INDIANA <br />SEWAGE WORKS REVENUE REFUNDING BOND OF 202[_] <br />Interest Maturity Original Authentication <br />Rate Date Date Date CUSIP No. <br />20_202_ 202_ <br />REGISTERED OWNER: <br />PRINCIPAL SUM: Dollars ($ <br />The City of South Bend, in St. Joseph, County, State of Indiana (the "City"), for value <br />received, hereby promises to pay to the Registered Owner set forth above, solely out of the special <br />revenue fund hereinafter referred to, the Principal Sum set forth above on the Maturity Date set <br />forth above (unless this bond be subject to and be called for redemption prior to maturity as <br />hereafter provided), and to pay interest thereon until the Principal Sum shall be fully paid at the <br />Interest Rate per annum specified above from the interest payment date to which interest has been <br />paid next preceding the Authentication Date of this bond unless this bond is authenticated after the <br />fifteenth day of the month preceding the interest payment date (the "Record Date") and on or <br />before such interest payment date in which case it shall bear interest from such interest payment <br />date,or unless this bond is authenticated on or before 20_, in which case it shall <br />bear interest from the Original Date, which interest is payable semiannually on June 1 and <br />December 1 of each year,beginning on 1, 20_. Interest shall be calculated on the <br />basis of a 360-day year comprised of twelve 30-day months. <br />The principal of and premium, if any, on this bond are payable at the principal office of <br />the "Registrar" or "Paying Agent"), in Indiana.] All <br />payments of interest on this bond shall be paid by check mailed one business day prior to the <br />interest payment date to the Registered Owner as of the Record Date at the address as it appears <br />on the registration books kept by the Registrar or at such other address as is provided to the Paying <br />Agent in writing by the Registered Owner. Each Registered Owner of$1,000,000 or more in <br />principal amount of bonds shall be entitled to receive interest payments by wire transfer by <br />A-1