COMPANIES (FORMS) ORDER
No. of Company...
THE COMPANIES ACT, 1929.

52¢
Form No. 49.

(No Revenue
Stamp * duty
charer-zble.)
DECLARATION VERIFYING MEMORANDUM G. * ATISFACTION OF MORTG? == OR
CHARG?

Pursuant

0

Spt -

Name
of
Company
Presented

We, oes.

a Director of.

And eee,

Lo) SR

the Secretary thereof. . ....... rennet eee eset ene
do solemnly and sincerely declare that the particulars contained in the
Memorandum of Satisfaction annexed hereto and dated the...........day
Lo) wissen I Queene, @r€ true to the best of our know-
ledge, information and belief, And we make this solemn Declaration,
conscientiously believing the same to be true, and by virtue of the pro-
visions of the ‘‘Statutorv Declarations Act, 1835.”
Declared at...

the.......dav Of

— anne ON€ thousand
nine hundred and...
before me

a Commissioner for Oaths. (a
(a) or Notarv Public or Tustice of the Peace.