HomeMy WebLinkAboutR-92-0158P
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J—y2-119
1-30-92
RESOLUTION NO. 9 - 158
A RESOLUTION AUTHORIZING THE REPLACEMENT OF
CERTAIN CITY OF MIAMI, FLORIDA HOUSING
GENERAL OBLIGATION BONDS, DUE AUGUST 1, 2001,
IN THE PRINCIPAL AMOUNT OF TWENTY THOUSAND
DOLLARS ($20,000.00) WITH COUPON DATED AUGUST
1, 1991 TO SUBSTITUTE LOST BONDS AND COUPONS.
BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAM?
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 July 15th, 1991, by Bear Stearns & Co., Inc., that (i)
Bear Stearns & Co., Inc. is the lawful owner, or has a
proprietary interest in the Twenty Thousand Dollars ($20,000.00)
principal amount of City of Miami, Florida Housing General
Obligation Bonds, due August 1, 2001, bearing .05% interest,
Certificates No. 406, 407, 408, and 409 with coupons dated August
1, 1991; (ii) the Original Bonds and coupons dated August 1, 1991
been lost, stolen or destroyed; (iii) said Bear Stearns & Co.,
Inc. has no other knowledge or information as to the whereabouts
of the Original Bonds and coupons dated August 1, 1991; (iv) the
Original Bonds and coupons dated August 1, 1991 have not been
sold, assigned, endorsed, transferred or deposited under any
CITY COMMISSION
MEETRIC OF.
MAR 1 2 1992
Resolution No.
9 2 -- 15
jlf"
agreement, hypothecated, pawned or pledged, or in any other
manner disposed of by or on behalf of Bear Stearns & Co. , Inc.;
(v) the affidavit is made for the purpose of inducing the City of
i
Miami, Florida (the "CITY"), to issue new or duplicate bonds in
lieu of the lost bonds and coupons dated August 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 August 1,
1991, or the refusal to make transfer of the original lost bonds
and coupons dated August 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 August 20, 1991 by the
Federal Insurance Company pursuant to which the Federal Insurance
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 August 1, 1991, or the Duplicate
Bonds and coupons dated August 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 August 1, 1991,
which shall remain in full force and effect until the Original
Bonds and coupons dated August 1, 1991 are returned to the City
and are cancelled.
Section 2. For the purpose of providing bonds in
substitution for the Original Bonds and coupons dated August 1,
1991 under the authority of the Charter of the City of Miami,
-2- 92- 158
4
Chapter 10847, Special Laws of Florida, 1925, as amended, there
shall be issued Duplicate Bonds and coupons dated August 1, 1991
of the City of Miami, Florida, similar to the Original Bonds and
coupons dated August 1, 1991 to the fullest extent feasible, in
the' principal amount of Twenty Thousand Dollars ($20,000.00),
consisting of Certificates Number 406, 407, 408, and 409
designated "City of Miami, Florida Street and Housing General
Obligation Bonds,' bearing interest at the rate of 0.5% per
annum, payable semiannually in each year and stated to mature on
August 112001, and coupons dated August 1, 1991.
The Duplicate Bonds and coupons dated August 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 August 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 August 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 August 1, 1991, by the
manual signature of the City Clerk, the facsimile signature of
the Mayor, and the facsimile seal of the City.
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 August 1, 1991 are
92- :158
-3-
in proper form and have been duly executed, the Director of
Finance shall cause the Duplicate Bonds and coupons dated August
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 Bear
Stearns & Co., Inc.
Section 4. Upon delivery of the Duplicate Bonds and coupons
dated August 1, 1991 executed as herein provided, the Original
Bonds and coupons dated August 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 August 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 August 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 August 1, 1991 shall be charged and collected by the City
from the owner of the Original Bonds and coupons dated August 1,
1991.
Section 6. This Resolution shall become effective
immediately upon its adoption.
PASSED AND ADOPTED this 12th
4ATTE
MAT IRAI _
CITY CLERK _4
day of March , 1992.
