SLEKİ VARIO (4)
(1) Manner in which Indebtedoms
(it say) DOL
specified sine-
BET DE AGA
section due
from the debtor
Hojjatu ki pozivu
I overfakt.
(W) Date of obligation.
(le) Amount slaimed
+
Ima
Desember,
and Bujq
(WI) Date debi
bazama dua.
18th
1863.
24
25
8. TO BE COMPLETED BY ALL PERSONS MAKING A CLAIM.
I/WE hereby claim in accordance with the provisions of the Distribution of German Enemy Property Regulations, 1958, in respect of debtu arising from the Bonds lated herein.
I/WE declare, in respect of all the German enemy debts which are the subject of this claim, that I/we bave not, since 18th July, 1956, sold those debts or any of tham, together with the right to make a claim in respect thereof, and in the event of any such sale being effected by me/us on or before lat November, 1966, I/we undertake to notify the Administrator of the fact within one month from the date of such sale.
I/WE further declare that all the statements made by me/us in this claim forms are true and correct to the best of my/our knowledge and belief, and that this is the only claim I/we have made in respeet of debts arising out of the bands listed herein.
Date
If the person making the claim is a body of persons,
state relationship of signa-
tory to such body
Signed
FOR OFFICIAL USE ONLY
Signatures
Amount Amount Claimed Rejected
Amaunt
Weighting Admitted
Exam. Pre-audit
Council CHAMBER,
29th May, 1956.
Clerk of Councils.