The Corporation of the
City of Port Coquitlam

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

Lot 10, Block 6, Section 5, Plan 19372, NWD, in Port Coquitlam, B.C.

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

[have read and understood the Tendering Condition and Teims of Sale under which this
property is being offered for sale.

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

NOTE

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