N.B.—This form can be printed on thin paper and bound
mderleaved with plain paper for use with carbons, in which case
‘he counterfoil can be dispensed with
ty
CcrupraNy, LIMITED
cere I Qe.
RECEIPT FOR SHARE WARRANTS LODGED
FOR REGISTRATION.
THE ‘'. COMPANY, LIMITED,
IN Q..coesssonmmnn
LONDON, =
amuses LE wan
RECEIVF
NUMBERED
Warrants c
Share
: Shares
Tota.
renee SRAYES fOr Registration in the
name of M
rmerwww av Stuuvisssart Ber rre BORE pry Pid ones en as
Certificate to be veady .......
RECEIVED from ....
Share Warrants, as under: —
Varrants of 1 Share each.
959
5 Shares each.
25 ”»
vee Shares left for Registration in the name
Total ...
If the application is accepted the Certificate will be ready fo
delivery at this Office, on or after ........... between 11 and
3 o'clock, Saturdays rr and 1 o'clock, but may be sent by
post, at Shareholder’s risk, on receipt of stamped registered
envelope. In either case the Certificate will only be delivered
in exchange for this Receipn*
Fe-
Secvelary
mn
Oo
2
2
Z
0
&
*N
>>
J
=
£5
Jed
>
lt