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

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CcrupraNy, LIMITED

cere I Qe.

RECEIPT FOR SHARE WARRANTS LODGED
FOR REGISTRATION.
THE ‘'. COMPANY, LIMITED,

IN Q..coesssonmmnn

LONDON, =

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RECEIVF

NUMBERED

Warrants c

Share

: Shares

Tota.

renee SRAYES fOr Registration in the

name of M

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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



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