1252

THE HONG KONG GOVERNMENT GAZETTE, DECEMBER 31, 1936.

Witness to the Signature

of

Witness to the Signature-

of

Date

Specimen of Signature of person appointed as above.

Witness to the Signature

of

Witness to the Signature of person appointed as above.

No. 73 (Rule 148.)

NOTICE OF RETURN TO CONTRIBUTORIES.

Cheques are cancelled at the expiration of six months from date of issue, and money orders at the expiration of twelve months from month of issue.

[Please bring this Notice with you.]

(Title.)

Return of $

per share.

[Address]

[Date]

return of

Notice is hereby given that a

the

per share has been declared in this matter, and that the same may be received at my office, as above, on

day of 19 or on any subsequent day, except Saturday,

between the hours of

Upon applying for payment this notice must be produced entire, together with the share certificate. If you do not attend personally you must forward the share certificate and fill up and sign the subjoined Forms of Receipt and Authority to deliver, when a cheque or money order payable to your order will be delivered in accordance with the Authority.

(Signed)

Liquidator.

NOTE. The receipt should be signed by the contributory personally, or in the case of joint contributories by each, and in the case of a limited company by an officer of the company, so described.

No

RECEIPTS.

19

Received of the

of dollars

being the amount payable to

return of

in this matter the sum

and cents

in respect of the

per share held by

in this company.

Contributory's signature.

$

SIR,

AUTHORITY FOR DELIVERY.

PLEASE deliver to

(Insert the name of the person who is to receive the cheque or money order, or the words "me/us by post," at "my/our risk", if you wish it sent to you in that way.)

the cheque or money order for the return payable to me/us in this

matter.

Contributory's signature

To the [Official Receiver and] Liquidator.

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