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DEPOSIT SLIP FOR INVESTMENT

Date: 25/02/2023

Investor Name
ABN
Address

The Investor is hereby authorized to directly deposit an investment to the account listed below.
This authorization shall remain in effect until it modified or canceled in writing.

Deposit to
Account
BSB

In the Amount of : AUD $70,000 (Seventy Thousand Australian Dollars)

Investor Signature

Shaun William Cobb

Christine Marie Couper

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