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STATE OF VERMONT

STATE TREASURER’S OFFICE

UNCLAIMED PROPERTY DIVISION

“UNCLAIMED PROPERTY WORKSHOP “

WATERBURY
VERMONT

NAME ______________________________________________________________

COMPANY __________________________________________________________

ADDRESS___________________________________________________________

TOWN ______________________________________________________________

STATE ________________________________________ ZIP __________________

TELEPHONE ________________________________________________________

FAX _______________________________________________________________

EMAIL _____________________________________________________________

September 10, 2007 9 a.m. – Noon September 24, 2007 9 a.m. – Noon
1 p.m. – 4 p.m. 1 p.m. – 4 p.m.

October 9, 2007 9 a.m. – Noon October 23, 2007 9 a.m. – Noon


1 p.m. – 4 p.m. 1 p.m. – 4 p.m.

Location: Mad Tom Notch Room


State Bldg Complex, Cyprian Learning Center
Park Row
Waterbury, Vermont

HOW MANY PEOPLE ATTENDING ____________________

THERE IS NO COST FOR THIS WORKSHOP

Please register at least 5 business days prior to the date of the Workshop
fax this form to 802-828-2884 or call 802-828-1490