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R- <br /> UNITED STATES OF AMERICA <br /> STATE OF INDIANA COUNTY OF ST. JOSEPH <br /> CITY OF SOUTH BEND, INDIANA <br /> WATERWORKS REVENUE REFUNDING BOND OF 20[ ] <br /> Interest Maturity Original Authentication <br /> Rate Date Date Date CUSIP No. <br /> , 20_ , 2012 , 2012 <br /> REGISTERED OWNER: <br /> PRINCIPAL SUM: Dollars ($ ) <br /> The City of South Bend, in St. Joseph, County, State of Indiana (the "City"), for <br /> value received, hereby promises to pay to the Registered Owner set forth above, solely <br /> out of the special revenue fund hereinafter referred to, the Principal Sum set forth above <br /> on the Maturity Date set forth above (unless this bond be subject to and be called for <br /> redemption prior to maturity as hereafter provided), and to pay interest thereon until the <br /> Principal Sum shall be fully paid at the Interest Rate per annum specified above from the <br /> interest payment date to which interest has been paid next preceding the Authentication <br /> Date of this bond unless this bond is authenticated after the fifteenth day of the month <br /> preceding the interest payment date (the "Record Date") and on or before such interest <br /> payment date in which case it shall bear interest from such interest payment date, or <br /> unless this bond is authenticated on or before , 20 , in which case it <br /> shall bear interest from the Original Date, which interest is payable semiannually on <br /> January 1 and July 1 of each year, beginning on 1, 20_. Interest shall be <br /> calculated on the 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 <br /> office of (the "Registrar" or "Paying Agent"), in <br /> , Indiana.] All payments of interest on this bond shall be paid by check <br /> mailed one business day prior to the interest payment date to the Registered Owner as of <br /> the Record Date at the address as it appears on the registration books kept by the <br /> Registrar or at such other address as is provided to the Paying Agent in writing by the <br /> Registered Owner. Each Registered Owner of$1,000,000 or more in principal amount of <br /> bonds shall be entitled to receive interest payments by wire transfer by providing written <br /> wire instructions to the Paying Agent before the Record Date for any payment. All <br /> payments of principal of, and premium, if any, on this bond shall be made upon surrender <br /> thereof at the principal office of the Paying Agent, in any U.S. coin or currency which on <br /> - 10 - <br />