Certificate of final settlement of the list of Contributories

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..... ..............., the undersigned, being the Official Liquidator of the above-named company, hereby certify that the result of the settlement of the list of contributories of the above-named company, so far as the said list has been settled upto the date of this certificate, is as follows:-- 1. The several persons whose names are set forth in the second column of the First Schedule hereto have bee .....

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..... contributories. 5. I have, in the fifth column of the first part, and in the sixth column of the second part, of the First Schedule, and in the sixth column of the Second Schedule, set forth opposite the name of such of the several persons respectively the date when such person was included in or excluded from the said list of contributories. 6. I have, in the sixth and seventh columns of the f .....

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..... Dated this ............... day of ............... 19 ............... Sd./- ....................... Official Liquidator In the matter of ............... Ltd. (in liquidation) The First Schedule above referred to First Part Contributories in their own right Serial No. Name & Description Address No. of shares or extent of interest Date when included in the list Amount called up at date o .....

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