Dividend Certificate info

Hello.
I am creating a web-form to create the dividend certificate and minutes automatically, after entering the information. Is this info all ok for the certificate?
Thanks for your thoughts...
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Dividend Certificate

ABC Limited
Date of dividend 12/01/2007
Shareholder name: James Smith
Number of shares held: 2
Class of share: Ordinary B
Amount paid per share: £ 1000.00
Amount paid: £ 2000
Tax Credit: £ 222.22
Total: £ 2222.22

_____________________________________
Signed for the company by Fred Bloggs
ABC Limited This Address, This Town, WS11 2BB
Company registered in England & Wales number 12345678
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Paul

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Interim?

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