LAND TITLE ACT
. FORM C
iSeenon 218}
Provinee of
British Columbia.
GENERAL INSTRUMENT - PART | (this area for band File Office we Pape | of 7 Pupes
|. APPLICATION: (Name, address, phone manher aad signanae of applicant, applicant's solicitor or agent)

JOSEPH W. TARNOWSKI, FREEMONT HOLDINGS LTD.
Number 10-9500 Erickson Drive
Burnaby, British Columbia, V3J 1M8

d -
(60 +) 44a A949 vendre ab applicant applicant’ s solicitor ar agent

> PARCEL IDENTIFIER(S) AND LEGAL DESCRIPTION(S) OF LANI):*
(PID) (LEGAL DESCRIPTION)

SEE SCHEDULE ATTACHED

+ NATURE OF INTEREST: * DOCUMENT REEERENCE PERSON ENTITLED TO INTEREST
DESCRIPTION (pune und puragrape)

STATUTORY RIGHT OF WAY ENTIRE INSTRUMENT THE CORPORATION OF THE CITY
OF PORT COQUITLAM

wee munenn ioe woeeminpamecmnne me rs ome semen eet Unt mee

I TERMS: Part 2 of this instrument consints of (select one only)

uit) Filed Standard Charge “Pornis C | DE No.

tty) Liapress Charge Terms Cx} Anneacd as Part 2

{v) Release C] There is no Part 2 ofthis tastrument

A selection of (a) includes any additional or modified terms referred to in em 7 or iaeschedule annexed to this tastrument. (0 (c) ts selected, the
charge described in lem 3 is released or discharged as a charge on the land described in tiem 2,

5. TRANSFEROR(S):" peeEMONT HOLDINGS LTD.

b. TRANSFEREE(S): (inelidinge postal address(es) and pastal codes yy
THE CORPORATION OF THE CITY OF PORT COQUITLAM
2580 Shaughnessy Street .

Port Coquitlam, BC V3C 2A8

7, ADLITIONAL OR MODIFIED TERMS:

NOT APPLICABLE

S EXECUTION(S)** This instrument creates, assigns. modifies, calirges, discharges of governs the prierity of the ierest(s) deseribed tn Hem 3 and |
ghe ‘Lransferoe(s) and every other signatory agree to be bound by this instrument, and ahnowleduets) receiplol a true copy of the filed standard charge

terns, Hany.
Execution Date

Officer Sigmature(s) . y M >) Purty(ies) Signature(s)
92 |. FREEMONT HOLDINGS LTD. by its
authorized signatory

BRIAN DE LA MOTHE

i. ROSS ELLIOTT

‘

OFFICER CERTIFICATION: Your signature constitules at representation that you are a solicitor, notary public or other person authorized by the Evidence:
Act RLS.B.C. 1979, c. 116. to bitke affidavits for use tn British Columbigtiteeg rig set aut in Part § of the Land Title Actas they. pertain

to the esceution of this instrument. “Hf space insufficient, enter “SEE SSE - schedule in Fon E.
“41 space insufficienl continue exqeulons On i lditional page(s) in Form D, ow |

REVEONN 175 : | _Priewere a St. .asen Lad. :