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Land Title Act
Form D

Province of
British Columbia

EXECUTIONS CONTINUED

Execution Date

Officer Signature(s) Y M D Transferor(s) Signature(s)

THE CORPORATION OF THE CITY OF
PORT COQUITLAM
by its authorized signatory

Mayor - Len Traboulay

City Clerk ~- Susan Rauh

OFFICER CERTIFICATION: .
Your signature constitutes a representation that you are a solicitor, notary public or 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 ins teumaee

ae If space insufficient, enter "SEE SCHEDULE" and attach! $éMiute PA GHemie.
+ If space insufficient, continue executions on additfonal pagegs) in Form D.