Form Usr-1 - Investment Company Report Of Sales In The State Of Texas

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TEXAS PERMIT NO.
________________
133.10
F.Y. END DATE
________________
INVESTMENT COMPANY REPORT OF SALES
IN THE STATE OF
TEXAS
For the 12 month period beginning _______________________ Ending __________________
Fund
__________________________________________
Address
__________________________________________
__________________________________________
Contact Person
__________________________________________
Telephone
__________________________________________
BEGINNING BALANCE
$ ________________________
ADDITIONAL AMOUNTS AUTHORIZED
DURING THIS PERIOD (if any)
$ _________________________
TOTAL AVAILABLE FOR SALE
$ ________________________
SALES DURING THE PERIOD
$ ________________________
ENDING BALANCE
$ ________________________
We certify that the foregoing is a complete report of sales for this Fund during the period
specified.
Date: _________________________
__________________________________________
(Fund)
By:
_____________________________________________
(Authorized signature)
Form USR-1
09-22-1995

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