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[Form of Prepayment Panel] <br /> <br /> The following installments of principal (or portion thereof) of this Bond have <br />been prepaid in accordance with the terms of the Bond Ordinance authorizing the issuance of this <br />Bond. <br /> <br />Date of <br />Prepayment <br /> <br />Principal Prepaid <br /> <br />Signature of Authorized <br />Representative of the Depository <br /> <br />(End of Form of Prepayment Panel) <br /> <br />20 <br /> <br /> <br />