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(Form of Fonds) <br />1 ! <br />No. R- $ <br />GENERAL OBLIGATION STATE-AID AND IMPROVEMENTS BONDN <br />SERIES 2, <br />Rate Maturity Date of CUSIP <br />OriuinaI Issue <br />October 1, 2001 <br />Registered Owner: <br />Principal Amount: <br />The City of Lake Elmo, Minnesota (the "issuer'), for value received, hereby certifies that it <br />is indebted and hereby promises to pay to the Registered Owner specified above or registered <br />assigns, the principal amount specified above on the maturity date specified above, upon the <br />presentation and surrender hereof, and to pay to the registered owner hereof interest on such <br />principal sum at the interest rate specified above from October 1, 2001 or from the most recent <br />interest payment date to which interest has been paid or duly provided for as specified below, on <br />February 1 and August I of each year, commencing August, 2002, until said principal sum is paid. <br />Principal is payable in lawful money of the United States of America at the office of U.S. Bank <br />Trust National Association, St. Paul, Minnesota, as Registrar, Transfer Agent and Paying Agent, or <br />at the offices of such successor agent as the Issuer may designate upon 60 days notice to the <br />registered owners at their registered address (the "Registrar "). Interest shall be paid on each <br />February I and August 1 by check or draft of the Registrar mailed the last business day prior to the <br />interest payment date to the person in whose name this Bond is registered at the close of business <br />on the preceding January 15 or July 15 (whether or not a business day) at his or her address set forth <br />on the bond register maintained by the Registrar. Any such interest not punctually paid or provided <br />for will be paid to the person in whose name this Bond is registered at the close of business on a <br />special record date established by the Registrar for the payment of such defaulted interest. <br />This Bond is one of a series of Bonds in the aggregate principal amount of One Million <br />Eighty Thousand Dollars ($ 1,080,000) of like date and tenor except for number, interest rate, <br />denomination, and date of maturity, and is issued for the purpose of providing funds to finance the <br />A -1 <br />