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PD F 3500 E
Department of the Treasury
Bureau of the Public Debt CONTINUATION SHEET FOR LISTING SECURITIES
(Revised January 2007)
PRINT IN INK OR TYPE ALL INFORMATION
The bonds described on this form are included in the attached PD F .
INSCRIPTION
ISSUE DATE FACE AMOUNT BOND NUMBER (Provide complete Social Security Number [for example, 123-45-6789],
names, including middle names or initials, and addresses on the bonds)
Signature
(Signature)