XAVIER L SUAREZ, MAYOR
92- 158
E
El
PREPARED AND APPROVED BY:
RAFAEL O. DIAZ
DEPUTY __ CITY TORNEY
tX
APPROVED AS TO FORM AND
CORRECTNESS:
01Y4 N JqN,8S, III
CITY ATT0 N Y
: - i5s
-5-
CITY OF MIAMI, FLORIDA
INTER -OFFICE MEMORANDUM CAwl
Honorable Mayor and Members
To : of the City Commission DATE FEB 2 1 1992 FILE
SUBJECT : Agenda Item - Replacement
of Lost Bonds
Cesar H. Odio
FROM ' City Manager
RKQQMMENDATION -
REFERENCES :
ENCLOSURES.
It is respectfully recommended that the attached Resolution
authorizing the replacement of certain City of Miami, Florida
Housing General obligation Bonds, due August 1, 2001, in the
principal amount of Twenty Thousand Dollars ($20,000) to
substitute lost bonds and coupons dated August 1, 1991, be
approved.
BA j GROUND -
The replacement of bonds lost by holders of City -issued bonds
requires City Commission authorization. Bear Stearns & Co.,
Inc., holder of $20,000.00 in City of Miami, Florida Housing
General Obligation Bonds, due August 1, 2001, and coupons dated
August 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
August 1, 1991.
92- 158
C,411-j
C KMICALBAW",
Financial Services Group
S.T.S. Customer Services
Bondholder ilelatlons Unit
55 Water Sheet. New York, NY t0041
Tel: (2121 SM15620
August 26, 1991
City of Miami
Treasury Management
65 SW 1st Street
Miami, FL 33130
Re: Miami Florida GO Housing Bond, 0.50% Dtd 8/l/81 Due 8/1/2001
Bearer Bond 406/09 @ $5,000.00 Each, Lost With Coupon 8/l/91 & SCA
Correspondence Control Number: 91-1095
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.
i
Very truly yours,
enms O'Reil y
Lost Securities Analyst
DO/ec
Enclosure
92- 158
3
;CWIcaLBANc
Sole Obligor Open Penalty Indemnity Bond
' BOND NO. 55535
94278-142
Fnoiv all Cmen bu these V resents, thet1WEM'ESUM CZ CGIreAVY
a corporation organized under to hwf of the State o"PC and duty authorized to
fransoct the business of insurance and suretyship in the SuNs of New York and
among other Stales, and having an
office and dace ofbus+ness of100 William street
as Obligor (hereinafter called 'Obligor") le held and rmnly bour unto
Crly Cr MD MI FL
FLORLd4 LMM PFMONAL Big(
CHDUCAL BAt4C
end unto an such indMiduah, firms and corporations as may now or hereafter be as Transfer Agent(s). Regisuar(q. no.
demotion Agents), Deoositary(1es), Trustees and unto any other Paying, Distributing or Disbursing Agent or Agencws in mow
'of the below -mentioned certilicate(s). their rasoectiva legal representatives, successors and assigns (heretether co&Kbvely called
"Obligees"), in an aggregate sum not exceeding the maximum for which Obligor may lawfully obligate Its" 1n swollen of any
tingle nsk, lawful money of the United States, sufficient to indemnity Obligees, their respective legal represenbhvas, su ciesaors
and assigns. in case of a default under the conditions of this bond as tweinaher set forth, to be pad o Obligees, their respective
legal representatves, successors or assigns, as interest may spoesr: for which payment wall and truly to be made the Obligor
binds inset, Its legal representatives, succauors, and assigns, Jointly and severally, firmly by these prewts.
