HomeMy WebLinkAboutR-92-01571-30-92
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RESOLUTION NO.
A RESOLUTION AUTHORIZING THE REPLACEMENT OF
CERTAIN CITY OF MIAMI, FLORIDA STREET AND
HIGHWAY IMPROVEMENT GENERAL OBLIGATION BONDS,
DUE MAY 1, 1996, IN THE PRINCIPAL AMOUNT OF
TEN THOUSAND DOLLARS ($10,000.00) WITH
COUPONS DATED NOVEMBER 1, 1991, TO SUBSTITUTE
LOST BONDS AND COUPONS.
BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI,
FLORIDA:
SECTION 1. The Commission of the City of Miami, Florida
(the "City Commission") hereby finds and determines that:
(a) The City Commission has received and caused to be
examined an affidavit sworn and subscribed to before a notary
public on November llth, 1991, by George K. Kickliter that (i)
George K. Kickliter is the lawful owner, or has a proprietary
interest in the Ten Thousand Dollars ($10,000.00) principal
amount of City of Miami, Florida Street and Highway Improvement
General Obligation Bonds, due May 1, 1996, bearing 8.40%
interest, Certificate Nos.505 &506 and coupons dated November 1,
1991; (ii) the Original Bonds and coupons dated November 1, 1991
have been lost, stolen or destroyed; (iii) said George K.
Kickliter has no other knowledge or information as to the
whereabouts of the Original Bonds and coupons dated November 1,
1991; (iv) the Original Bonds and coupons dated November 1, 1991
CITY COMMISSION
MEETING OF
MAP,1 2 1992
R81101mion No.
92- 157
_ have not been sold, assigned, endorsed, transferred or deposited
under any agreement, hypothecated, pawned or pledged, or in any
other manner disposed of by or on behalf of George K. Kickliter;
(v) the affidavit is made for the purpose of inducing the City of
Miami, Florida (the "CITY"), to issue new or duplicate bonds and
coupons dated November 1, 1991 in lieu of the lost bonds and
coupons dated November 1, 1991, and to hold the City of Miami,
Florida and its successors and assigns harmless against any loss
or damage sustained by reason of the issue of such new or
duplicate bonds and coupons dated November 1, 1991, or the
refusal to make transfer of the original lost bonds and coupons
dated November 1, 1991.
(b) The City Commission has received and caused to be
examined one counterpart of an Indemnity Bond, (hereinafter
called the "Indemnity Bond"), executed November 11, 1991 by the
Seaboard Surety Company pursuant to which the Seaboard Surety
Company is firmly bound unto the City of Miami, its successors,
and any other parties vested with powers or duties respecting the
Original Bonds and coupons dated November 1, 1991, or the
Duplicate Bonds and coupons dated November 1, 1991, (herein and
in the Indemnity Bond called the "Obligees") in an aggregate
amount sufficient to indemnify the Obligees in connection with
the issuance of the Duplicate Bonds and coupons dated November 1,
1991, which shall remain in full force and effect until the
Original Bonds and coupons dated November 1, 1991 are returned
to the City and are cancelled.
92- 157
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Section 2. For the purpose of providing bonds in
substitution for the Original Bonds and coupons dated November 1,
1991 under the authority of the Charter of the City of Miami,
Chapter 10847, Special Laws of Florida, 1925, as amended, there
shall be issued Duplicate Bonds and coupons dated November 1,
1991 of the City of Miami, Floridalsimilarto the Original Bonds
and coupons dated November 1, 1991 to the fullest extent
feasible, in the principal amount of Ten Thousand Dollars
($10,000.00), consisting of Certificate Numbers 505 and506
designated "City of Miami, Florida Street and Highway Improvement
General Obligation Bonds," bearing interest at the rate of 8.40%
per annum, payable semiannually in each year and stated to mature
on May 1,1996, and coupons dated November 1, 1991.
The Duplicate Bonds and coupons dated November 1, 1991 shall
be deemed to vest in the holder the same rights, privileges,
benefits and immunities and to be subject to the same
limitations, requirements and conditions, as the Original Bonds
and coupons dated November 1, 1991.
Section 3. The Chemical Bank, in the Borough of Manhattan,
City and State of New York, is authorized and directed herewith
to cause the Duplicate Bonds and coupons dated November 1, 1991
to be printed and delivered to the City Commission for execution,
pursuant to the provisions of Ordinance No. 9129, adopted July
10, 1980 and subsequent resolution(s) authorizing the issuance of
the Original Bonds and coupons dated November 1, 1991 by the
manual signature of the City Clerk, the facsimile signature of
the Mayor, and the facsimile seal of the City.
