CCSD BOA REVI ARD OF TR ISED AGEN RUSTEES NDA
2-22-16BoardOpenSessionAgendaPacket
2-22-16BoardOpenSessionAgendaPacket
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(FORM <strong>OF</strong> ASSIGNMENT)<br />
FOR VALUE RECEIVED, the undersigned sells, assigns and transfers unto<br />
(Name and Address of Transferee)<br />
the within note and does hereby irrevocably constitute and appoint _______________________________<br />
attorney to transfer the within note on the books kept for registration thereof, with full power of<br />
substitution in the premises.<br />
Dated:<br />
___________________________________<br />
Signature Guaranteed<br />
_____________________________________________<br />
(Authorized Officer)<br />
___________________________________<br />
(Signature must be guaranteed by a<br />
participant in the Securities Transfer Agent<br />
Medallions Program (STAMP))<br />
_____________________________________________<br />
Notice: The signature to the assignment must<br />
correspond with the name of the registered owner as it<br />
appears upon the face of the within note in every<br />
particular, without alteration or enlargement or any<br />
change whatever.<br />
B - 4<br />
2/22/16 Board Agenda Agenda Item 9.5B<br />
(A&F D-IX)<br />
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