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APPENDIX A TO THE <br />BOND ORDINANCE <br />FORM OF REGISTERED BOND <br />(Form of Face of Bond) <br />UNITED STATES OF AMERICA <br />STATE OF INDIANA, COUNTY OF ST. JOSEPH <br />CITY OF SOUTH BEND, INDIANA, <br />SEWAGE WORKS REVENUE BOND, SERIES 2009 <br />No. 2009R- <br />Interest <br />Rate <br />Registered Owner: <br />Principal Amount: <br />2009 <br />2009 <br />The City of South Bend (the "City"), in St. Joseph County, State of Indiana, for value <br />received, hereby promises to pay to the Registered Owner specified above, or registered assigns, <br />upon surrender hereof, solely out of the special revenue fund hereinafter referred to, the Principal <br />Amount stated above [, or so much thereof as may be advanced from time to time and be <br />outstanding as evidenced by the records of the registered owner making payment for this Bond, <br />or its assigns] on [the Maturity Date specified above] or December 1 in the years and in the <br />amounts as set forth on Exhibit A attached hereto] (unless this Bond be subject to and shall have <br />been called for redemption prior to maturity as hereinafter provided), and to pay interest hereon <br />until the Principal Amount is fully paid at the Interest Rate per annum specified above from the <br />Original Date or [the interest payment date to which interest has been paid next preceding the <br />Authentication Date of this Bond unless this Bond is authenticated after the fifteenth day of the <br />month preceding an interest payment date and on or before such interest payment date, in which <br />case it shall bear interest from such interest payment date, or unless this Bond is authenticated on <br />or before 15, 200_, it shall bear interest from the Original Date specified above], <br />which such interest is payable semiannually on June 1 and December 1 of each year, <br />Maturity <br />Date <br />Original <br />Date <br />Authentication <br />Date. <br />BDDBO] 5738458v1 A-1 <br />