有价证券卖出委托书

  ┌────┬─────────────────────────────┐
    │证券种类│                                                          │
    ├────┼─────────────────────────────┤
    │数    量│                                                          │
    ├────┼─────────────────────────────┤
    │指定价格│                                                          │
    ├────┼─────────────────────────────┤
    │预存金额│                                                          │
    ├────┼─────────────────────────────┤
    │现 定 期│                                                          │
    ├────┼─────────────────────────────┤
    │限    期│                                                          │
    ├────┼─────────────────────────────┤
    │备    考│                                                          │
    └────┴─────────────────────────────┘

上列证券委托 贵公司卖出请即依照 贵公司代卖证券规则办理此致上海信托股份有限公司

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                                                        （签名盖章）