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The Corporation of the
City of Port Coquitlam

I offer the sum of exclusive of ali other
costs and charges for the property described below:

Lot “A”, BLK 25, DL 170 and 289, PLAN xxxx
New Westminater Diatrick

My Certified cheque for $5,000.00 1s enclosed ag a deposit.

I have read and understood tha Tendering Comiition and Terms of Sale under
which this property 1a being offered for sale.

Signed

Print name and address of person(s) or
corporation who wili be title holder if
this bid 1¢ accepted,

IAT

AAS
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NOTE

Thig form is provided for convenience only and its use is not
mandatory. '

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