0 WARNING THE MAKING OF A FALSE

SURVEILLANCE AND EARLY WARNING SYSTEMS OF INFECTIOUS DISEASE IN
WARNING THE FOLLOWING INFORMATION
0 WARNING THE MAKING OF A FALSE

0 METWSG1IP4 METWSG1IP5 211107 METEOROLOGICAL WARNINGS STUDY GROUP (METWSG)
0 METWSG2IP5 METWSG2IP5 6409 METEOROLOGICAL WARNINGS STUDY GROUP (METWSG)
0 METWSG2IP8 METWSG2IP8 20409 METEOROLOGICAL WARNINGS STUDY GROUP (METWSG)

Exploration Geo – Statutory Declaration

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Warning: The making of a false or fraudulent declaration could result in the cancellation of your Exploration Approval. In addition, it is a contravention of the Criminal Code of Canada and could carry, upon conviction, penalties including fines or imprisonment.

CANADA


IN THE MATTER OF NO ENTRY ON AN APPROVED GEOPHYSICAL PROGRAM

PROVINCE OF ALBERTA

GEO

DATED

____________________


TO: _______________________________

TO WIT

(hereinafter referred to as the “LICENSEE”)


I, of , Alberta, do solemnly declare that, as of the date of this declaration:

  1. I am the person identified above, or I am the authorized signing officer for the Licensee identified above, and as such have authority to bind the Licensee.

  2. The Licensee has the right to conduct exploration authorized by an Exploration Approval for a 4D “Time Lapse” program.

  3. The Licensee has chosen not to conduct exploration field operations on the Approved program within the previous May 1 to April 30 time period.

  4. Neither the Licensee, any delegates of the Licensee, nor a successor Licensee, has entered the Disposition Area for the purpose of conducting geophysical exploration operations under this GEO Approval between May 1,­­­­________ and April 30,________.

  5. For the purposes of this Declaration:

i) “Disposition Area” means the geographic area as provided in the approved program map submission.

ii) Satisfies the requirement of Exploration Directive ED 2006-09 with respect to “Interim” Final Plans.


AND I make this solemn declaration conscientiously believing it to be true and knowing that it is of the same force and effect as if made under oath.

 0  WARNING THE MAKING OF A FALSE Declared Before Me At The ___________________ of



____________________________ in the Province of Alberta,

this day of , ­­­_____.




A Commissioner For Oaths/Notary Public


(Print or Stamp Name Here)

My Appointment Expires:








18 POWERPLUSWATERMARKOBJECT357831064 MENOPAUSE POLICY NHS HIGHLAND WARNING – DOCUMENT
2 ATTITUDEJUDGEMENT [WARNING IF YOU ARE READING THESE NOTES
41 THE ACCUSED AS A WITNESS1 WARNING!


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