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APPENDIX A <br />FORM OF 2013A BOND <br />IM <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 20[ ] <br />Interest Maturity Original Authentication <br />Rate Date Date Date CUSIP No. <br />REGISTERED OWNER: <br />PRINCIPAL SUM: <br />,20_ , 2013 <br />Dollars ($� <br />, 2013 <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 <br />special revenue fund hereinafter referred to, the Principal Sum set forth above on the Maturity <br />Date set forth above (unless this bond be subject to and be called for redemption prior to <br />maturity as hereafter provided), and to pay interest thereon until the Principal Sum shall be fully <br />paid at the Interest Rate per annum specified above from the interest payment date to which <br />interest has been paid next preceding the Authentication Date of this bond unless this bond is <br />authenticated after the fifteenth day of the month preceding the interest payment date (the <br />"Record Date ") and on or before such interest payment date in which case it shall bear interest <br />from such interest payment date, or unless this bond is authenticated on or before <br />, 20_, in which case it shall bear interest from the Original Date, which interest <br />is payable semiannually on June 1 and December 1 of each year, beginning on 1, <br />20_. Interest shall be calculated on the basis of a 360 -day year comprised of twelve 30 -day <br />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 <br />Paying Agent in writing by the Registered Owner. Each Registered Owner of $1,000,000 or <br />FEW <br />