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Securities Law

Form 40 - Endorsement of warrant [F - Rescinded]

Published Date: 1997-06-27
Effective Date: 1997-06-25
Rescinded Date: 2001-04-26

This is the form required under section 156 (1) of the Securities Act.

FORM 40

Securities Act

ENDORSEMENT OF WARRANT

CANADA,

PROVINCE OF

__________________________________
(territorial division)

Pursuant to subsection __________________________________ Securities Act and pursuant to application this day made to me, I hereby authorize the execution of this warrant within the said

______________________________________________
(territorial jurisdiction)

Dated this ______________________ day of ____________________ 19 ___,

at __________________________________ in the Province of British Columbia.

 

__________________________________
A Justice of the Peace in and for
the Province of

__________________________________

 

February 1, 1987