Issued by:
John-Henry: Doe, Doe, Principal c/o temporary mailing location: c/o U. S. P. O. Postmaster, c/o the General Post Office at Dallas Dallas,, county of Gregg of Gregg,, The State of Texas of Texas,, The United States of America
Bond number: 985681515381JHD Unlimited Bond Value: Issue date: January 01, A. D. 2011
DHL Airbill Tracking Number 985681515381 Issued Issued for: for:
Timoth Timothy y Geithn Geithner, er, Secr Secreta etary ry of the the Treasur Treasury y Department of the Treasury c/o 1500 Pennsylvania Ave NW Washington, D.C. 20220
PRIVATE BOND FOR SET-OFF, NON-NEGOTIABLE Value of Bond is Unlimited In the the matter matter of: of: Certif Certific icate ate of of Birth Birth No. No. 136-145-00006 136-145-00006,, Accepted for Value and Exempt from Levy Credit to the Department of the Treasury and Charged to: JOHN HENRY DOE, 123-45-6789 The undersigned Principal: John-Henry: Doe, Doe, herewith accepts for value the enclosed instrument entitled: entitled: "Certific "Certificate ate of Birth", Birth", numbered: numbered: 136-145-00006 136-145-00006,, and all endorse endorsemen ments ts front front and back. back. The Principal is (1) the only legitimate acceptor of said instrument, (2) the only party to have put any value to said instrument, and (3) the contributing beneficiary of the same. same. This is done in full accord with Public Law found at Chapter 48, 48 Stat. 112, Public Policy found at House Joint Resolution: 192 of June 5, 1933, and the Uniform Commercial Code.
BOND ORDER Please deposit this bond as a credit to an account, bearing the DHL Airbill Tracking Number 985681515381 for future identification purposes, to be used as a set-off against any bills, taxes, or claims, and the li ke, against the Principal: John-Henry: Doe, Doe, as listed on said "Certificate of Birth" numbered: 136-145-00006 136-145-00006,, or any bills, taxes, or claims, and the like, against the Debtor: JOHN HENRY DOE., DOE., 123-45-6789 (JOHN HENRY DOE) DOE) is Debtor to John-Henry: Doe, Doe, Secured Party, as listed on the enclosed U.C.C.-1 Financing Statement), with said claim(s) being “accepted” and endorsed by the Principal: John-Henry: Doe. Doe.
Please set-off any bills, taxes, or claims, and the like, issued against the Principal: John-Henry: Doe, as listed on said "Certificate of Birth", or issued against the said JOHN HENRY DOE, Doe, DOE, 123-45-6789 123-45-6789,, to zero or to a balance favorable to me, the Principal. Timothy Geithner, Secretary of the Treasury, Department of the Treasury, has thirty (30) days from the date of delivery of this non-negotiable, private bond for set-off, as witnessed by the signature affixed to the United States Postal Service "PS Form 3811" [Return Receipt], to dishonor this Bond by returning it to the Principal at the exact, mailing mailing location shown above. Failure to return this Bond within the time stated stated above shall constitute Secretary Geithner's acceptance of this bond, his agreement to honor this Bond, and his agreement to set-off all associated transactions and claims submitted to the Department of the Treasury by the Principal, as they occur, in full accord with Public Law, Public Policy, and the terms and conditions contained herein. This Bond shall be ledgered as an asset as best suits the needs of the Department of the Treasury, and expires at the moment the Principal: John-Henry: Doe, Doe, dies. All Rights Reserved.
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Witnes Witness s #1: ______ _________ ______ ______ ______ _______ _______ ______ _____ __ Print Name:
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______________________________________ Seal John-Henry: Doe, Doe, Principal Exemption ID # 12-3456789
Witnes Witness s #2: ______ _________ ______ ______ ______ ______ ______ ______ ______ ___ Print Name:
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