Form Up-2 R - Report Of Unclaimed Property (Detail)- 2010

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NEVADA STATE TREASURER ● UNCLAIMED PROPERTY
REPORT OF UNCLAIMED PROPERTY (DETAIL)
Report Date ________________
Holder Name ___________________________________
Page _____ of _____
(Last, First, Middle)
Property
Cash
Date Last
Owner’s Name
and
Number of
Identifying #
Security or Mutual
(circle one)
Type Code
Amount
Activity
SSN/FEIN
Last Known Address
Shares
Fund Name/CUSIP
Acct# or CK#
See pg 14
mm/dd/yy
Remitted
Remitted
PAGE TOTAL $
TOTAL NUMBER OF SHARES REMITTED
GRAND TOTAL (IF LAST PAGE) $
#OF ITEMS THIS PAGE
UP-2 Rev 07/10
20

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