92- 15'7
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I
Upon satisfying himself that said Affidavit and Indemnity
Bond are in proper form and have been duly executed and delivered
and that the Duplicate Bonds and coupons dated November 1, 1991 are in proper form and have been duly executed, the Director of
Finance shall cause the Duplicate Bonds and coupons dated
November 1, 1991 (with counterparts of the Indemnity Bond and the
Affidavit and a certified copy of this Resolution) to be
delivered to Chemical Bank, for their delivery to said George K.
Kickliter.
Section 4. Upon delivery of the Duplicate Bonds and coupons
dated November 1, 1991 executed as herein provided, the Original
Bonds and coupons dated November 1, 1991 shall be null and void
and no longer an obligation of the City of Miami, Florida. If
the Original Bonds and coupons dated November 1, 1991 shall be
found or otherwise come into the custody or possession of the
City or any Paying Agent of the City, the City shall cause the
Original Bonds and coupons dated November 1, 1991 to be canceled,
shredded and destroyed, and shall cause a signed certificate to
such effect to be sent to the Director of Finance of the City,
Chemical Bank, and the Paying Agents of the City respecting such
issue of Bond.
Section 5. All costs and expenses incurred by the City in
connection with the issuance of the Duplicate Bonds and coupons
dated November 1, 1991 shall be charged and collected by the City
from the owner of the Original Bonds and coupons dated November
1, 1991.
92- 157
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Section 6. This Resolution shall become effective
immediately upon its adoption.
PASSED AND ADOPTED this 12th day of March , 1992.
ATTA:r'44c...
.—
MATTT HIRAI, CITY CLERK
PREPARED AND APPROVED BY:
RAFAEL O. DIAZ
DEPUTY CITY ORNEY
APPROVED AS TO FORM AND
CORRECTNESS:
92- 157
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CITY OF MIAMI, FLORIDA CA=10,
MEMORANDUM
TO: Honorable Mayor and Members
of the City Commission
FROM : Cesar H. odlo
City Manager
RECOMMENDATION•
DATE : FES 2 11992
FILE :
SUBJECT :
REFERENCES:
ENCLOSURES:
Agenda Item - Replacement
of Lost Bonds
It is respectfully recommended that the attached Resolution
authorizing the replacement of certain City of Miami, Florida
Street and Highway Improvement General obligation Bonds, due May
1, 1996, in the principal amount of Ten Thousand Dollars
($10,000) to substitute lost bonds and coupons dated November 1,
1991, be approved.
The replacement of bonds lost by holders of City -issued bonds
requires City Commission authorization. George K. Kickliter
holder of $10,000.00 in City of Miami, Florida Street and Highway
Improvement General Obligation Bonds, due May 1, 1996, and
coupons dated November 1, 1991, lost them and has posted the
necessary Affidavit and Indemnity Bond to protect and hold
harmless the City in regards to the issuance of the replacement
bonds.
The Finance Department hereby recommends the adoption of the
attached resolution to replace the lost bonds and coupons dated
November 1, 1991.
92- 157
c�ro-�
CKMICAL13AW
Financial Services Group
_ S.T.S. customer Services
— Bndholder ReInlions Unit
o
SS Water Slreel, New York, NY 10041
Tni (2121820-6620
December 13, 1991
City of Miami FL
Director of Finance
PO Box 330708
Miami, FL 33133
Re: City of Miami, FL 8.40% Street & Highway Improvement Bond Dtd 5/1/83 Due
5/1/96 Bonds 505/06 @ $5,000.00 Each Lost With Coupons Due l l/l/91 & SCA
91-1429
Dear Sir:
We are enclosing for your files, a counterpart of a Sole Obligor Open Penalty Bond of
Indemnity and Affidavit of Loss submitted in connection with the loss of the above
described security.
Should the enclosures meet with your approval, kindly forward to us a letter advising us
to authorize the appropriate banknote company to duplicate the missing bonds and
subsequent coupons attached.
Very truly yours,
Dennis O'Reilly
Lost Securities Analyst
DO/mm
Enclosure
14 .
