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PD F 4144-2 Final <br />Department of the Treasury STATE AND LOCAL GOVERNMENT SERIES <br />Bureau of the Public Debt TIME DEPOSIT <br />(Revised July 1999) <br />OMB No. 1535-0092 <br />The United States Treasury Securities - State and Local Governement Series subscribed for on PD F 4144 and account information <br />furnished on PD F 4144-1 to which this schedule is attached and incorporated, are requested to be issued and held in book -entry <br />accounts on the books of the Department of the Treasury. <br />PRINCIPAL INTEREST ISSUE MATURITY FIRST INTEREST* <br />AMOUNT RATE DATE DATE PAYMENT DATE <br />(MMDDYY) (MMDDYY) (MMDDYY) <br />31,470 0.040% 12/29/2011 6/15/2012 <br />28,389 0.100% 12/29/2011 12/15/2012 <br />28,417 0.150% 12/29/2011 6/15/2013 6/15/2012 <br />28,437 0.220% 12/29/2011 12/15/2013 6/15/2012 <br />28,469 0.290% 12/29/2011 6/15/2014 6/15/2012 <br />2,923,510 0.370% 12/29/2011 12/15/2014 6/15/2012 <br />*A first interest payment date must be specified for interest bearing securities with a maturity date greater than one year. <br />Taxpayer Identification Number: <br />Name of State or Local Government Body: <br />