## 

## 

|||MIIIQNQ IQ%%%i|~eauioma runoe|rnocnnnrm|
|---|---|---|---|---|
|||funds||funds|
|Details||foneaNIt C||&neareit C|
|Details||Fund tewhleh asset<br>belongs|Cost (oplonsll|Current valw<br>{otrttonoti|
|Details||Fund toehleh aseet<br>i+Ion|Cost (splenetic|Current value<br>0|
|HoNay|Home|$8853||IS,SN|
||||4||



## 

|Fund towhish|AInount due|Whon dw {opltonstl|
|---|---|---|
|liability totNos|(opdona9||
|Print Name||Date ofapproval|
||( 1RWLEY ~<br>I Ol +||












##