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- &Client&
- &Company&
- &Street&
- &Address&
- &City&
- &State& &Zip_Code&
- &Country&
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- Account ref: &Customer_Ref&
- Bargain Date: &Trans_Date& Settlement Date: &Settlement_Date&
- Bargain ref: &Transaction ref&
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- We thank you for your instructions and subject to the rules and
- regulations of the &Exchange& Stock Exchange, we have today
- &Trans_Desc& &Company Name& &Stock_Type& shares as follows:
-
- Qty Price (L) $ Value Commission $ Total
- ------------------------------------------------------------------
- &QTY& &PR& &USDV& &Com& &TV&
- ------------------------------------------------------------------
- (L) Prices converted at $1 = &Currency& &USD Xrate&
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- CONTRACT AND TAX INVOICE FOR SERVICES RENDERED
- YOU ARE ADVISED TO RETAIN THIS CONTRACT NOTE FOR TAX PURPOSES
-
- For and on behalf of
- SUPERBASE SECURITIES
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- IN/SB4
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