96

THE HONGKONG GOVERNMENT GAZETTE, FEBRUARY 14, 1913.

AUTHORITY FOR DELIVERY.

SIR,

PLEASE deliver to

(Insert the name of the person who is to receive the

cheque or money order, or the words "me

by post",

us

at "

my

our

way.)

risk", if you wish it sent to you in that

the cheque or money order for the dividend payable to in this

me

us

matter.

Payee's Signature.

To the [Official Receiver and] Liquidator.

No. 68. (Rule 138 (7).)

AUTHORITY TO LIQUIDATOR TO PAY DIVIDENDS TO

ANOTHER PERSON

(Title.)

To the [Official Receiver and] Liquidator.

SIR,

I

hereby authorise and request you to pay to M

We

of

(a specimen of whose signature is given below), all dividends as they are declared in the above-named matter, and which may become due afid payable to

$

I

me

us

}

in respect of the proof of debt for the sum of

against the above-named Company, made [by Mr.

} on my behalf.

our

And further request that the cheque or cheques drawn in

we

respect of such dividends may be made payable to the order of the said M

whose receipt shall be sufficient authority

to you for the issue of such cheque or cheques in his name.

It is understood that this authority is to remain in force until

me

revoked by in writing.

us

Witness to the Signature

of

Witness to the Signature

Signatures

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. 69. (Rule 139.)

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 sub- joined Forms of Receipt and Authority, when a cheque or money order payable to your order will be delivered in accordance with the Authority.

(Signed)

-Liquidator.

f

Number in set-

tled List.

Name of Contri- butory as in set- tled List.

Address.

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