©
SECRETARIAL PRACTICE
FORM No. 35.
AUTHORITY TO PAY INTEREST OR DIVIDENDS.
NOs
To
THE ‘A’ CoMPANY, LIMITED,
London Wall, London, E.C.
For Office use only. .
Noted merrenesssssson
Sh. Reg. Fol. uu.
PLEASE PAY all Dividends, Interest or Bonuses which
[ am now or may be hereafter entitled to receive to the*
0 SONNE RENESAS 8sREEens
AEE Raa are r eer eaENee esa rate ae tere eeIns C0uNNEIIRRREASAARAREREeEeteEatnDssEtIeReentae
Bank at eo
whose acknowledgment shall be a sufficient discharge.
Dated this een. da OF wo
FP1ODYLCLOV’S SUONALUY Coos
AERC R TEER SAW
msddassaaaageansgRanan
881 000ERERRIIININIIEISIIITEIRIN ARISES
Proprietor’s Full Name.........
Permanent Address
ESIGN NA NNN NEEL BENE © i BLABRELELERSI TARSAASANARAARASANAAARASESEEEETSEREEEAEONEes0tsierestesues
* Insert correct description of Bankers with full postal address.
I In Joint Accounts this Form must be signed by all the Registered
Holders.