SEALED with Its seal and exec~ In TWO tbunlerparb. Chet 20th
dayof August .19 91
WHEREAS. the Obligor ►ep►asa its that
MUM FIaMA m t3W= EIM, 0. W% rim a/1/81 wE 8/i/2001,
BFAm Bab 406/09 @ $5r000.0o Pa, in8r wrm a3zw 8/1/91 & BQt,
(such security or securities being heninstier cared Odgkur or "originalsi. and am the same are rI . 11061.
stolsn or destroyed and cannot be found or produced. by virtue of which tw Obspw has nsquesI Oblgenb Walla b:
BEAR STEAMS a Co., INC.
a now or duck to rrtrument or inarurnsnfs. or 10 pay b BEAR STEAMS a CO. , INC.
she amount due on sad original or cingir" without sunander or prpwtteon tereof for canpypon or stamping or for any
other Ourpoes; and
WHEREAS. on the faith of the foregoing reprowtation and in comdderaeon of this bond of frwoo. rdly, OWipaae hove obm-
pied or agreed o Comply with said requests:
NOW, THEREFORE, THE CONDITIONS OF THIS OBLIGATION ARE, tat If the Obligor, the legal repnaaMatives. succes-
aort or assigns of Obligor. or any of them, shoo In Case the original or originals be found or come Into the hands, euaoCy,
of power of any of them, or into the hands, custody or power of any corporation, firm or person. deliver or cause the same ao
be delivered veto Oblipses in order to be cancettsd, and than also at so times defend. indemnify and Save hamhless Obipas
from and against any and d claims. ections and wits. whether groundless or otherwise, and from and against any and u baba -
ties, losses. damages, costs. charges. counsel Nee and other expenses of every nalure and character by mason of the orgirW
or originals and/or the issuance of a duplicate of duplicates in lieu thereof or in ieu of any instrument or instruments of purported
like issue and amouM which because of alteration, change or founterted may not be identified as or as not it* said mislaid, big,
stolen or. destroyed original or Originals, or the making Of any payment. credo. transfer. registration, corngrtbn. exchange or
delivery in respect of the original or originals without surrender tereof. and/or in respect of the duWAft w dupicafes. whetior
or nit caused by, based upon or arising out of the honoring or refusing to horror the original of originals when faegnled by any.
One. and/or whether or not caused by. based upon or er,sing out of redwertenee, accident, oversight or neglect on the an at
Obligees. or any Of them, of their respective Officwt. agents. clerks. Of employees and/or omission or failure to inquire in40, con.
Out Of litigate the night of any applicant to receive any payment, tread, frontier, registration. conversion, exchange, issue or de-
livery in tspect of the original or originals and/or the duPlicalf or dupkcales issued in Wu thereof, and/or caused by, based upon
or along out of the rel"se of any security or the satisfaction of any instrument or instruments under which the original or Ong-
fnals and/or duplicate or duplicates are issued or toured, and/or caused by. based upon or ersdg out O(any other malts, of
tnirg whatsoever. Iron this Obligation shall be void, otherwise shot remain in tug force and entice
AND We Obligor, in consideration of the issuance of new Of duplicate instrument or instruments hereby aging with the Obk-
gaes, that, in use any atgation that be instituted in any was related to. touching or affecting the Oblgaes, or any of them. with
regard to the issuance hereinbefore Mquesled, 4 will be responsVe for such litigation on behalf of iht Obligees. it to requested
by them. of any of them, and, in any event. wA pay at costs, counsel fees and charges contweW thefttwth, whetter such see
gstion shag have been Pantiorpated in by it Of not 021017 ta-T1) ei] OVER 99
_ 158
v
T for further agrees that in case the misled, lost, stoten or desl original or originals be found or come into the
hends� F if of any person, or into the hands. custody or power oft ees or any of them lot any purpose other thin
cance ,., without reissue, then the Obligor will forthwith, on damand,�0 Ind deliver to the Obligees either such original
or originals or said new Instrument or instruments or will pay to the Oblip 5 sum of money sufficient to enable the Ob+gees
to purchase in the open market securities of the same Issue and amount as the original or originals.
The Obligor agrees that. in case of any default under thetonddiopts of this bond, it waives and releases any and an right or
claim against Obligees or any of them, whether by way of subrogation or otherwise. for any loss, expense or liability incurred by
the Obligor caused by, tossed upon or rising out of the enforcement of this bond by Obl gees or any of them.
The Obligor agrees that Its kabifity hereunder shall be absolute, subject only 10 the conditions herein expressed
No inaccuracy in the description of the securities retorted to as the original or originals Shall after, modify or affect Ili@ oblpa-
lions of the Obligor hereunder.
