1

SECRETARIAL PRACTICE

FORM No. 1 (continued.)
TRANSFERS CERTIFIED OR LODGED.
[Endorsement on Shave Certificate]

NOTE.—This Endorsement is reserved for the Company’s purposes only, and must ndt be written upon.

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2
Ih
oF

DISTINCTIVE NUMBERS
NAME OF No.of =
TRANSFEREE Shares

FROM

TT

no £2

0 Q

S || 82
zd
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