Certificate of settlement of a supplemental list of contributories

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..... 6, and the Rules, made thereunder I, ........... the undersigned, the Official Liquidator of the above-named company, hereby certify that since settling the list of contributories herein dated the ................. day of ................. 19 ....... I have settled the following supplemental list of contributories of the said company consisting of persons who are holders of shares in [or members o .....

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