This bond shall be deemed a New York contract and shalt be governed as to an mailers whatsoever, whether of validity,
interpretation, obligation, performance at otherwise exclusively by the laws of the State of New York, and ae ouestions arising
with respect thereto than be determined in accordance with such laws Regardless of where actually delivered, this bond shall
be deemed to have been accepted by the Obligees in the Stele of New York
The Obligor hereby further agrees to furnish Obligees. without expense to Obligees. a new Bond of Indemnity, which may
differ from this Bond in amount or In any other respect, with Satisfactory surety or Sutekes in case this obligation should not at
any time tot any reason in the opinion of Obligees afford sufficienl protection
�MAL INSUteel.iVL t�Uldl'Af>iYt
STATE OF
as.
COUNTY OF
On the day of in the year 19 before me personally
appeared
to me known, who being by me duly swom, did depose and saythat he resides at
that he is of
the corporation described in and which executed the above instrument; that he knows the seat of said corporation; that the Sul
affixed to said instrumenl is such corporate seal; that n was so affixed by order of the board of directors of said corporation; and
fhal he signed his name thereto by like order.
...............................:... .........
...................
otary Public in and for die abort Courtly arxi Slate
My Commission expirK.-
V9
92-- 158
I
i
VUVVtt1 Ur Al IUf11VtT
Know all Men by these Presents, Th FEDERAL INSURANCE COMPANY, 15 Mountai( -)F Road, Warren, New Jersey, an Indiana Corporation
.has consiltuted and appointed and does heret, statute and appoint Mark A. Cook, Chr. opher J. Franklin, Malcom
NBurton,Dorothy Kern, Marie Hughes, Gail Victor, Nancy Villano and Elba Santiago of New York,
eactl'ig irlosI kkf lawful Attorneyan•Fact to execute under such designation in Its name and to affix its corporate seal to and deliver tot and on its behalf any anc
all Lost Instrument Bonds wherein the said FEDERAL INSURANCE COMPANY is named as Obligor.
In Witness Whereof, the said FEDERAL INSURANCE COMPANY has, pursuant to its 9yLaws, caused thife presents to be signed by its Vice President and Assistant Secretary and its corporate $eat ho be heretr
affixed this 1st day of May t9 90
s
o
>r
e
*
•�sANlk
FEDER IN URANCE COMPANY
Re
d Night
amen D. DixoAssistant
Asaer rotary
Vice President
STATE OF NEW YORK 1
County of New York
on this I s t day of May 19 90 . before me personalty came Richard Might.10 fne known and by me known to be Assistant Secretary of the FEDERAL INSURANC
COMPANY. the Corporation described in and which executed the foregoing Power of Atlomey and the said Richard Might being by me duty sworn, did depose and say that be is Assistant Secretary of ins FEOERA
INSURANCE COMPANY and knows the corporate seat thereof, that the test affixed to the foregoing Power of Attorney is such corporate seal and was thereto affixed by authority of the Bylaws of said Compar
And that he signed said Power of Attorney as Assistant Secretary of said Company by like authority: trial he is aquainted with Jarnes D Dixon and knows hum to be Vice Prudent Of said Company, and that In
apnalute of said James D Dixon subscribed to said rower of Attorney is in the genuine handwriting of said James D Dixon and was thereto subscribed by authority of said eydJws and in deponem's presenew
��Q5E. MCG,O)4r
Ack an dged and Sworn ro before m.
on the dale abo" wntten
NOTARYin PUNX
Mary E. M gf: Note Wit:�F Notary P , State of New York No. 01MC46M
OP N!� Oualdied in Oueene County — Canihcate (dad m uaene County
r Commission Expires June 30. 1990
Financial Statement of Federal Insurance Company as of December 31, 1989
IN THOUSANDS OF DOLLARS
STATUTORY BASIS
LIABILITIES AND
ASSETS SURPLUS TO POLICYHOLDERS
United States Treasury Bonds ..........
$ 369.271
Outstanding Losses and Loss Expenses..
