The principal is repayable on the........................................day of………………..
19……..

The Common Seal of the Albany Harbour Board was affixed hereto on the

................................................................day of…………………19…….., in the

presence of......................................................

FOR half year's interest at the rate approved in accordance with the provisions of the Albany Harbour Board Act 1926 (as amended) due the…………….....day of………………………………..19…….., calculated on the face value of the debenture and payable free of exchange upon the delivery of the coupon at the Head Office of the Albany Harbour Board at Albany.

As Witness…………………..……….hand this…………………………day of
19……..

Signature of Transferor………………………….

Witness: …………………………………………

(To whom ¾ unless an officer of the Board ¾ the person signing this document is personally known. Also see footnotes).

Occupation ………………………………………………………………..

Address ……………………………………………………………………

I/We hereby accept the Stock abovementioned transferred into my/our name(s)
this ………………………….day of………………………….19……..

Signature(s) of Transferee…………………………………………………

Witness…………………………………………………………………….

(To whom ¾ unless an officer of the Board ¾ the person signing this document is personally known. Also see footnotes).

Occupation………………………………………………………………...

Address ……………………………………………………………………

Notes: ¾

(1) Where a person signs as a witness to more than one signature, such must be stated beneath the signature of the witness.

(2) The witness must be a Justice of the Peace, Commissioner for Affidavits, Commissioner for Declarations (Commonwealth or State), Notary Public, Solicitor, member of a recognised Stock Exchange, a Bank Manager (who shall sign as such and add the Bank stamp), an Officer of the Albany Harbour Board or such other person as the Registrar approves.

Important ¾ Transferee's specimen signature(s)…………………………

Please have the undermentioned transfer by transmission effected.

From……………………………who lately resided at…………..……………… but who is now……………………………………………...the Albany Harbour

To the undermentioned person(s) who is/are……………………………………..

and who claim(s) by transmission.

Surname(s). (block letters)

Christian Names. (block letters)

Addres. (block letters)

Occupation.

I/We submit herewith the following documents in support of this claim in accordance with the requirements of the regulations.

Documents....................................................................................................

Signature of Transmittee.........................................................................….

Witness.........................................................................................................

Qualification................................................................................................

Address........................................................................................................

Date………………………………………….19……..

Note: ¾ The witness must be a Judge of a Supreme Court, Stipendiary Magistrate, Police or Resident Magistrate, Barrister or Solicitor, or Commissioner for Affidavits, Member of a recognised Stock Exchange or a Bank Manager, who shall sign as such and add the Bank stamp, or an officer of the Albany Harbour Board, but if signed outside the Commonwealth of Australia the witness must be a Notary Public or British Consul or Vice Consul or other British Authority, and the mandate shall be authenticated as required by the Regulations.

For office use only: Specimen signature of Transmittee(s)
(usual signature)
Entered………………………………

Dr. Stock Register................................ ......…………………………...

Cr. Stock Register................................ ……………………………….

Registered at the office of the Albany
Harbour Board.

Examined: ………………………………

………………………………





Passed by a resolution of the Albany Harbour Board at a duly convened meeting of the Board held on the 18th day of January 1965.

The Common Seal of the Albany Harbour
Board was at the same time affixed and
impressed hereto by order and in the
presence of: ¾
J. D. MURRAY,
Chairman
[L.S.] K. G. A. SCHULZE,
Member
E. J. NORMAN,
Secretary.





Approved by His Excellency the Governor in Executive Council this 7th day of April 1965.
W. S. LONNIE,
Clerk of the Council.

Albany Harbour Board (Debentures and Inscribed Sto - Schedule.pdf