Sedar Form 6 - Certificate Of Authentication

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SEDAR FORM 6
Certificate of Authentication
Name of filer:
Part I: Issuer Information
1. Profile number of issuer:
2. Name of issuer (if different than name of filer above):
_________________________________________________
Part II: Document(s) Being Filed Electronically
1. List the document(s) being filed electronically and the date(s) of those
documents:
Document Name
Date of Document
2. Project Number: ______________________________
Part III: Certification
I hereby certify that I have authorized the electronic entry of my name in typed form in
the document(s) listed above in Part II and that the electronic entry of my name in typed
form shall have the same effect as if I had manually signed the document(s).
Name of the signatory:
(PLEASE PRINT)
Signature of the signatory:
Title of the signatory:
Name of the entity represented,
by the signatory if applicable:
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SEDAR Form 6 (07/12/2015)

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