$ 2,668.438
United States Government and Federal
Unearned Premiums ..................
833.581
Agency Guaranteed Bonds...........
322.546
Accrued Expenses ...................
74.351
_
State and Municipal Bonds ............
1.876.348
Non -Admitted Reinsurance .............
42.658
Other Bonds ........................
451.754
Dividends to Policyholders .............
23,840
Common Stocks .....................
268,469
Loss Portfolio Transfer ................
(141,624)
Preferred Stocks .....................
240
Other Liabilities ......................
180.214
Other Invested Assets ...............
57,838
Short Term Investments ...............
33.333
Real Estate .........................
5.429
TOTAL INVESTMENTS ..............
3,385.228
TOTAL LIABILITIES .................
3.681.458.
Investments In Affiliates:
Capital Stock ........................
13,987
Vigilant Insurance Company..........
173.621
Great Northern Insurance Company ...
55,990
Paid -in Surplus ......................
472.986
Pacific Indemnity Company ..........
288,784
Bellamead Development Corporation...
336.516
Unassigned Funds ...................
457,187
C.C. Canada Holdings Ltd ...........
62.616
Other ............................
46,140
Unrealized Appreciation of Investments ..
348.463
Cash..............................
13.121
Net Premiums Receivable .............
428.505
SURPLUS TO POLICYHOLDERS .....
1,292.623
Reinsurance Recoverable on Paid
Losses ...........................
45.982
c�
9 2- 158
Other Assets ........................
137.576
TOTAL LIABILITIES AND SURPLUS
TOTAL ADMITTED ASSETS .......... $ 4.974.081 TO POLICYHOLDERS ............. S 4.974.081
92- 158 ?
Investments are valued in accordance with requirements of the National Association of insurance Commissioners.
Investments valued at $8.014 are deposited with qovernment authorities as required by law.
f➢
;ITY, COUNTY 8 STATE OF NEW YORK, as
IT
NOTARSAL ACKNOWLEDGEMENT
On this 20th day of AUCIUst t9 91, before me personally came Dorothy Kern
to me known, who, being by me duly sworn, did depose and say that he is an Attorney -in -Fact of
ie FEDERAL INSURANCE COMPANY, the Corporation described in and which executed the annexed instrument; that he knows the corporate seal; that it
+as so affixed by order and authority of the Board of Directors of said corporation, and that he signed his name thereto by like order and authority.
iotanaf Seel
ELBA SANTIAGO
NOTARY PUBLIC. Stale of New York
No. 48.46450
�., Qualified In Bronx County
Cedificafs Filed in New York Cmq"
Cows iasim Expires January 31, tifM
;TATE OF NEW YORK ss CERTIFICATION
;ounly of New Yak
1, the unearsigmed, Assistant Secretary of the FEDERAL INSURANCE COMPANY, do hereby certify that the following Is a true excerpt from the 8yLaws of the said Company ss adopted by Its Board of Ovecim
m March 2. 1990 and that this Bylaw is in hM force and effect.
"ARTICLE XVIII.
Section 2. AN bonds, Undertakings, contracts and other instruments other than es above for and on behalf of the Company which it Is authorised by few or its charter to execute, may and %hall be executed
in the rams and on behalf of the Company either by the Chairman or the Via Chairman or the President Or a Vice President, jointly with the Secretary at an Assistant Seattery, under their respective
designations, except that any one or mad officers of afiomsys4ri•lad designated in any resolution of the Board of Directors or the Executive Committee, or in any power or atlorhey e■eculed as provided
for in Section 3 below, may execute any such bond, undertaking or other obligation at provMed in such resolution or power of attorney.
Section 3. AN powers of attorney fa and on behalf of ttte Company may and shall be executed in the name and on behalf of the Company. either by the Chairman or the Vim Chairman or the President
at a Vice President or an Assistant Vise President, joimy with the Secretary or an Assistant Secretary. udei their re%peetne designaion. The signature of such offers may be engraved. printed or lithographed.
