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BID FORM

The Corporation of the
City of Port Coquitlam

I offer the sum of _exclusive of all other
costs and charges for Lot. 12, District Lot 384, Group 1, Plan 74266,
New Westminster District.

.

My Certified cheque in the amount of $5,000.00 is enclosed as a
deposit.

I have read and understood the Tendering Conditions and Terms of Sale
under which this property is being offered for sale.

Signed

Print name and address of person(s) or
corporation who will be title holder if
this bid is accepted. |

NOTE

This form is provided for convenience only and its use
mandatory..