CKMICALBAW
Securities and Trust Services
55 Water Street
New York, N.Y. 10041
03 2499 (7-66)
INDEMNITY BOND
IMPORTANT INSTRUCTIONS
1. The Surety Company executing this Bond must be one of the
standard companies, authorized to write indemnity bonds in the State of
New York and acceptable to each of the Obligees.
2. This Bond must be acknowledged by both the Principal and the
Surety Company.
The Notary Public (or other officer) taking the acknowledgment must
affix his seal of office and state the date, if any, on which his commission
expires. In the event the acknowledgment of the Principal is taken before a
Notary Public (or other officer) not authorized to act within the State of
New York, a County Clerk's Certificate (or other competent authentication)
evidencing such official's authority must be attached to each counterpart of
the Bond.
3. The authority of the officer of officers executing this Bond on
behalf of the Surety Company must be shown by a copy of the by-laws,
resolutions or similar authorization, certified by the Secretary or an
Assistant Secretary of the Surety Company as being in effect on the date of
execution of this Bond and, in case the authorization is given to the holder
of a particular office, the certification must state that the person executing
this Bond was the holder of such office on said date. Certifications by
attorneys -in -fact or by "resident" officers of the Surety Company or by an
officer who executes this Bond are not acceptable.
If the Principal is a corporation, the authority of the officer or officers
executing this Bond on behalf of the Principal must be shown in like
manner.
4. In a case where the new instrument is to be issued in the name of,
or payment in respect thereof is to be made to, someone other than the
registered holder of the lost, stolen or destroyed security, all the formalities
necessary to complete a transfer must be complied with, including the
furnishing of a detached instrument of assignment by the registered holder
or his legal representative with the signature thereto guaranteed in the
customary manner, transfer tax stamps (or funds in lieu thereof) and such
other papers as may be necessary under the circumstances.
S. An affidavit establishing ownership of the lost, stolen or destroyed
security and setting forth in detail the facts and circumstances of the loss,
theft or destruction should be attached to each counterpart of this Bond,
unless previously furnished.
9 2 - 157 5
0 Oval Bank, Now York, Open Penalty Indemnity Boni 411.)
INDEMNITY BOND
BOND NO. 23 70 12
lKnntn all Mien hg tt rar f marnts, that,
--George K. Kickliter, husband and attorney for his wife, Annette E. Kickliter
(She being physical unable to perform any business activities)
490 29th Avenue, North (Give completeaddrea)
_ St. Petersburci, Florida 33704 , as Principal (hereinafter called the Principal), and
SEABOARD SURETY COMPANY
, duly authorized to transact the business of
indemnity and suretyship in the State of New York, and having an office and principal place of business in The City of
New Yorkat_199 Water Street, New York, NY 10038
as- Surety, (the Principal and said Surety being hereinafter collectively sometimes called the Obligors) are held and
firmly bound unto Q'IY CF MIAM, EL
CRFMCAT . RANK
and unto all such individuals, firms and corporations, as now or hereafter may be acting as Trustee, Depositary, Fiscal
or Paying Agent, Registrar, Transfer Agent or in any other capacity in respect of the security or securities mentioned
below, their respective legal representatives, successors and assigns (hereinafter collectively called the Obligees), in an
aggregate sum sufficient to indemnify the Obligees and each of them in case of a default under the conditions of this
Bond as hereinafter set forth, but not exceeding the maximum amount for which said Surety may lawfully obligate
itself in respect of any single risk, to be paid to the Obligees and each of them, as their respective interests may appear,
in lawful money of the United States of America, for which payment well and truly to be made the Obligors do bind
themselves and each of their heirs, legal representatives, successors and assigns, jointly and severally, famly by these
presents.
SEALED with the seals of the Obligors and dated this 11th day of.