The signature of each of the following officers: Chairman. Via Chairman, President, any Vice Preatdenl, any Assistant Vice President. any Secretary. any Assistant Secretary end the Nat of the Company
may be affixed by lacsimils to any power of attorney or to any canihcale relating thereto appointing Assistant Secretarlas or Aaomeys•ir~Faq for purposes only of executing and alfesiMg bonds and undenak-
irigs and other writings obligatory in Ihe nature Mereof, and any such power of attorney at Certificate bearing such facsimile signature or tacelmils seat shalt be valid and binding upon the Company and
any such power so executed and corlitied by such faceimlls signature and Iaahnile seal shall be valid and bindii upon this Company with respect to any bond or undertaking to which N a attached."
I further certify that said FEDERAL INSURANCE COMPANY is duly aaheed to transact fidNfry and suety business in each of the States of the United States of Arnaica, District of Columbia. Puerto Rico, and
sach of the Ptovkrcss of Canada with the exception of Prince Edward Island; and I$ also duty licensed to became rote timely an bands. undertakings. oft.. permitted or required by law.
1. the undarsigned Assistant Secretary of FEDERAL INSURANCE COMPANY. do hereby certify that the foregoing Power of Attorney is in full tail and eflsel.
(liven under my hand and this seal of said Company M damn. N.J., u,t% 2 0th day O(_ August . ,g 91
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Fanh 11.10 0=4 (Rw. "M N.Y. AEG. MAIL
92-- 158
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Form k At
PROOF OF LOSS
TO
FEDERAL INSURANCE COMPANY
AFFWAVIT OF MAIU14C AND TITLE
Pleasemolt: This mom statement is intended for we in connection with the reported eon-drlirmrr by the U. S. Past 08ict
Department of a properly meailed letter (net registered) eontainimp securities as described brlow. Please be certain that
the addresses who has reported the. non -delivery understands that the securities were peing by Ordinary first-class
mail and furnish the addressee with a sompfe of the envelope used.
DETAILS OF SHIPMENT
(To be fully completed by the assured)
BEAR STEARNS & CO., INC.
Mailed by (Sender) : OLD PM
Date: 4-9-91 ARlH UR SCHAFF & ARniRUR SCHAFF &
Exact Name and Address on Shipment: CRAIG SIFT', JTWfICS ClWG SCHAFF, JTWROS
64-66 184TH STREET 1385 HIGHWAY 35, STE 157
FRESH MEADOWS, NY 11365-2131 MIDDLETOWN, NJ 07748-2012 r
Post Office at which mailed: BOWLING 'GREEN STATION
CONTENTS: —
Certificate No.: 406, 407,408, 409
Corporation: MIpI FLA G/O 17M 8/1/81 0.50% 8/1/2001
Class of Stock: MUNICIPAL BONDS
Shares: 20,000
Registered in name c I : BEARER
Endorsements (If any)
Norm
The above contents are hereinafter called the "securities"
STATE OF NEW YORK
COUNTY OF NEW YORKSS:
....,..HOWARD.TIS......R......................... (hereinafter called Deponent), being duly sworn, d ..... po ), g Y open and ayt:—
That he is an officer of or partner in (to wit,
the firm or corporation of
having an office at
Your deponent certifies that in accordance with the records and regular procedure of the said firm or corporation and pur-
suant to the provisions of the insurance policy carried by it with the above mentioned company. the above described securities were
forwarded by first class mail on the date specified to the above named addressee. The said addressee has reported the non-deliven•
of the said letter and the inability to find or locate the securities contained therein. Neither the said letter nor the said securities
have been returned to the tender and they are believed to have been lost or destroyed in transit in the mail.
Deponent agrees on behalf of said firm or corporation that if the securities should ever tome into their hands, custody or
Me
deponent will immediately surrender the original securities to the Insurance Company. The said securities were the absolute.
tole and unencumbered property of said firm or corporation above named and were snouted in transit for account of whom It
may concern under policy of insurance issued by the said Insurance Compan to deponent's firm or corporation.
i
Deponent knows that this affidavit will be used in support of t application to the issuing corporation and its transfer
agents and registrars for the issuance under indemnity of new secu iti s to replace �ts lost or destroyed.
