LAND Teil ACT
FORM C
(Section 249.81)

Province of
British Colurnbia

GENERAL INSTRUMENT - PART I (This area for Land Title Offive use) Page | of a pages

t. APPLICATION: (Nume, address, phone number and signature of applicant, applicant's solicitor or agent)
STEPHANIE WILLIAMSON, Notary Publ ic

#3 - 2445 Bast Hastings Street
Vancouver, B. C., VoK 1XY8

Tel: 253-5241 signature of applicant, applicant's solicitor ar agent

PARCEL IDENTIFIER(S) AND LEGAL DESCRIPTION(S) OF LAND:*
(PID) (LEGAL DESCRIPTION) City of Port Coquitlam
016 - 790 - 367 Lot "A"
District Lot 344, Group 1
New Westminster District Plan NWP87543

NATURE OF INTEREST:* DOCUMENT REFERENCE PERSON ENTITLED TO INTEREST
DESCRIPTION (page und paragraph)

RESTRICTIVE COVENANT Entire Instrument Transferee

4. TERMS: Part 2 of this instrument consists of (select one only)
(a) Filed Standard Charge Tenns C) D.F. No.

(b) Express Charge Terms [] Annexed as Pan 2
(¢) Release C] There is no Part 2 of this instrument

A selection of (a) includes any additional or modified terms referred to in {term Tor in a schedule annexed to this instrument. If (c) is selected, the
charge described in Item 3 is released cr discharged as a charge on the land described in Item 2.

5. TRANSFEROR(S):* LIBERTY HOMES LID., (Incorporation No. 301463)
a170 Tower Court, Port Coquitlam, B.C., V3C 5E3

6. TRANSFEREE(S): (including postal address(es) and postal code(s))* THE CORPORATION OF THE CITY OF PORT COQUITLAM,

-@ Municipal Corporation under the "Municipal Act", R.S.B.C. 1979 and having its
municipal offices at: 2580 Shaughnessy Street, Port Coquitlam, B.C. V3C 2A8

7. ADDITIONAL OR MODIFIED TERMS: *

8. EXECUTION(S):** This instrument creates, assigns, modifies, enlarges, discharges or governs the priority of the interest(s) described in Item 3 and
the Transferorts) and every other signatory agree to be bound by this instrument, and acknowledge(s) receipt of a true copy of the filed standard charge

terms, if any. ;
Execution Date

Officer Signature(s) yY | M bp I. Party(ies) Signature(s)
LIBERTY HOMES LID. by its
authorized signatories

TEM

OFFICER CERTIFICATION: Your signature constitutes 2 representation that you are 3 sohenarnolary public of other person authorized by the Evidence
Act, R.S.B.C. 1979, c. 116, to take affidavits for use in British Columbia and certifies the matters set out in Part 5 of the Land Title Act as they pertain
“to the execution of this instrument. "If space insufficient, enter “SEE SCHEDULE” and attach schedule in Form E. ‘
**If space insufficient, continue executions on additional page(s) in Form D.

REV: 03472.

EA,