December
WHEREAS the Obligors represent that the Principal is the sole and absolute owner of
C1W CF MTMQ FL 8.40% SI42TEr & EIG WW DOUVDM Bam DID �5/1/83 aZ 5/1/%,
rm-P R-A/06 (d y 5, fflQ_ m FAm, r rKT wrm m mmN rim 11 /1 /91 r. SM
'19 (1
and all rights represented thereby (such security or securities being hereinafter called the Originals) and that the
-Originals have been lost, stolen or destroyed and cannot be found or produced; and
WHEREAS at the request of the Obligors and in reliance upon said representations and in consideration of the
execution and delivery of this Bond, the Obligees are willing to issue and deliver to the Principal or upon the Principal's
order a new instrument or instruments in place of the Originals or to make a payment, credit, transfer, registration,
exchange or delivery called for by, upon or in respect of, the Originals without requiring the presentation or surrender
thereof for cancelation or stamping or for any other purpose:
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH that if the Obligors, their heirs, legal
representatives, successors and assigns shall forever defend, indemnify and hold harmless the Obligees and each of them
from and against any and all claims, demands, actions and suits (whether groundless or otherwise) and from and against
any and all liabilities, losses, damages, cost and charges (including counsel fees and all other expenses) of every nature
and character as the same may arise or be made against or be incurred by the Obligees or any of them, or to which the
Obligees or any of them may be subjected, or which the Obligees or any of them may sustain; whether by reason or in
consequence of any claim which may be made in respect of the Originals, or the issuance or delivery of, or refusal to
issue or deliver new instrument or instruments to any person or persons presenting or surrendering the Originals, or
the issuance or delIvee + of —a new instrument or instruments in place of the Originals as a foresaid, or otherwise, without
requiring the presentation or surrender thereof, or the maldng of a payment, credit, transfer, registration, exchange or
delivery upon or in respect of the Originals or of the new instrument or instruments issued in place thereof, or any
other act or refusal to act which the Obligees or any of them may or may not do or permit upgn or in respect of the
Originals or of the new instrument or instruments issued in place thereof, whether or not caused by, based upon or
arising out of inadvertence, accident, oversight, neglect or otherwise on the part of Obligees or any of them or on the
part of an officer, agent, clerk or employee of the Obligees or any of them, and whether or not any act or refusal to act,
which the Obligees or any of them may or may not make, do or permit, is made, done or permitted without previous
inquiry into or contest of the propriety of any such act or refusal to act, then this obligation shall be void; otherwise it
shall remain in full fora and effect. 9 ,2 — 157
This Bond shall be deemed a continuing obligation and successive recoveries may be had hereon for the various
matters in respect of which the Obligees or any of them shall become entitled to be indemnified.
The Obligors, agree that in case the Originals be found or come into the hands, custody or power of any of them or
into the hands, custody or power of any other person or persons the Obligors forthwith on demand shall deliver or
cause the same to be delivered to the Obligees In order to be canceled or shall pay to the Obligees in cash whatever sum
shall be required on the date of such payment to enable the Obligees to purchase in the open market a security or
securities equivalent to the Originals.
The Prinicipal and Surety jointly and severally agree that, if for any reason and at any time or from time to time the
Obligees or any of them shall deem Insufficient the indemnity provided hereby, the Principal and Surety shall forthwith
upon demand furnish the Obligees with such additional Indemnity as the Obligees or any of them may reasonably
require, and in the event of failure so to do the Obligees or any of them may proceed forthwith to effect
Insurance for the benefit of the Obligees as their interest may appear in such amount as the Obligee
effecting such insurance may in its absolute and uncontrolled discretion deem reasonably neskssary for the
protection of the Obligees hereunder, and the Principal and the Surety jointly and severally agree that they
shall forthwith upon demand reimburse the Obligee effecting such insurance for the cost thereof. To the
extent that such reimbursement is not so made the Obligee effecting such insurance shall be conclusively
deemed to have sustained loss and damage by reason of the Issuance and delivery of a new instrument or
Instruments in place of the Originals or the payment, credit, transfer, registration, exchange or delivery upon
or in respect of the Originals as aforesaid.
Said Surety agrees that its liability hereunder shall be absolute and unconditional regardless of the
existence or non-existence of liability of the Principal hereunder and whether such non-existence of liability
be by reason of any irregular or unauthorized execution of or failure to execute this Bond or any absence
of interest of the Principal in the subject matter hereof or otherwise and that its liability hereunder shall
accrue and become enforceable against it without prior demand or any other precedent action or proceeding
against the Principal.
The obligation hereby created in favor of each of the Obligees shall remain unaffected by the termination
of the particular capacity in which any Obligee may now or hereafter be acting with respect to the Originals.
This Bond is entered into under and pursuant to the laws of the State of New York and shall in all
respects be construed in accordance with the laws of s 'd State. r
(Individual) ``�-1L�J (L. S.)
Principal
(Partnership)
Principal
by
A General Partner
(Corporation)
Principal
Attest:
by
�\ /1) Secretary President
by r
Ar —Marie Smith
)MWWLU David T S ith �ca;imi
Attorney—i —F
STATE OF Flor;.dek
COUNTY OF Pinellas
SS.:
Indiriduai
On this llth
day of November 19_9,1—, before me personalty appeared
A moeat
George K,
KIcklItear, Annette . E. Kickliter
to me known and known to me to be the Individual described in and who executed the foregoing instrument, and
he duly acknowledged to me
that`�y executed the same.
