SCHEDULE

A

HEREINBEFORE REFERRED TO.

The China Traders' Insurance Company, Limited.

INSTRUMENT OF TRANSFER.

OF

in consideration of the Sum of

Dollars paid to me by

of

do hereby transfer to the said

the Share (or Shares) numbered standing in my name in the Books

of the "CHINA TRADERS' INSURANCE Company, LIMITED" to hold unto

the said

his Executors, Administrators, and Assigns, subject to the several Conditions upon which I held the same at the time of the Execution hereof,

and I, the said

do hereby agree to take the said Share (or Shares) subject to the same Conditions.

WITNESS Our Hands, the Day of

in the

Christian year 18...

Signed by the above named

in the presence of

166

Page 166 appears three times at the top and is not present, however, it is kept at the end as

Page 166

Page 166

Page 166

is rewritten as:

SCHEDULE

A

HEREINBEFORE REFERRED TO.

The China Traders' Insurance Company, Limited.

INSTRUMENT OF TRANSFER.

OF

in consideration of the Sum of

Dollars paid to me by

of......

do hereby transfer to the said...

the Share (or Shares) numbered ... standing in my name in the Books

of the "CHINA TRADERS' INSURANCE Company, LIMITED" to hold unto

the said........

his Executors, Administrators, and Assigns, subject to the several Conditions upon which I held the same at the time of the Execution hereof,

and I, the said...

do hereby agree to take the said Share (or Shares) subject to the same Conditions.

WITNESS Our Hands, the ... Day of

in the

Christian year 15...

Signed by the above named

in the presence of


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