cITyY LETTERHEAD

SAMPLE

The Corporation of the City of Port Coquitlam by its corporate

seal hereby promises to pay to the order of

the sum of in lawful money of Canada on

This obligation is one of a series of obligations issued in
accordance with section 344 of the Municipal Act and furthermore this
obligation shall rank as debenture debt of the Corporation of the City of

‘Port Coquitlam.

Signed of behalf or the said Corporation by the Mayor and Treasurer

under the authority of by-law passed in open Council on the

Mayor

Treasurer

This form of security shall be issued to each of the developers in
the appropriate amount which in total shall not exceed the amount
authorized in our by-law. This security should be dated on the date
of acceptance of the individual works which in every case must be in
the same calendar year as our by-law is passed.