/ � 9 2 -
157
g
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NOTARY PUBLIC, STATE or FLorIDh..
MY COMMISSIOri EXpIRCS: June 2, 19SS..
Putnershipp
Acknowledg-
Mont
Corporation
Acknowredg-
Mont
Surety
company
Acknowledg-
Mont
STATE OF
COUNTY OF Is
ss..
On this day of
19
before me personally appeared
, to me known and known to me
to be a member of the firm of
described in and which executed the foregoing Instrument, and he thereupon acknowledged to me that he
signed the same as and for the act and deed of said firm.
STATE OF
} COUNTY OF ss.:
On this day of 19
F
before me personally appeared
to me known, who, being by me duly sworn, did depose and say; that he resides at
in the City of
State of ; that he Is the of
— 9
the corporation described in and which executed the foregoing instrument; that he knows the seal of said
corporation; that the seal affixed to said Instrument is such corporate seal; that it was so affixed by order of the
Board of Directors of said corporation; and that he signed his name thereto by like order.
STATE OF
COUNTY OF
On this day of 19 , before me personally appeared
to me known, who being by me duly sworn, did depose and say; that he resides at
in the City of
State of ; that he is the of
, the corporation. described in and which executed the fore-
going instrument; that he knows the corporate seal of said corporation; that the seal affixed to corporation;
that he signed his name thereto by like order; and that the liabilities of said corporation do not exceed
its assets as ascertained in the manner provided by law.
And said
further said that he is acquainted with
and knows him to be the
of said corporation; that the signature of said
subscribed to said instrument is in the genuine handwriting of said
and was then: to subscribed by the order of said Board of Directors.
92- 157
9
9
I�iwrws��ine ��
STATE OF NEW YORK ' .•
COUNTY OF NEW YORK ss.:
On the --lit, day of December In the year 19_31. before me personally came
David J. Smith to me known. who. being by me duly sworn. did
Hoboken, NJ XNML; that he Is
deposeand say that he resides in.._ _._.___._.__._.__..___........____..._.—..__..._ ...__._......._.___.___..----- ____...._.._.__........_._........_. _.
the Attorney -In -Fact of the SEABOARD SURETY COMPANY, the corporation described in and which executed the above instrument:
that he knows the seal of said corporation: that the seal affixed to said Instrument is such corporate seal: that it was so affixed by order of the
Board of Directors of said corporation, and that he signed his name thereto by like order: and the affiant did further depose and say that the
Superintendent of Insurance of the State of New York, has, pursuant to Section 327 of the urance Law of the Sta e f New York. issued
to Seaboard Surety Company his certificate of qualification, evidencing the qua ation f sai Company and its su ency under any law
of the State of New York as surety and guarantor, and the propriety of accep ng nd pprovin it as such: and that el ch certificate has not
been revoked.
y
ANN-MARIE SMITH...—_.__--N-;�/—
Notary Public, state of New York
Notary Public
No. 24-4934891
Cluelilied in Kings County
Form aw
CwtiRceie Filed in New York County
Commission Expires June 20, 1992
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SEABOARD SURETY COMPANY"
ADMINISTRATIVE OFFICES: BEDMINSTER. NEW JERSEY
FINANCIAL STATEMENT —June 30, 1991
ASSETS LIABILITIES
*Stocks and Bonds ..................... S198,759,933 Reserve for Unearned Premiums................. S 59,580,112
Cash in Office do Banks ................. 5,264,935 Claim Reserve................................. 54,747,863
Accrued Interest ....................... 3,313,063 Other Reserves................................ 17,920,375
Outstanding Premiums ................. (6,512,609) Capital Stock................................. 2,500,000
Accounts Receivable ................... 13,858,220 Surplus...................................... 83,1t2,211
Other Assets .......................... 3,197,019
lbtal Admitted Assets .............. S217,860,561 Total Liabilities............................ $217,860,561
• Bonds and stocks are valued on basis approved by National Association of Insurance Commissioners.
sororities carried at S8.397.898 In the above statement are deposited for the purpose required by law.
