COMPANIES (FORMS) ORDER

No. of Company...
THE COMPANIES ACT, 1929.

52¢
Form No. 49.

(No Revenue
Stamp * duty
charer-zble.)

DECLARATION VERIFYING MEMORANDUM G. * ATISFACTION OF MORTG? == OR
CHARG?

Pursuant

0

Spt -

Name
of
Company
Presented

We, oes.

a Director of.
And eee,
Lo) SR
the Secretary thereof. . ....... rennet eee eset ene
do solemnly and sincerely declare that the particulars contained in the
Memorandum of Satisfaction annexed hereto and dated the...........day
Lo) wissen I Queene, @r€ true to the best of our knowledge,
 information and belief, And we make this solemn Declaration,
conscientiously believing the same to be true, and by virtue of the provisions
 of the ‘‘Statutorv Declarations Act, 1835.”

Declared at...

the.......dav Of

— anne ON€ thousand
nine hundred and...
before me

a Commissioner for Oaths. (a
(a) or Notarv Public or Tustice of the Peace.