If this form is bound up interleaved for carbon 
copy the counterfoil can be dispensed with. 
NO... 
verre L Queene 
Left DV ee eecssensesesssssssesemsssenee. 
Address 
NO. of Shares ....mmmmsssisssscssssene 
Amount of Stock £ ween 
N AINE OF eee ee eevee oon 
NO 
THE ‘A’ CoMPANY, LIMITED. 
Registered Office; London Wall, London. E.C. 
RECEIVED STO coors rermssssssescssesessasssssssasss -sessssssssssacrsa- --snsssssssssssssssssssssasssssssssssssssstn- 
ee eas 0A res sRases aNennn E000Re 000000 00INTIatseSsios INANE stettIoNenannssetstedesitinesnend souade 
the undermentioned ....o.. Transfer Deed....of... SHARES 
[£m SOCK] fOr registration, subject to the approval of the 
directors. 
No. of Shares, 
or 
Amount of Stock 
Share Numbers 
Transferee. 
From 
~ 
nN 
Ad 
v= 
Ly 
WC 
~ 2 
Hj 
) 
= 
= 
= 
rv 
mn 
OQ 
J 
- 
-l 
— 
= 
© 
5 
nN 
e" 
wn 
a] 
O 
= 
0 
oS 
= 
rm 
od 
'- 
T 
7 
> 
C. 
— 
Jet 
O 
—_ 
The Certificate... in respect of the above Transfer... will be 
ready for delivery in exchange for this RECEIPt On mmerrsersesssisrin 
Fee paid. nssesscessmeeen 
Certificate readv....... 
Registration Fee nn 
“-anacgp GeO 
Secyetary