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THE HONG KONG GOVERNMENT GAZETTE, DECEMBER 31, 1936.

No. 68. (Rule 142 (5).)

CERTIFIED LIST OF PROOFS UNDER RULE 142 (5) COMPANIES (WINDING UP) RULES, AND APPLICATION FOR ISSUE OF CHEQUES FOR DIVIDEND ON COMPANIES LIQUIDATION Account.

Re

Companies Liquidation Account.

Ledger Folio

No.

I hereby certify that the following list has been compared with the proofs filed, and that the names of the Creditors and the amounts for which the proofs are admitted are correctly stated.

Dated the

(Signature)

day of

19

stands to the

I certify that by my books the sum of $ credit of the above Company with the Companies Liquidation Account at the Bank and that the sum of $

is required

to meet the undermentioned dividends, on proofs which have been duly made and admitted to rank for dividend upon the Company, and I have to request that orders for payment may be issued to me.

The dividend is payable on the

day of

19 and notice of declaration thereof was forwarded to the Official Receiver for insertion in the Gazette, on the

day of

Date

19 .

To the Official Receiver.

19

Liquidator.

Address to which Cheques and Money Orders should be sent.

Amount of Dividend.

Town on

No. Surname..

Christian Name,

which Post Office Money Order should be drawn.

Amount of Proof,

Sums under $20.

Sums of

$20 and above.

C. $ C.

..

No. 69. (Rule 142 (5).)

CERTIFIED LIST OF PROOFS FILED UNDER RULE 142 (5) COMPANIES (WINDING UP) RULES, SPECIAL BANK CASE.

(Title.)

I hereby certify that the following list has been compared with the proofs filed, and that the names of the creditors and the amounts for which the proofs are admitted are correctly stated.

Dated the

(Signature)

day of

19

1249

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