STATE OF NEW JERSEY
ss.:
COUNTY OF SOMERSET
I, G. F. THOMPSON, President of SEABOARD SURETY COMPANY, do hereby certify that the
foregoing is a full, true and correct copy of the Financial Statement of said Company, as of June 30, 1991.
11th
IN WITNESS WHEREOF, I have signed this statement at New York, New York, this ............ day of
December. 19,.....91
.......................... . ....
Revised Form 157
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r-, %,arinratlnn mf the m ithPntirity of this Power of Attornev you may call. collect, 201-658.3500 and ask for the Power of Attorney clerk. Please refer to thet'ower
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ntos-anf
STATE OF irda
Cc)C'NTY OF Pinellas
1, the undersigned - George K. Kickliter, husbanc and attorney for his w1fe..Annette_E_ ,Kicklitet
.being duly swam, depose and say: *(She Being physical unable to perform any business activities).
I am of legal age and reside at 490'•29th Ave. North, St, Peter., Fl 31704 ,
iedee County of Pinellas , State of Finriart
(In or about the 4th day of July , 19 of eettam securities
(hereinafter called the Securities) more particularly described'es
CITY CP MWU FZ 8. 40% S1iaT & Ii1GfiW DOUV'E MEN)' B7V MD 5/1/83 ME 5/1/96,
BMW 506/06 @ $5,000.00 EAm, imr wrm o3mc B 6E 11/l/91 & sm
registered in the name o1 (Indicate if in bearer form.)
EMM
were lost, stolen or destroyed under the following circumstances:
(Describe clearly and in detail the circumstances under which the
Securities were lost, stolen or destroyed, the place where they were
last known to have been located, and the efforts trade to recover then.)
tin July 3xd of 1i0 ,yepr(1991) 1„ George.K. lUcklktex,,.werkt to the Floxidq Federal
Savings & Loan &son. 3637.4th Street, Nokth,-St. Pete.; Fla where I do now have and
did at that time have a Safe Deposit Rox1 I removed the subject bonds from the box,
broght them home to my residence at 490 29th Avenue North, St. Pete. Fla.V .iwhere
that evening or the next day(July 4th , holiday) I clipped the coupons from one
of the bonds(removed from the bax) but not the one described herein. This is the
last time I remember seeing the subject bonds.
Fseept as stated above. I have no knowledge or information as to the whereabouts of the Securities.
The sole and absolute owner of the Securities is
(Indicate by a which of the (ollowinK is applicable, and, If "B" or "C". insert the required Information.)
(A) the undersigned.
(g) . a Corporation
ditty organized under the laws of the Sure or , having its principal office
ar and
Vam an executive officer, to -wit, the
authorized by said Corporation to make this affidavit.
❑(C)
Of said Corporation and duly
, a co-pannership
doing business under said name, having its principal office at
and I am a general partner of said firm.
Except as hereinafter specifically stared, neither the Securities nor any of the tights represented thereby have
been sold, assigned, endorsed, transferred or deposited under any agreement or subjected to any hypothecation
lien or pledge, of in any other manner disposed of by of on behalf of said owner and neither said owner nor anyone
on -behalf of said owner has executed any power of attorney, stock power or other assignment or authorization in
respect thereof which is now outstanding and in force; and no person, firm or corporation other than said ownes
has any right, title, claim, equity or interest in or to the Securities or any of the rights represented thereby.
(Describi fully any exceptions to the foteaoleg)
This affidavit is made for the purpose of inducing C1TY CE MIIlm, EL
PAY= AGW
.uad Chemical Dank, as , (1) to refuse to honor the Securities shoulc
they be presented by anyone other than said owner for transfer, payment, exchange
at otherwise, and (2) to Issue
replacement beof
securities is lieu render to make the transfer payment, t o/ 1 .� g
u
would be entitled upon the surrender of the Securities.
Subscribed and swom to before me ,
on the 11th day of November �t 919 91
(Seal) e9r! Q..Lc+'L�
My Cortunission expires on AR
FUtI� aT OF PLtIRtDA
�IMUrMAt� C... tJrmxae Wft L
(This ,affidavit must be subscribed and sworn to before a Notary Public Of other officer qualified to
administer oaths. Such Notary Publir (or other officer) must affix his seal of office and stare the date, .
if any, on which his commission expires. If executed outside the State of New York, a County .Jerk's
Certificate (or other competent authentication) evidencing the authority of the Notary Public (or otbet
officer) in act *rust be attached to each counterpart of this affidavit.
�H 92157