� '..Y...1............� .....
HOWARD TIBCH ER, VICE-PRESIDE7d!
poncrit
STATE OF
COUNTY OF A }}ss� �/ 1 SS:
Oa this /�'- of . 191s/ before see pasomUr appeared the above deponent
to sae known and known to me to be the individual
described in and who executed the foregoing agreernout on behalf of the firm or corporation snouts ed therein, "and duly acimowl-
edged to me that he executed the woe, and luting been duly sworn aid th the statements the were true.
.......... .............. ... ...............................
Notary Public
Date of waptratfon of eoenala:loa as well
a aenl eI Cary enmt be alLssd boamom
MARK E GOLO6MM
Farm aalwsat IEd li-M tFormwermr 42aF) :rotary Public. St&%of N MW* "=��•
07
Ouali w in o con
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92- 158
s Form E
PROOF OF LOSS
TO
FEDERAL INSURANCE COMPANY
AFFIDAVIT OF NON -RECEIPT ANDAOREEMENT
Please note: This sworn statement is intended for use in connection with the reported non•cielivery by the U.S Post Office Depart•
ment of a properly mailed letter (NOT repisiered) containing securities as described below. Please make anotherlhor•
ough search of your office and or househofd. and make inquiries of the postman as wellas others who may have received
your mailin your absence.
DETAILS OF SHIPMENT
(robe fullycompleted by Sender before forwarding this form to the Addressee 1
Mailedby(Senderl:BM STEAM & Co., INC
Date 4-9-91 OLD tm
ExemName and AddrOlt onshipment. AR77HUR SCHAFF & ARTNUR SCHAFF` 6
CRAIG SCHAFF, J7WROS CRAIG SCHAFF. JTWROS
64-66 1844N SIREEI 1385 HIGHWAY 35, STE 157
Post Office at which mailed. FFMH MEADOWS, NY 11365-2131 MIDDLETIOWN, NJ 07748-2012
CONTENTS:— BOWLING GREEN STATION
CerillicaleNo! 406, 407, 408, 409
Corporation. ML4M1 FIA G/O DID 8/1/81 0.50% 8/1/2001
CfassolSlock: MUNICIPAL BONDS
Shares- 20,000
Registered in name at. BEARER
Endorsemenis (i I any)
NONE
The above contents are hereinafter called the securities
STATE OF
COUNTY OF
1. Deponent resides at
} SS
thereinafter called Deponent). being duly sworn. deposes and says'-
2. Deponentisthelegalandbeneficialowneroftheabovedescribedsecuritiet
3. Neither the above described letter nor said securities have ever been received by deponent or bydepone il'saulhorized
spent. Deponent has never endorsed the said securities. nor sold. assigned, transferred. pledged. hypothecated or disposed of the
same or any interest therein. Deponent has made a thorough search. and his made inquiries. but has found no trace of the securities
or. the letter.
,. Deponent agrees that it the securities should ever come Into deoonent's hands, custody or power. deponent will immediately
notify the Sender and (it deponent has received new securities in the meantime) will surrender the original securities to the Insurance
Company.
5. Deponent knows that this affidavit will be used In support of application to the issuing corporation end its tranafer gents
and registrars lot the Issuance under indemnity of new securities to replace the ones I t. a d to the Insurance Company u at
I
provisions of the insurance carried by the Sender.
q"..,..... ..., .. .....
Sdtaff i .g Sdstsff Deponeni
STATE f1F 1 SS:
COUNTY OF J
On this 1 day of —jt) (r .1991 before me personally appeared the above deponent
.................................................... .._...... _...... _.................. ............ to me known and known to me to be the individual described in and who
executed the foregoing agreement. and duly acknowledged that he executed the same and having been duly sworn. said that the
statements therein were true.
NOTARYAULTve ON SAYER
c of taw JD41EY
MY C°ry""+ron Elkes curie J
Panic 30.10453 IRw.. 240) (Forma y I26F)
......... ...............................................................................................
Notary Public
to of Expiration of oortlmlsalon at WO
p seat of Notary must be affixed hereto.
rra.
92- 158
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