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City Seal, all as of , 19 <br />/s/ Marilyn Anderson /s/ Benjamin Benson <br />City Clerk Mayor <br />(SEAL) <br />CERTIFICATE OF REGISTRATION <br />It is hereby certified that, at the request of the <br />holder of the within Certificate, the undersigned has this day <br />registered it as to principal and interest in the name of such <br />holder as indicated in the registration blank below, on the <br />books kept by the undersigned for such purposes. <br />DATE OF SIGNATURE <br />NAME OF REGISTERED HOLDER REGISTRATION CITY CLERK -TREASURER <br />First State Bank of Hugo Feb. 1, 1990 <br />FORM OF ASSIGNMENT <br />For value received, the registered owner does hereby <br />sell, assign and transfer the within mentioned Certificate to, <br />and unpaid installments of principal and interest shall be paid <br />to the order of the assignee: <br />NAME OF ASSIGNEE <br />SOCIAL SECURITY NUMBER <br />OR ID NUMBER DATE <br />NAME OF REGISTERED HOLDER SIGNATURE OF REGISTERED <br />OWNER'S AUTHORIZED AGENT <br />First State Bank of Hugo <br />