Date ot 
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Date of Entry as a Member... 
Date of Ceasing to be a Member... 
SHARES ACQUIRED 
Distinctive Numbers. 
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f Allot- 
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ransfer 
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Shares. 
Amount 
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Dividends to- 
date of 
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of 
Transfer 
Number 
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SHARES TRANSFERREL 
distinctive Numbers. 
| rans- 
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Number 
of 
Shares. 
Amount 
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aid or 
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as Paid 
Balance 
Shares 
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{umber 
of 
Shares. 
11 
0 
0 
2 
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