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Firefighters Relief Association Reporting Form <br />Year Ended December 31, 1991 <br />INVESTMENT REPORT <br />PURCHASE INTEREST INSTRUMENT NUMBER TYPE OF <br />DATE RATE NUMBER OF SHARES INVESTMENT <br />(CURRENT) <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />13 <br />14 <br />15 <br />16 <br />17 <br />18 <br />19 <br />20 <br />NAME OF INVESTMENT <br />SEE ATTACHED INVESTMENT REPORT <br />AMOUNT <br />12 -31.91 <br />Explanation of column headings: <br />Purchase Date <br />Interest Rate <br />Instrument Number <br />Number of Shares <br />Type of Investment <br />Name of Investment <br />Amount <br />The date the purchase was made <br />The current interest rate (if applicable) <br />The identifying number of the investment certificate <br />For common and preferred stock investments /for bonds and CD's use face value <br />Certificate of deposit, common stock, bond, etc. <br />Such as U.S. Treasury, or the name of the company in which stock was purchased <br />The purchase price including commissions, fees and any other applicable costs incurred <br />when buying the investment. Include reinvested interest. <br />4 <br />Page 59 <br />