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[Page 1.]

Rail. Company.

NAMES AND RESIDENCES OF OFFICERS AND DIRECTORS:

BUSINESS ADDRESS OF THE COMPANY:

The... Rail.....Company was incorporated..., 18., and formed by consolidation of the companies whose names and dates of incorporation are shown in the table below:

1

2

3

NOTE. In column 1, place the companies consolidated into the present company; and in each succeeding column, the companies consolidated into those named in the preceding column.

[Page 2.]

Rail Company.

CAPITAL STOCK.

1. Capital stock authorized by charter*_

2. Capital stock authorized by votes of company

3. Capital stock issued [number of shares.-]; amount paid in. 4. Capital stock paid in on shares not issued [number of shares.

5. Total amount paid in, as per books of the company.

6. Amount of capital stock issued but not full paid.

7. Amount per share still due thereon..

8. Par value of shares issued...

9. Total number of stockholders.

10. Number of stockholders in California. 11. Amount of stock held in California__

12. Funded debt as follows:

Bonds

DEBT.

Interest paid on same during year.
Certificates of indebtedness.

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Interest paid on same during year..

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-]

13. Total amount of funded debt t

$

14. Unfunded debt:

Incurred for construction, equipment, or purchase of property.
All other debts, current credit balances, etc.

$.

15. Total amount of unfunded debt....

16. Total gross debt liabilities.

$.

17. Amount of cash, materials, and supplies on hand; sinking funds in hands of Trustees, and such securities and debt balances as represent cash assets.

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*By original articles of incorporation. † For details, see pages 36, 37, and 38.

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19. Amount of bonds or stocks of other companies guaranteed, principal or interest, on which interest is paid by this company, giving name of each

20. Amount of claims against the company which for any reason have not been entered upon the books..

$

$

$

[Page 4.]

-Rail... Compuny.

COST OF ROAD, EQUIPMENT, AND PROPERTY-ROAD AND BRANCHES.

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8. Interest..

9. Engineering

Agencies, salaries, and other expenses during construction....

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[Page 5.]

Rail. Company.

PROPERTY PURCHASED AND ON HAND NOT INCLUDED IN THE FOREGOING ACCOUNTS.

19. Lands.

Give a description of the land, and in what town or city and county located. If not used in business of road, so state.

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