APPENDIX F

~Y

FORM No. 83 (continued).
(This form of Warrant has been settled by the Council in conjunction
with the Institute of Bankers.)

Sevial
NV umber

Warrant No.

, Seeeneseeserisesvec .  sassnrese,
DEBENTURE INTEREST WARRANT.
THE ‘A’lCompany, LijMiTsp.
LONDON,| E.Coeeeerec IQ

et

-

To THE ‘X BANK, Lp.

(Revenue Stamp)

Lombalrd St., London, E.C.3.

Pay £0..mmer

Crosses, 0r Orde:

the sum of...

err re POR] DAS rrr slhillings and monn. peNCE

For and on|

behalf of the)

‘A’ Company, Limited.

Stenature...

Signature of Payee... nen

Nore—This Warrant must be signed by the payee and presented ta
the Company’s Banker's within six months of the date hereof.

Enter:—T (town), M (metropolitan), or C (county), whichever letter
Ss applicable.

Note—If (a) Window envelopes
Addressing machines
~» Calculating machines
are in use this form will require adjustment. Plenty of space shoula
be left for the payee’s signature.