Issued by:

John-Henry: Doe, Principal c/o temporary mailing location: c/o U. S. P. O. Postmaster, c/o the General Post Office at Dallas, county of Gregg, The State of Texas, The United States of America Timothy Geithner, Secretary of the Treasury Department of the Treasury c/o 1500 Pennsylvania Ave NW Washington, D.C. 20220

Bond number: 985681515381JHD Bond Value: Unlimited Issue date: January 01, A. D. 2011

DHL Airbill Tracking Number 985681515381

Issued for:

PRIVATE BOND FOR SET-OFF, NON-NEGOTIABLE Value of Bond is Unlimited

In the matter of: Certificate of Birth No. 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, herewith accepts for value the enclosed instrument entitled: "Certificate of Birth", numbered: 136-145-00006, and all endorsements front and 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. 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 like, against the Principal: John-Henry: Doe, as listed on said "Certificate of Birth" numbered: 136-145-00006, or any bills, taxes, or claims, and the like, against the Debtor: JOHN HENRY DOE., 123-45-6789 (JOHN HENRY DOE) is Debtor to John-Henry: 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.

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, 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 location shown above. Failure to return this Bond within the time 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, dies. All Rights Reserved. ______________________________________ Seal John-Henry: Doe, Principal Exemption ID # 12-3456789 Witness #2: ______________________________
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______________________ Right Thumb Print Witness #1: ______________________________

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