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<br />, ' <br /> <br />e <br /> <br />e <br /> <br />the state of Texas and registered by the Comptroller of Public <br />Accounts of the state of Texas. <br /> <br />Dated <br /> <br />FIRST CITY, TEXAS - HOUSTON, N.A., <br />HOUSTON, TEXAS <br />Paying Agent/Registrar <br /> <br />By <br /> <br />Authorized Representative <br /> <br />FORM OF STATEMENT OF INSURANCE <br /> <br />*STATEMENT OF INSURANCE <br />[TO COME] <br /> <br />FORM OF ASSIGNMENT: <br /> <br />*ASSIGNMENT <br /> <br />FOR VALUE RECEIVED, the undersigned hereby sells, assigns, and <br />transfers unto <br /> <br />Please insert Social security or Taxpayer <br />Identification Number of Transferee <br /> <br />/ <br /> <br />/ <br /> <br />(Please print or typewrite name and address, including <br />zip code of Transferee) <br /> <br />the within Bond and all rights thereunder, and hereby <br />irrevocably constitutes and appoints <br /> <br />attorney to register the transfer of the within Bond on the <br />books kept for registration thereof, with full power of <br />substitution in the premises. <br />Dated: <br /> <br />Signature Guaranteed: <br /> <br />NOTICE: The signature above <br />must correspond with the name <br />of the Registered Owner as it <br />appears upon the front of this <br />Bond in every particular, <br />without alteration or enlarge- <br />ment or any' change whatsoever. <br /> <br />NOTICE: Signature(s) must <br />be guaranteed by a member <br />firm of the New York Stock <br />Exchange or a commercial <br />bank or trust company <br /> <br />13 <br />