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(si,�nature) (si n� a, ture) <br />City Clerk Mayor <br />(SEAL) <br />(b) [Form of Delivery Certificate] <br />DELIVERY CERTIFICATE <br />This Certificate of Obligation was delivered to and paid for by the Purchaser thereof on <br />(c) [Form of Paying Agent/Registrar's Authentication Certificate] <br />PAYING AGENT/REGISTRAR'S AUTHENTICATION CERTIF[CATE <br />(To be executed if this Certificate is not accompanied by an <br />executed Registration Certificate of the Comptroller <br />of Public Accounts of the State of Texas) <br />It is hereby certified that this Certificate has been issued under the provisions ofthe Certificate <br />Ordinance described in the text of this Certificate; and that this Certificate has been issued in <br />conversion or replacement of, or in exchange for, a certificate, certificates, or a portion of a <br />certificate or certificates of a series that originally was approved by the Attorney General ofthe State <br />of Texas and registered by the Comptroller of Public Accounts of the State of Texas. <br />Dated: <br />(d) [Form of Assignment] <br />The Bank ofNew York Mellon Trust Company, N.A., <br />Dallas, Texas <br />Paying Agent/Registrar <br />By: <br />Authorized Representative <br />ASSIGNMENT <br />For value received, the undersigned hereby sells, assigns and transfers unto <br />Please insert Social Security or Taxpayer ldentification Number of Transferee <br />m <br />