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FORM 3
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a)
of the Public Utility Holding Company Act of 1935 or Section 30(f)
of the Investment Company Act of 1940
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1. Name and Address 2. Date of Event Requiring 4. Issuer Name and Ticker or Trading Symbol
of Reporting Person* Statement
(Month/Day/Year) MPW Industrial Services Group, Inc. "MPWG"
Rockwell Douglas C.
- ----------------------------------- 7/29/99
(Last) (Middle) (First)
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9711 Lancaster Road, S.E. 3. IRS Identification 5. Relationship of Reporting Person 6. If Amendment, Date of
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(Street) Person, if an Entity (Check all applicable) (Month/Day/Year N/A
(Voluntary) Director 10% Owner
Hebron Ohio 43025 --- --- -------------------------
- ----------------------------------- N/A X Officer (give Other
(City) (State) (Zip) --- title below) --- (specify 7. Individual or Joint/
below) Group Filing (Check
Vice President, New Business Strategies applicable line)
- ---------------------------------------------------------------------------------------------------------- X Form filed by
--- One Reporting
Person
- ----------------------------------------------------------------------------------------------------------- --- Form filed by
More than One
Reporting
Person
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TABLE I - NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect
(Instr. 4) Beneficially Owned (Intr. 4) Form: Direct (D) Beneficial Ownership
or Indirect (I) (Instr. 4)
(Instr. 5)
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Common Stock 0 N/A N/A
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* If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
(Print or Type Responses)
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FORM 3 (CONTINUED)
TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. Title of 2. Date 3. Title and 4. Conversion 5. Ownership 6. Nature of Indirect
Derivative Security Exercisable Amount of Securities or Form of Beneficial Ownership
(Instr. 4) and Expiration Underlying Derivative Exercise Derivative (Instr. 5)
Date Security (Instr. 4) Price of Security
(Month/Day/ Deri- Direct (D)
Year) vative or Indirect
-------------------------------------------------- Security (I) (Instr. 5)
Date Expira- Title Amount or
Exer- tion Number of
cisable Date Shares
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Employee Stock Option 1 2/16/09 Common Stock 35,000 $9.75 D N/A
(right to buy)
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Explanation of Responses:
**Intentional misstatements or omissions of facts constitute Federal
Criminal Violations. /s/ C. Douglas Rockwell 8/9/99
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ---------------------------------------
**Signature of Reporting Person Date
Note. File three copies of this form, one of which must be manually
signed. If space provided is insufficient, See Instruction 6 for procedure.
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(Print or Type Responses)
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(1) Exercisable in annual increments of 8,750 each beginning on February 16, 2000, the first anniversary date of grant.
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