N.B.—This form can be printed on 
thin paper and bound interleaved 
with plain paper for use with 
carbons, in which case the counter- 
foil can be dispensed with. 
Tue ‘A’ Co., LTD. 
LoNDON Warr, LonpoN, E.C. 
De snsresseasenseniiini, eoeswmiiiiiis TQ rsronsusinse 
BaraNceE RECEIPT FO eres snes S NAT €S [ STOCK. 
PAN 
on 
or 
[ssued to Messrs. ..... 
[ag ‘A’ CompaNy, LIMITED 
Noe 
No. of Certificate ... for f£.. stock 
" .. shares]. 
Name. A. B. 
Amount of Balance £..... stock [....shares| 
[SSUEA tO oan 
Distinctiv 
Name of Shareholder. 
ATOM 
for Registrar 
Certificate to be ready... 
NoTe.—This receipt does not in any way constitute a title to the 
shares (stock) therein referred to and is not negotiable. The Company 
will not be in any way responsible for any purpose for which it may be 
ased otherwise than the Certification of further Deeds of Transfer 
or exchange for a Definitive Balance Certificate. 
No Transfer for any of the Balance of Stock (shares) above referred to 
will be certified, neither will a Balance Certificate be issued, without the 
production of the relative receipt. 
xX 
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