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Ed outside of Canada or the United States and the Applicant must be carrying on business in Canada or the United States. NAME OF BROKER AON REED STENHOUSE INC. TORONTO OFFICE TYPE OF BOND - see below BOND AMOUNT $ EFFECTIVE DATE OF BOND $ PREMIUM: EXACT NAME of APPLICANT to appear on bond: ADDRESS: Telephone Number ( ) NATURE OF APPLICANT S BUSINESS: Has the Applicant ever been adjudged bankrupt or made a general assignment for the benefit of its creditors because of insolvency?.

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