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LAND TITLE ACT FORM D

EXECUTIONS CONTINUED

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Se Execution Date Be aeuas Officer Signature(s) Transferor/Borrower/Party Y |My] OD Signatura(s)

THE CORPORATION OF THE CITY OF

PORT COQUITLAM by its authorized signatories:

OFFICER CERTIFICATION:

Your signature constitutes a representation that you are a solicitor, notary public or other person authorized by the Evidence Act, R. $.8, c. 1979, ¢. 116, to take affidavits for use in British Columbia and certifies the matters set outin Part S of the Land Title Act as they pertain to the

execution of thisinstrument,

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