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Land Title Act
Form D

Province of
British Columbia

EXECUTIONS COMPIMUED

Execution Date

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

THE CORPORATION OF THE CITY
PORT COQUITLAM
by its authorized signatory

Sane.

Mayor - Len Traboulay

city Clerk - Susan Rauh

or other person authorized by the Evidence
in Part 5 of the:

OFFICER CERTIFICATION: ©
Your signature constitutes a representation that you are a solicitor, notary public
"Act R.S.8.C. 1979, c. 116, to take affidavits for use in British Columbia and certifies the matters set out
‘Land Tithe Act as they pertain to the execution of this instrument, ; ,
If space insufficient, enter "SEE SCHEDULE" and atackT gtfype Lepirerm €.

1f space insufficient, continue executions on addi fr DIGEST TT Foym 0.

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