Signature of Holder. Date: ...................................................................... [To be completed by Paying Agent:] Received by: ............................................... [Signature and stamp of Paying Agent:] At its office at .............................................. ...................................................................... On ................................................................
Signature of Holder. Duly authorised on behalf of [CIBA SPECIALTY CHEMICALS CORPORATION/ CIBA SPECIALTY CHEMICALS PLC/ CIBA SPEZIALITATENCHEMIE HOLDING DEUTSCHLAND GMBH/ CIBA SPECIALTY CHEMICALS EUROFINANCE LTD.] [To be completed by recipient Paying Agent] Details of missing unmatured Coupons ...............................(3) Received by: ................................ [Signature and stamp of Paying Agent] At its office at: .................................
Signature of Holder. Duly authorised on behalf of [ ] [To be completed by recipient Paying Agent] Received by: ................................................. [Signature and stamp of Paying Agent] At its office at: ................................................. On: .................................................
Signature of Holder. [To be completed by recipient Paying Agent] Details of missing unmatured Coupons (3) Received by: ……………………………. [Signature and stamp of Paying Agent] At its office at: ..................... On: ..............................................
Signature of Holder. 1 To be completed in duplicate in the case of shares where the holder is directly registered in the shareholders register with one copy to be sent to Quinsa and the other to be sent to the Share Transfer Agent.
Signature of Holder. All notices and communications relating to this Change of Control Put Option Notice should be sent to the address specified below. Name of Holder: ..................................................................... Contact details: ..................................................................... ..................................................................... .....................................................................
Signature of Holder. Date: ________________________________
Signature of Holder. [END OF OPTIONS] Payment should be made by [complete and delete as appropriate]: • [currency] cheque drawn on a bank in [currency centre] and in favour of [name of payee] and mailed at the payee's risk by uninsured airmail post to [name of addressee] at [addressee's address].] • transfer to [details of the relevant account maintained by the payee] with [name and address of the relevant bank].] All notices and communications relating to this Put Option Notice should be sent to the address specified below. Name of holder: ................................................... Contact details: ................................................... ................................................... ................................................... Signature of holder: .................................................. Date: .................................................. [To be completed by Paying Agent:] Received by: ............................................ [Signature and stamp of Paying Agent:] At its office at .......................................... ............................................................. On ........................................................ PUT OPTION RECEIPT2
Signature of Holder. NOTICE: No transfer will be registered and no new Bond will be issued in the name of the Transferee, unless the signature(s) to this assignment correspond(s) with the name as it appears on the face of the within Bond in every particular, without alteration or enlargement or any change whatever and the Social Security or Federal Employer Identification Number of the Transferee is supplied. Signature Guaranteed: ___________________________________ NOTICE: Signature(s) must be guaranteed by an eligible guarantor institution which is a member of a recognized signature guarantee program, i.e., Securities Transfer Agents Medallion Program (STAMP), Stock Exchanges Medallion Program (SEMP) or New York Stock Exchange Medallion Signature Program. Conveyor for broken case picking and station system $ 4,100,000 Conveyor for retail order fulfillment system (120 stores) $ 1,500,000 Conveyor for “Express” order processing $ 700,000 Conveyor for full case fulfillment $ 200,000 Pallet rack for 15,000 pallets $ 700,000 Carton flow rack (4500 sku’s) $ 270,000 Bulk hand load racks $ 325,000 Pallet flow module (240 pallets) $ 60,000 Pick module deck $ 150,000 Pick to light (4620 zones) $ 575,000 Pack to light (384 lights) $ 48,000 Automatic box erectors (4) $ 240,000 Empty box monorail $ 50,000 Reach Fork Lift Trucks (8) $ 320,000 Order pickers (8) $ 240,000 Electric pallet Jacks (12) $ 180,000 Electric dock and sit down clamp trucks (10) $ 340,000 Battery charging stations for all equipment $ 80,000 Ship label and pack ship printers $ 350,000 Security system (cameras, alarms, burglar, card access) $ 300,000 Misc. electrical distribution $ 85,000 Air cooling and circulation system $ 150,000 Pallet shrink wrap machines (3) $ 30,000 Automatic corrugated bxxxxx $ 35,000 Misc. workbenches, totes, cages, Etc. $ 100,000 Office cubicles, chairs and furniture $ 275,000 Retail Store fixtures, Equipment and Set Up $ 300,000 Telecommunication and Network Equipment and Set Up $ 3,297,000 I, the undersigned, hereby certify that I am the duly qualified and acting chief financial officer of SYX Distribution Inc. (“Lessee”) and, with respect to Section [7.01 (a)/7.01 (b)] of the Lease Agreement dated as of September 1, 2010 (the “Lease Agreement”) by and among Lessee, GE Government Finance, Inc. (“Bondholder”) and Development Authority of Jefferson, Georgia (“Issuer”), that:
Signature of Holder. [END OF OPTIONS] OR
