15-904F - Endorsement Of Warrant [BCF]
| Published Date: | 2001-04-27 |
|---|---|
| Effective Date: | 2001-04-26 |
| Document(s): |
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BC FORM 15-904F (Previously 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
__________________________________