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BID_FORM

The Corporation of the
City of Port Coquitlam

I offer the sum of exclusive of all

costs and charges for the property described below:

Lots 11 to 20 inclusive, Block 25, District Let 174 and 289,
Pian 2080, New Westminster District and the lane located between
these properties. :

My Certified cheque for $5,000.00 is enclosed as a deposit.

I have read and understood the Tendering Condition and Terms of Sale
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

Beere . ,

This form is provided for convenience only and its use is not